Preterm Labor and Delivery

It is common to have concerns when you are pregnant. Going to all of your prenatal appointments can help catch problems early or prevent them. Call your provider’s office after hours line, your local hospital, or the number on the back of your health plan ID card for the 24-hour Nurse Advice Line if you have concerns.


Preterm Babies

Pregnancy normally lasts about 40 weeks or 10 months. A preterm baby is one born more than 3 weeks early or before 37 weeks. They are sometimes called “preemies.”

See your healthcare provider right away if you have any signs of early labor. There may be medicines they can give you to help stop the labor.


The signs of labor may include:

  • Painful contractions.
  • Vaginal spotting or bleeding.
  • Period-like cramps.
  • Constant dull lower back pain.
  • Increased pressure in your lower pelvic area.
  • Fluid leaking from your vagina. If it does not smell like urine, it might be amniotic fluid.


Not all preterm labors can be stopped. The closer you deliver to your due date the longer your baby has to develop. Premature babies are at higher risk of:·

  • Breathing problems.
  • Trouble with behavior and learning. 
  • Infections.
  • Bleeding in the brain.
  • Trouble feeding.
  • Vision loss.
  • Hearing difficulties.
  • Delayed growth and development.



What is the Neonatal Intensive Care Unit (NICU)/Specialty Care Nursey (SCN)?

Most babies are born healthy and stay with their parents after delivery. If your baby is born early or has other problems, they may need to spend some time in the NICU or SCN. The NICU and SCN have staff and special equipment to care for high-risk newborns.





KNOW YOUR RISK FOR PRETERM DELIVERY

Risk Factors

What Should I Do?

Previous preterm delivery

Talk to your provider about possible ways to prevent preterm birth.

Pregnant with multiples

Carrying more than one baby means you will see your healthcare provider more often.

Short time between pregnancies

Wait at least 18 months before getting pregnant after your last delivery. Talk to your provider about family planning and contraceptives.

Substance use

Avoid tobacco use (cigarettes, vaping, etc.), drinking alcohol and using drugs during pregnancy.

Stress

Job and social pressures can cause stress that is hard to manage. Contact your provider or care manager if you need support.

Uncontrolled health conditions in pregnancy

Health conditions such as high blood pressure, heart problems and diabetes may increase your chance of having a preterm baby. Get prenatal care as soon as you think you may be pregnant and throughout your pregnancy.
It is important that you go to all of your prenatal visits even if you feel fine.