What You Need to Know About Premature Threat

What You Need to Know About Premature Threat

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Bahçeci Women's Health & Gynecology, Diagnosis and Treatment Center Op. Dr. View Hande's Full Profile Yaklaşık Approximately 10% of babies are born premature. Premature birth 37 births at any time before gestational week. In case there is a situation that will increase your risk, this possibility increases even more. Erek

Premature birth is responsible for 75% of newborn deaths. Growth and development of premature babies are slow. Hearing, vision, respiratory and central nervous system development may be problematic and problems may be encountered in school age.

Factors that can increase risk in terms of preterm birth

1. In this or previous pregnancy early birth threaten
2. Preterm labor in previous pregnancy
3. Multiple pregnancy (two or more fetuses)
4. Previous operations on the cervix
5. Wall (septum), uterine fibroids
6. when she is pregnant infection to live, especially kidney inflammation
7. Pregnancy to undergo surgical operation from the abdomen (appendicitis, gallbladder, ovarian surgeries)
8. Smoking and drug use
9. Bleeding in the first trimester or second trimester of pregnancy
10. Pregnancy without follow-up
11. Being pregnant with an intrauterine device
12. fetus having died
13. Incorrect calculation of gestational age

Premature Threat Findings

1. Increased vaginal bleeding or vaginal discharge
2. Groin or abdominal pain
Significant low back pain
4. Having pain that resembles menstrual pain day by day
5. Stretchiness in the uterus
6. More than 5-6 contractions in one hour
7. Sudden abundant discharge of fluid from the vagina

How to diagnose preterm labor?

It is diagnosed by looking at changes in the cervix. If your cervix is ​​softened, turned forward and begins to shorten threat of premature birth live here. Prenatal diagnosis is not made only with the feeling of contraction.

Fetal Fibronectin Test

Fetal fibronectin; is a protein that can be detected in vaginal discharge between 24 - 34 weeks of gestation, indicating whether or not there will be birth within 2 weeks if there is an early birth threat. It is obtained by taking a vaginal swab sample from the areas close to the cervix. If fetal fibronectin is detected, your doctor may give bed rest to prevent premature labor and start treatment with the necessary medications. Medication is also given for the maturation of the baby's lungs.

Treatment of Premature Threat

The main goal of treatment is to limit the activity and increase fluid intake. If you are threatened with premature birth, you should be hospitalized and not leave the bed unless necessary. First, serum is administered through the vascular route. If necessary, drugs that relieve uterine contractions called tocolytic drugs are added to this serum.

Premature and Infant Health

This is related to how early preterm delivery occurs. Most babies born after the 35th week will usually go home with the mother within a few days. Babies born before this week will stay in hospital for as long as the expected date of birth is left.
A premature baby cannot live outside the incubator. These babies will need newborn intensive care.

Premature babies may suffer because they are small and their organs are not fully developed. Premature, pulmonary disease or respiratory distress syndrome (RDS) is caused by insufficient surfactant to keep air ducts open. Some premature infants may require endotracheal administration of this substance. A machine called the ventilator helps them breathe until the lungs begin to function.
Premature babies also have problems in keeping their body temperature in balance. They are kept under heaters to prevent the development of hypothermia. They may also have difficulty adjusting blood sugar, calcium and magnesium levels, which are supplemented intravenously. Cord vessels are generally preferred as vascular access. Since these babies may also have problems with sucking, swallowing and grinding, they can be fed by intravenous or nasal or oral tubes. If premature babies are fed too early, a fatal bowel disease called necrotizing enterocolitis may develop.
Premature babies often develop jaundice because their liver function is not fully completed. This yellow appearance of the skin will disappear over time. Ultraviolet light therapy may be required to prevent bilirubin buildup.

Long Term Problems in Premature Babies

With the development of newborn intensive care units, many small babies can now be kept alive. The smaller the baby was born, the more problems will be experienced in the long term. These problems include chronic respiratory distress, hearing difficulties, vision problems, neurological and developmental problems, and learning difficulties. These are often unobstructable problems. Nevertheless, many of the premature babies are able to recover without these problems thanks to the excellent treatment methods used today.

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