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What Causes Premature Labour In Pregnancy While Having Anterior Placenta?
Question: Hi Dr,Am 30 weeks n 3 days pregnant.During my last scan at 29 weeks cervical length was found to be 3.8 which was previously 4 in 20 weeks.Have anterior placenta and today I felt contractions and tightening in upper abdominal area for about 1 hour.Is there any chance of premature labour.,?? Should I contact the doctor??Am not hypertensive or diabetic.Also taken Proluton 500mg IM weekly from 12 weeks .
Brief Answer:
If contractions recur, increase in severity and frequency better to consult
Detailed Answer:
Hi,
Thanks for the query.
I understand your concern.
With progression of pregnancy some amount of decrease in cervical length can be seen.
Cervical length of more than 3.5 cm, can be considered as good cervical length only.
And with increasing gestational age some amount tightening of abdomen can be seen, this usually represents XXXXXXX XXXXXXX contractions or false labour pains.
If pains are having few characteristics like:
-Mainly involving lower abdomen and back,
-Gradually progressive in severity with increasing frequency,
-Associated with 'show', means blood stained mucus discharge from vagina etc,
those can be considered as true labour pains.
So, if your contractions recur and show any of the above mentioned features, please do consult your gynecologist and get examined.
If you are having any previous history of abortion or preterm labour and proluton was given for that reason, better to be more careful and consult your doctor if contractions recur.
Meanwhile daily fetal movement count, which should be around 10 to 15 per day, healthy diet and adequate rest are advisable.
Take care.
If contractions recur, increase in severity and frequency better to consult
Detailed Answer:
Hi,
Thanks for the query.
I understand your concern.
With progression of pregnancy some amount of decrease in cervical length can be seen.
Cervical length of more than 3.5 cm, can be considered as good cervical length only.
And with increasing gestational age some amount tightening of abdomen can be seen, this usually represents XXXXXXX XXXXXXX contractions or false labour pains.
If pains are having few characteristics like:
-Mainly involving lower abdomen and back,
-Gradually progressive in severity with increasing frequency,
-Associated with 'show', means blood stained mucus discharge from vagina etc,
those can be considered as true labour pains.
So, if your contractions recur and show any of the above mentioned features, please do consult your gynecologist and get examined.
If you are having any previous history of abortion or preterm labour and proluton was given for that reason, better to be more careful and consult your doctor if contractions recur.
Meanwhile daily fetal movement count, which should be around 10 to 15 per day, healthy diet and adequate rest are advisable.
Take care.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Thanks Dr.Had H/O abortion.Also threatened abortion in this pregnancy too in 8 th week..If cervical length is 3.8 premature labour can happen??Should I consult Dr immediately as my next appointment date is only on 24th Nov..Pls suggest a good opinion..Thanks a lot
Brief Answer:
If pain recurs, better to consult early
Detailed Answer:
Hi,
Proluton might have given because of previous history of miscarriage and threatened abortion.
Cervical length of 3.8 cm itself doesn't indicate premature labour.
Significant decrease in previous cervical length or cervical length of less than around 2.8 cm, associated with cervical dilatation, show etc can indicate premature labour.
By considering your previous obstetrical history, if you get abdominal pain again or spotting or leaking per vaginum occur, better to consult your doctor immediately and get examined.
Take care.
If pain recurs, better to consult early
Detailed Answer:
Hi,
Proluton might have given because of previous history of miscarriage and threatened abortion.
Cervical length of 3.8 cm itself doesn't indicate premature labour.
Significant decrease in previous cervical length or cervical length of less than around 2.8 cm, associated with cervical dilatation, show etc can indicate premature labour.
By considering your previous obstetrical history, if you get abdominal pain again or spotting or leaking per vaginum occur, better to consult your doctor immediately and get examined.
Take care.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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