Chances of Preterm Labor Again With 3rd Pregnancy
How to Preclude Preterm Birth in the Second Pregnancy
HIGHLIGHTS:
- Mothers whose first pregnancy ended in a preterm nativity have an increased risk of preterm nativity in the 2nd pregnancy by up to xv%.
- Preterm nascence carries with information technology the hazard that the nativity will affect the development of various organs in the baby, thus more easily resulting in complications and even putting the babe at risk of expiry.
- Screening for run a risk of preterm birth in a second pregnancy can exist carried out at the 16th week of gestation. This is a modernistic and constructive prevention method.
A pregnancy is regarded equally beingness full-term between 37 and 40 weeks of pregnancy. If a infant is built-in before the 37th week of pregnancy it is considered a "preterm" or "premature" nativity. This is one of the main problems that most significant mothers are concerned near, as it can affect both the female parent and the newborn baby.
Preterm Birth Take a chance factors
Preterm nativity may be acquired past a diversity of factors, such as maternal smoking during pregnancy or regular exposure to secondhand smoke, alcohol consumption, certain types of medications, poor maternal nutrition,a strenuous workload during pregnancy, and infection during pregnancy.
Additionally, mothers who have a history of preterm nativity with their outset pregnancy accept upward to a 15% higher risk of preterm birth in the second pregnancy, and this risk increases gradually according to the number of preterm births a mother has experienced.
How to Forestall Preterm Birth (for 2nd Pregnancies)
Preterm nascence from a first pregnancy is a fundamental factor for an increased risk of preterm nascency in the second pregnancy, and causes many mothers to go anxious or fearful about becoming meaning once again. However, if mothers tin can learn what steps to take to prevent information technology, the risk of preterm birth in the 2d pregnancy tin can exist reduced through the following methods:
- Quit smoking and stop drinking alcohol. It's all-time if this can be done even before the pregnancy, every bit this volition further reduce the risk of a 2d pregnancy preterm birth.
- Control chronic diseases such as diabetes,high blood pressure, by following your doctor's communication.
- Properly treat whatever infections equally inflammation and infection increment the risk of preterm nativity.
- Consume a healthy and balanced diet, including the 5 food groups or every bit per a doctor'south recommendations in order to reduce bug arising from a lack of essential nutrients.
- Get sufficient rest. Pregnant mothers should slumber at to the lowest degree 8 hours a nighttime to ameliorate blood flow to the uterus.
- Abstain from strenuous work and refrain from lifting heavy objects or doing activities that crave intense effort. If you desire to exercise, exercise so under the supervision of a md or specialist.
- Exercise caution in sexual activeness. A doctor should be consulted in order to appraise whatsoever possible risk and to receive advice regarding sexual activity during pregnancy.
- Avoid stress. Mothers who are concerned almost the possibility of preterm nascence in their 2d pregnancy should talk with their physician about any problems or concerns and should be sure to nourish regular checkups and physician's appointments.
Preterm Nascency Take chances Cess and Screening
Preterm nascence risk assessment and screening for second pregnancies is another contemporary and effective prevention method. This tin be carried out using a variety of methods including:
- Ultrasound examination via the cervix can exist done afterwards 16 weeks of gestation.
- Claret test and fetal fibronectin (fFN) test using a swab of cervical or vaginal fluid.
- Genetic testing, which, in addition to screening for preterm birth, can as well provide information regarding the potential risks of developing genetic complications and/or preeclampsia early on enough to allow for the most effective prevention methods to be carried out.
Genetic Testing
Preconception genetic testing is a "precision medicine" health check-up that helps to identify genetic risks in an individual including those influenced by family history, genetics, environment or lifestyle. It utilizes mod technology to detect preterm birth risks and to provide a handling plan. The process begins with a detailed review of the patient'southward medical history. If it is found that a patient has a history of preterm nascency, she will immediately exist placed in the at-risk grouping.
At that place is also a screening test to measure cervical length via transvaginal ultrasound. A cervical length shorter than 25 mm is considered a warning sign that the mother is at risk of preterm labor. This test can be carried out starting at xvi weeks of gestation.
If inflammation is found inside the uterus, the dr. can provide medication to prevent and reduce inflammation and therefore reduce the risk of preterm nascence. The doctor may also comport out a fetal fibronectin test to search for the fibronectin protein in the area between the fetal sac and the uterine lining in gild to identify whatsoever possible tendencies toward preterm birth.
Treatments for Prevention of Preterm Birth
In example a hazard of preterm nascency is detected, the md may deport out preventative measures every bit follows:
- Natural progesterone therapy in order to prevent uterine contractions.
- Use of a cervical pessary to help strengthen the cervix in cases where natural progesterone therapy is ineffective and the cervix is notwithstanding plant to be brusque.
- In cases where both methods above are unsuccessful and the female parent continues to experience symptoms of preterm labor, the doc tin administer tocolytic agents to suppress uterine contractions, delaying preterm birth for at least 48 hours, afterwards which drugs in the steroid grouping known as corticosteroids can be given to assist stimulate the baby's lung functions and prevent encephalon haemorrhage. Finally, the baby will be delivered and efficient neonatal care will be provided for the newborn.
Babies built-in prematurely are at run a risk of a variety of medical issues affecting organ development and may also experience other complications including difficulty animate, very high or depression trunk temperature, jaundice, anemia, choking or gagging on milk, bloating, and developing infections easily, amid others. Premature infants are also at increased risk of death, and they may experience a variety of issues such as congenital centre defect leading to heart attack, brain disorders, seizures, deafness, blindness, abnormal body movements, lower IQ, and more.
Therefore, when risk factors for preterm nascence are detected, mothers should strictly follow their doctor's communication. Mothers who have a history of preterm birth from their first pregnancy should not allow themselves to go overly anxious or to develop antenatal stress, particularly non from the very beginning of the pregnancy. These steps, when taken along with proper wellness care, sufficient sleep and relaxation, stress command, and regular doctor's appointments, can assistance to reduce the risk of preterm birth.
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Source: https://www.samitivejhospitals.com/article/detail/prevent-preterm-second-pregnancy
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