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There are many reasons. One of the most common is that the mother has pre-eclampsia (high blood pressure, protein in the urine, swollen extremities) and the only way to cure it is by delivering the baby. The mother may have an infection which triggers premaure labor. (even 'flu can do it) The cervix may open slightly and allow the waters to break, so an open pathway for infection means the baby has to be delivered. The baby may have a condition which can only be treated once it is born, or the treatment may trigger premature labor, (e.g. blood group incompatibilty). Multiple pregnancy babies often just run out of room and have to be delivered, also a multiple pregnancy may trigger pre-eclampsia. these are the most common ones but there are many more and sometimes 'no-one knows' is the answer.

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