Preterm Labour: What You Must Know

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Preterm Labour? See the best gynecologist in North Kolkata

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12 December, 2025

By User

What is preterm labour?
Preterm labour refers to uterine contractions leading to cervical changes that occur before 37 weeks of pregnancy. It can cause early birth, which may pose health risks for the baby. Early detection through timely pregnancy check up and consistent prenatal care is crucial to prevent complications.

Preterm labour is one of the most critical pregnancy complications, yet it’s often misunderstood or ignored until symptoms become severe. According to many specialists, including the best gynecologist in North Kolkata, awareness, timely diagnosis, and continuous prenatal care can significantly reduce the risks associated with preterm birth.

Expecting mothers under the guidance of experts like Dr. Sukhamoy Barik often receive structured monitoring, early symptom management, and lifestyle guidance, ensuring safer outcomes for both mother and baby. This guide simplifies everything you need to know—causes, symptoms, risk factors, diagnosis, and prevention—so you can feel confident and prepared.

best gynecologist in North Kolkata

What Exactly Is Preterm Labour?

Medical Definition

Preterm labour occurs when a mother begins having:

  • Regular contractions
  • Cervical dilation
  • Cervical effacement

before completing 37 weeks of gestation.

Why It Matters

Early labour increases the chances of:

  • Low birthweight
  • Breathing difficulties
  • Feeding problems
  • Development delays
  • NICU admission

Consistent monitoring from the best gynecologist in North Kolkata helps detect early warning signs and prevent escalation.

Signs & Symptoms You Should Never Ignore

Early Warning Signs

1. Frequent Contractions

More than 4–5 contractions per hour.

2. Pelvic Pressure

A feeling that the baby is pushing downward.

3. Back Pain

Persistent, dull, or rhythmic lower-back pain.

4. Abdominal Cramps

Similar to menstrual cramps but occurring repeatedly.

5. Vaginal Discharge

Water-like leaking, spotting, or mucus plug release.

6. Fluid Leakage

Possible rupture of membranes (water breaking).

7. Decreased Fetal Movement

A sudden slowdown in baby activity.

Routine pregnancy check up appointments can help catch these symptoms in time.

Causes of Preterm Labour

Common Medical Causes

1. Infections

Urinary tract infections, vaginal infections, or fever-triggering conditions.

2. Chronic Medical Conditions

  • Thyroid issues
  • Diabetes
  • Hypertension
  • Kidney disorders

3. Uterine or Cervical Problems

  • Short cervix
  • Fibroids
  • Cervical incompetence

4. Multiple Pregnancy

Twins, triplets, or more.

5. Placenta Problems

Placenta previa, placental abruption.

Lifestyle & Environmental Causes

1. Smoking or Alcohol

Restricts oxygen supply to the fetus.

2. Excessive Stress

Triggers hormone changes.

3. Malnutrition

Lack of vitamins, minerals, or essential nutrients.

4. Lack of Proper Prenatal Care

Irregular checkups increase risk of missed conditions.

Who Is at Higher Risk?

Risk Factors Table

Risk FactorWhy It Increases Risk
Previous preterm birthHigher recurrence chances
Short cervixCannot hold pregnancy weight
Multiple pregnancyMore pressure on uterus
Chronic illnessesAffect placenta & fetal growth
Age <18 or >35Hormonal and uterine complications
Underweight or obesityImpacts fetal development
Poor prenatal careLate diagnosis of complications

Regular monitoring by experts like Dr. Sukhamoy Barik helps reduce many of these risks through targeted prevention.

How Preterm Labour Is Diagnosed

Diagnostic Methods

1. Pelvic Exam

Checks cervical dilation and effacement.

2. Ultrasound

Measures cervical length and amniotic fluid.

3. Fetal Fibronectin Test (fFN)

Detects risk of labour within 7–14 days.

4. NST (Non-Stress Test)

Monitors fetal movement and heart rate.

5. Contraction Monitoring

Counts frequency and intensity of contractions.

Treatment Options for Preterm Labour

Immediate Medical Treatments

1. Tocolytics

Medications that temporarily stop contractions.

2. Steroid Injections

Improve fetal lung development.

3. Magnesium Sulfate

Protects the baby’s brain from neurological damage.

4. Antibiotics

Given if the water bag has ruptured.

Long-Term Management

1. Cervical Cerclage

A stitch placed around the cervix to prevent opening.

2. Progesterone Therapy

Reduces chances of preterm labour in high-risk women.

3. Bed Rest & Hydration

Reduces uterine irritability.

4. Frequent Prenatal Care Visits

Professionals like the best gynecologist in North Kolkata ensure close monitoring for both mother and baby.

Prevention: What You Can Do

Practical Tips

Follow a structured prenatal care routine

Attend every pregnancy check up

Maintain healthy weight

Avoid smoking, alcohol & caffeine

Stay hydrated

Reduce stress through yoga, meditation

Report symptoms early

Manage chronic illnesses properly

Nutrition Guide to Prevent Preterm Labour

Essential Nutrients Table

NutrientWhy It MattersSources
IronPrevents anemiaSpinach, lentils, meat
Folic AcidReduces birth defectsSupplements, grains
CalciumSupports bonesMilk, tofu
Omega-3Improves fetal growthFish, flaxseed
ProteinTissue developmentEggs, paneer

Role of Prenatal Care in Preventing Preterm Birth

Consistent prenatal care helps doctors:

  • Track baby’s development
  • Detect infections early
  • Monitor cervical changes
  • Manage blood pressure
  • Assess placenta health
  • Prevent complications through timely treatment

This is where experienced specialists like Dr. Sukhamoy Barik offer multilayered monitoring ensuring safer pregnancy outcomes.

1: Pregnancy Complications

  • Preterm labour
  • High-risk pregnancy
  • Gestational diabetes
  • Preeclampsia

2: Prenatal Care Essentials

  • Routine tests
  • Supplements
  • Diet
  • Exercise

3: Women’s Health

  • Hormonal disorders
  • Menstrual issues
  • Postpartum health

When You Should Seek Immediate Medical Help

Severe abdominal cramps

Bright red bleeding

Water leakage

Continuous back pain

Sharp pelvic pressure

Reduced baby movement

Do not wait—contact your gynecologist immediately.

FAQ

Q1. What week is considered preterm labour?

Any labour before 37 weeks is considered preterm.

Q2. Can preterm labour be stopped?

Yes, in many cases medications and rest can delay labour.

Q3. Who is at highest risk?

Women with previous preterm birth, infections, chronic illnesses, or poor prenatal care.

Q4. How can prenatal care help?

It assists in early detection of risks and timely intervention.

Q5. When should I call my doctor?

If you have contractions, bleeding, leaking fluid, or decreased fetal movement.

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