Understanding Preterm Labor

Preterm labor is a serious condition that occurs when the birthing person goes into labor before the 37th week of pregnancy. Preterm labor can lead to complications for both the mother and baby, so it's important to be aware of the signs and symptoms.

In this blog, we will cover:

  • 10 Signs of preterm labor & what to doPreterm labor

  • Causes of preterm labor

  • Preventing preterm labor

  • What happens when the baby is preterm

  • Role of a doula in preterm labor & delivery

If you experience any of the following symptoms, contact your healthcare provider immediately:

  1. Regular Contractions

  • Frequency: Occur at regular intervals (e.g., every 10 minutes)

  • Duration: Last for more than 30 seconds

  • Intensity: Don't subside with relaxation techniques

What to do: If you're experiencing regular contractions, it's crucial to time them and note their frequency and duration. Sharing this information with can help your heathcare provider assess whether you're in labor.

2. Low, Dull Backache

  • Location: Felt below the waistline

  • Persistence: May be continuous or intermittent

What to do: If you're experiencing a persistent low backache, especially if other symptoms of preterm labor accompany it, contact your healthcare provider.

3. Pelvic Pressure

  • Sensation: It feels like the baby is pushing down

  • Intensity: May be mild to severe

What to do: If you're feeling increased pelvic pressure, it's important to monitor your symptoms and contact your healthcare provider if they worsen or are accompanied by multiple signs of preterm labor.

4. Increased Vaginal Discharge

  • Color: Can be watery, mucus-like, or bloody

  • Consistency: May be thicker or have a different texture than usual

What to do: Any change in your vaginal discharge, especially if other symptoms of preterm labor accompany it, should be reported to your healthcare provider.

5. Cramps

  • Feelings: Similar to menstrual cramps

  • Location: Felt in the abdomen or lower back

What to do: If you're experiencing cramps different from what you normally feel, contact your healthcare provider.

6. Abdominal Cramping

  • Accompanied by: Diarrhea or other digestive symptoms

What to do: If you're experiencing abdominal cramping, especially if other digestive symptoms accompany it, contact your healthcare provider.

7. Vaginal Bleeding

  • Amount: Can be light or heavy

  • Appearance: May be bright red or dark brown

What to do: Any vaginal bleeding, no matter how light, should be reported to your healthcare provider.

8. Premature Rupture of Membranes (PROM)

  • Sensation: Water breaking before 37 weeks

  • Appearance: Clear, watery fluid

What to do: If you believe your water has broken before 37 weeks, contact your healthcare provider immediately.

9. Fever

  • Temperature: Above 100.4°F (38°C)

  • Indication: May signal an infection

What to do: If you have a fever, especially if other symptoms of preterm labor accompany it, contact your healthcare provider.

10. Shortness of Breath

  • Difficulty: Breathing becomes difficult or rapid

What to do: If you're experiencing shortness of breath, especially if other symptoms of preterm labor accompany it, contact your healthcare provider.

Remember, it's always better to be safe than sorry. If you have any concerns about your pregnancy, always contact your healthcare provider for guidance and support.


The exact causes of preterm labor are often unknown, but there are several factors may increase your risk, including:

  • Previous preterm birth: Women who have had a preterm birth before are at a higher risk of having another one.

  • Multiple pregnancy: Twins, triplets, and higher-order multiples are more likely to be born prematurely.

  • Certain medical conditions: High blood pressure, diabetes, and infections can increase the risk of preterm labor.

  • Lifestyle factors: Smoking, excessive alcohol consumption, and drug use have been shown to contribute to preterm birth.

Preventing Preterm Labor

While there's no guaranteed way to prevent preterm labor, several strategies can help reduce your risk:

  • Prenatal care: Regular prenatal check-ups are essential for monitoring your pregnancy and identifying potential problems early.

  • Healthy lifestyle: As with many health risks, eating a balanced diet, regular exercise, and avoiding harmful substances can help promote a healthy pregnancy and reduce pretwerm labor.

  • Stress management: It's important to manage your stress through relaxation techniques like yoga, meditation, or deep breathing can also help reduce the risk of preterm labor.

  • Medication: May be used by your healthcare provider in some cases to help prevent preterm labor.

Babies born preterm often require specialized care in a neonatal intensive care unit (NICU). While this may sound concerning, many preterm babies thrive with the right support. The level of care needed depends on the baby's gestational age and health condition.

Some common challenges faced by preterm babies include:

  • Respiratory difficulties: Due to underdeveloped lungs, preterm babies may need help breathing.

  • Immature organs: Other organs, like the heart, brain, and digestive system, may need extra support.

  • Increased risk of infection: Preterm babies may be more susceptible to infections.

  • Feeding challenges: They might have difficulty feeding or require additional nutrition.

However, with the help of skilled healthcare professionals, many preterm babies can catch up to their full-term peers. Early intervention and ongoing monitoring are essential for ensuring the best possible outcomes.

The Role of a Doula in Supporting Preterm Labor


A doula is a trained professional who provides emotional, physical, and informational support to pregnant women and new mothers. While doulas cannot prevent preterm labor, they can play a crucial role in helping women cope with the challenges associated with preterm birth.

Doulas can offer:

  • Emotional support: They can provide comfort, reassurance, and a sense of calm during a stressful time.

  • Physical support: Doulas can help with breathing techniques, relaxation exercises, and positioning to manage discomfort.

  • Informational support: They can help women understand the preterm labor process and the medical interventions involved.

  • Advocacy: Doulas can advocate for the mother's wishes and ensure that her voice is heard in medical decisions.

Having a doula by your side during preterm labor can provide invaluable support and help you feel more empowered and in control of the situation.

Preterm labor can be a serious condition that affects both the birthing person and the baby. By understanding the signs and symptoms and seeking medical attention promptly, you can help protect the health of your pregnancy. Remember, it's always better to be safe than sorry. If you have any concerns about your pregnancy, don't hesitate to reach out to your healthcare provider.































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