Pre-term Labor and Delivery

Pre-term Labor and Delivery

Pre-term labor : Regular uterine contractions leading to cervical changes (effacement and dilation) before 37 weeks.

Pre-term delivery : Birth that occurs before 37 completed weeks of gestation.

Classification by Gestational Age

Category	Weeks of Gestation
Late preterm	34–36 weeks
Moderate preterm	32–34 weeks
Very preterm	28–32 weeks
Extremely preterm	<28 weeks

Causes & Risk Factors

History of previous preterm birth

Multiple gestation (e.g., twins, triplets)

Uterine or cervical abnormalities

Infections (e.g., urinary tract or intra-amniotic)

Short cervix (<25mm on ultrasound)

Smoking, substance abuse

Stress, low BMI, poor prenatal care

Signs and Symptoms

Regular uterine contractions (often every 10 minutes or more frequently)

Pelvic pressure

Low back pain

Vaginal spotting or bleeding

Change in vaginal discharge

Cervical changes on exam (dilation and effacement)

Diagnosis

Clinical exam : Cervical dilation >2 cm and effacement

Transvaginal ultrasound : Cervical length <25 mm is concerning

Our Services & Treatments

High Risk Pregnancy Diabetes Fetal Health Evaluation Recurrent Pregnancy Loss or Miscarriage Incompetent Cervix & Cerclag Placenta Previa and Bleeding Fetal 3D Viewing Pregnancy Genetic Screening CVS, Amniocentesis, Nuchal Translucency Natural Vaginal Birth Pre-term Labor and Delivery Well-Woman Programs Premenstrual Syndrome Therapy Contraceptive Therapy Hormone/Diabetes/Thyroid Endometriosis Treatment Variety of Surgical Inventions IUI IVF EGG Freezing PCOS Tubal Reversal GYN Surgery Hormone Balancing Programs Adrenal and Thyroid Testing Sex Hormone Testing Salivary and Blood Hormone Testing