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2018

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Prevention of premature birth

Preterm birth refers to delivery that occurs between 28 weeks and less than 37 weeks of gestation. At this time, the organs of the preterm infant are not fully developed, leading to an increased incidence of conditions such as respiratory distress syndrome, necrotizing enterocolitis, hyperbilirubinemia, intraventricular hemorrhage, persistent patent ductus arteriosus, retinopathy, and cerebral palsy. The earlier the gestational age at delivery and the lower the birth weight, the worse the perinatal prognosis. Common factors that induce preterm birth include: premature rupture of membranes, chorioamnionitis, which is related to 30%-40% of preterm births; infections of the lower reproductive tract and urinary tract, such as Group B Streptococcus, Chlamydia trachomatis, Mycoplasma infections, vaginitis, and asymptomatic bacteriuria; and complications during pregnancy.


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Premature birth refers to delivery occurring between 28 weeks and less than 37 weeks of gestation. At this time, the organs of the premature infant are not fully developed, leading to an increased incidence of respiratory distress syndrome, necrotizing enterocolitis, hyperbilirubinemia, intraventricular hemorrhage, persistent patent ductus arteriosus, retinopathy, cerebral palsy, and other conditions. The earlier the gestational age at delivery and the lower the birth weight, the worse the perinatal prognosis.

Common factors that induce premature birth include: premature rupture of membranes, chorioamnionitis, which is related to 30%-40% of premature births; infections of the lower reproductive tract and urinary tract, such as Group B Streptococcus, Chlamydia trachomatis, Mycoplasma infections, vaginitis, and asymptomatic bacteriuria; pregnancy complications and comorbidities, such as gestational hypertension, pregnancy with heart disease, chronic nephritis, etc.; excessive uterine distension and placental factors, such as multiple pregnancies, polyhydramnios, placenta previa, placental abruption, etc.; uterine malformations, such as septate uterus, bicornuate uterus, etc.; and cervical incompetence.

Prevention of premature birth: Arrange life reasonably to avoid excessive fatigue and avoid vigorous exercise; do not go to crowded public places to prevent infection; if there is gum bleeding or gingivitis, seek treatment from a dental department, as data shows that oral inflammation can lead to premature birth and miscarriage; pay attention to vulvar hygiene, normal vaginal secretions should be colorless and odorless; otherwise, seek medical attention and actively treat urinary and reproductive tract infections; actively treat underlying diseases before pregnancy, grasp the timing of pregnancy, and actively prevent the deterioration of various pregnancy complications and the occurrence of complications after pregnancy; restrict sexual activity in late pregnancy to prevent premature rupture of membranes; those with cervical incompetence should undergo cervical cerclage between 14-16 weeks of pregnancy.

 

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