I am Dr.Vaishali Chavan, a senior gynaecologist, obstetrician, and laparoscopic surgeon with over 25 years of experience.  we covered what preterm delivery is and how it affects the baby, leading to various complications. In this article, we will delve into how to prevent preterm labour and the measures you can take to ensure a healthy pregnancy.

What is Preterm Labour?

Preterm labour refers to the onset of labour before 37 weeks of pregnancy. Babies born prematurely are at a higher risk for health complications such as respiratory distress, infections, and developmental delays. Preventing preterm labour is crucial for the well-being of both the mother and the baby.

Essential Steps to Prevent Preterm Labour

• Balanced Nutrition:

  A well-balanced diet rich in essential nutrients is vital for a healthy pregnancy. Adequate intake of proteins, vitamins, and minerals supports the growth and development of the baby and keeps the mother healthy. Include foods rich in iron, calcium, folic acid, and omega-3 fatty acids. Avoid processed foods and high-sugar snacks.

• Adequate Rest:

  Sufficient rest is crucial to prevent preterm labour. It helps in reducing stress and keeps the body in an optimal state for carrying the pregnancy to term. Aim for 7-9 hours of sleep each night and incorporate short naps during the day if needed.

• Infection Management:

  Treating infections promptly is essential. Recurrent urinary tract infections, vaginal infections, itching, and foul-smelling discharge should be addressed immediately as they can increase the risk of preterm labour. Maintain good hygiene and consult your doctor at the first sign of infection.

• Stress Management:

  Avoiding excessive stress and heavy physical work is important. Engage in relaxation techniques such as prenatal yoga, meditation, and deep breathing exercises to keep stress levels in check. Practicing mindfulness and engaging in hobbies can also help reduce stress.

• Management of Maternal Diseases:

  If the mother has underlying conditions like high blood pressure or uncontrolled diabetes, managing these conditions before and during pregnancy is crucial. Pre-existing conditions can increase the risk of preterm labour. Regular monitoring and medication as prescribed by your doctor can help manage these conditions effectively.

• Surgical Interventions:

  Conditions such as fibroids or a septate uterus may require surgical intervention before planning a pregnancy to reduce the risk of preterm labour. Discuss with your gynaecologist about any necessary surgeries well in advance.

• Review of Prior History:

  A history of preterm delivery or mid-trimester loss (abortions between 16 to 24 weeks) increases the risk of preterm labour. Patients with such a history need to be monitored closely. Regular prenatal check-ups and following your doctor’s advice can help mitigate this risk.

Role of Progesterone in Preventing Preterm Labour

Progesterone is a hormone that helps in relaxing the uterus and reducing uterine contractions, thereby lowering the risk of preterm delivery. Progesterone treatment is available in various forms such as tablets, injections, and gels. Your doctor will prescribe the form that is best suited for you.

Cervical Cerclage and Arabin Pessary

For patients with a history of preterm delivery and a cervical length less than 2.5 cm between 16 to 24 weeks of pregnancy, procedures like cervical cerclage (a stitch placed around the cervix) can be beneficial. Another recent innovation is the Arabin pessary, a device inserted into the vagina to support the cervix and help prevent premature delivery.

Practical Tips and Additional Preventive Measures

• Hydration:

  Stay well-hydrated by drinking plenty of water throughout the day. Dehydration can cause contractions and increase the risk of preterm labour.

• Regular Prenatal Check-ups:

  Attend all scheduled prenatal appointments to monitor the health of both mother and baby. Early detection of potential issues can lead to timely interventions.

• Avoid Smoking and Alcohol:

  Refrain from smoking and consuming alcohol during pregnancy as these can increase the risk of preterm labour and other complications.

• Exercise:

  Engage in gentle, regular exercise such as walking, swimming, or prenatal yoga. Avoid high-intensity workouts and consult your doctor before starting any exercise regimen.

• Healthy Weight:

  Maintain a healthy weight during pregnancy. Excessive weight gain or being underweight can increase the risk of preterm labour. Follow your doctor’s guidelines on healthy weight gain.

• Avoid Harmful Substances:

  Limit exposure to harmful substances, including certain chemicals, pollutants, and medications not prescribed by your doctor.

Treatment Options for Imminent Preterm Labour

Despite preventive measures, if preterm labour appears inevitable, several treatment options are available:

• Tocolytics:

  Tocolytics are medications like nifedipine and atosiban that help relax the uterus and reduce contractions, thereby delaying preterm labour.

• Steroid Injections:

  Administering steroid injections such as betamethasone or dexamethasone helps in the maturation of the baby’s lungs, reducing the risk of respiratory distress post-delivery.

• Antibiotics:

  In cases of suspected infection, antibiotics may be administered to the mother to prevent complications.

• Magnesium Sulfate:

  This medication may be given to provide neuroprotection to the baby, reducing the risk of cerebral palsy if preterm birth is imminent.

Contact Dr. Vaishali Chavan today to receive personalized, top-quality high-risk pregnancy treatment at Saanvi Clinic,Pune.Because every pregnancy deserves exceptional care!

Importance of NICU Facilities

If preterm delivery is unavoidable, it is crucial to deliver in a facility equipped with a Neonatal Intensive Care Unit (NICU) and staffed by qualified neonatologists to provide the necessary care for the premature baby.

Conclusion

Preventing preterm labour involves a multi-faceted approach including proper nutrition, rest, infection management, and addressing underlying maternal conditions. Additionally, practical lifestyle changes and regular prenatal care play a significant role in mitigating risks. If you have any questions or need further information, please feel free to contact us. Your health and the health of your baby are our top priorities.

Contact Saanvi Clinic for expert guidance on preterm labour prevention. Ensure a healthy pregnancy with our comprehensive care and support. Reach out today!