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Premature Labor: Causes and symptoms

 
Medical Encyclopedia: Premature Labor: Causes and symptoms
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The causes of premature labor cannot always be determined. Some research suggests that infection of the urinary or reproductive tract may stimulate premature labor and premature births. Multiple pregnancies (twins, triplets, etc.) are more likely to result in to premature labor. Smoking, alcohol use, drug abuse, and poor nutrition can increase the risk of premature labor and birth. Adolescent mothers are also at higher risk for premature delivery. Women whose mothers took diethylstilbestrol (DES) when they carried them are more likely to deliver prematurely, as are women who have had previous surgery on the cervix.

The symptoms of premature labor can include contractions of the uterus or tightening of the abdomen, which occurs every ten minutes or more frequently. These contractions usually increase in frequency, duration, and intensity, and may or may not be painful. Other symptoms associated with premature labor can include menstrual-like cramps, abdominal cramping with or without diarrhea, pressure or pain in the pelvic region, low backache, or a change in the color or amount of vaginal discharge. As labor progresses, the cervix or opening of the uterus will open (dilate) and the tissue around it will become thinner (efface). Premature rupture of membranes (when the water breaks) may also occur.

An occasional contraction can occur anytime during the pregnancy and does not necessarily indicate that labor is starting. Premature contractions are sometimes confused with Braxton Hicks contractions, which can occur throughout the pregnancy. Braxton Hicks contractions do not cause the cervix to open or efface, and are considered "false labor."

— Altha Roberts Edgren



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