February/March 2011
The Growing Years
~ Pregnancy to Birth
 

 
Pregnancy & Birth > 0 - 2 > 3- 5 > 6 - 10 > 11 - 16 > Special Kids


Bookmark and Share

When Babies Are Born Prematurely
By Joan Swirsky

In the United States about 12.8 percent of babies (more than half a million a year) are born prematurely, a rate that has increased by 36 percent since the early 1980s. A normal pregnancy lasts about 40 weeks. Even 37 weeks is considered premature. More than 70 percent of preemies are born between 34 and 36 weeks gestation (“late-preterm births”); about 6 percent are born at less than 28 weeks gestation.


Families who experience the early birth of their child know the heartache and the miracles that can occur. Yet no one knows for sure why prematurity occurs. Doctors do know that many cases are attributed to:
  • Premature rupture of the membranes (where the sac inside the uterus that holds the baby breaks too soon).
  • Infection of the amniotic fluid.
  • Or, in 25 percent of cases, early induction of labor or C-section due to pregnancy complications or health problems in the mother or the fetus.

Preemies are at increased risk for a host of medical issues like breathing problems, heart problems, anemia, jaundice, vision and hearing loss, bleeding in the brain, intestinal problems, learning and behavioral problems, cerebral palsy and autism. Premature birth is the leading cause of infant death in this country.
But as we reported in our April/May 2010 issue, preemies can do quite well thanks to advances in medicine and technology. Among these advances is the early recognition and management of high-risk pregnancies. And when babies are sent home, they benefit from early intervention services as well.  
The March of Dimes is concerned that some early deliveries occur without good medical justification or at the mother’s request. They believe women should wait until at least 39 weeks to schedule an induced labor or a C-section, barring medical problems that make it necessary to deliver earlier.

Joan Swirsky is a psychotherapist, former OB nurse, and the author of Gift of Life: A Spiritual Companion for the Mother-to-Be.

Greatest risk factors for premature birth include:

  • Having had a previous premature birth.
  • Being pregnant with twins, triplets or more.
  • Certain uterine or cervical abnormalities.
  • Being younger than 17 or older than 35.
  • Vaginal bleeding in the third trimester.
  • Late or no prenatal care.
  • Smoking, drinking alcohol or using illegal drugs.
  • Exposure to the medication DES.
  • Domestic violence and lack of social support.
  • Extremely high levels of stress.
  • Long working hours with long periods of standing.
  • Exposure to certain environmental pollutants.
  • Infections (including urinary tract, vaginal, sexually transmitted and others).
  • High blood pressure and preeclampsia.
  • Diabetes.
  • Clotting disorders.
  • Being underweight or obese.

While there’s no way to know if you’ll have a premature birth,
it’s a good idea for all pregnant women to:

  1. Have the names and numbers of an expert pediatrician and neonatologist ready
    in case you need to call him or her.
  2. Know the names of the specialized neonatal intensive care units (NICU) in your area,
    preferably in the hospital in which you’re delivering.

 


~ Our~
Exclusive Media Parenting Partners
Follow Us!
NEW!


Blog

PARENT POLL

sp

© 2009 Long Island Parent Magazine - All rights reserved