Dr. Manasi Thakur | Gynaecologist In Nagpur | Pregnancy, Delivery | Abortion | Cosmetic Gynecology

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Pre term Labor & delivery

What is Preterm Labor?

Preterm labor (PTL) occurs when labor starts after 20 weeks and before 37 completed weeks of pregnancy. Preterm birth is one of the leading causes of newborn illness and mortality, making timely diagnosis and management very important.

Why Choose Dr. Mansi Thakur at Zenith Hospital, Nagpur?

Dr. Mansi Thakur provides specialized care for high-risk pregnancies, including preterm labor. With expert monitoring, timely treatment, and access to neonatal care, Zenith Hospital ensures the best possible outcomes for both mother and baby. Your pregnancy deserves expert, compassionate care – and at Zenith Hospital, you’re in safe hands.
Pre term Labor & delivery

Causes of Preterm Labor

In about 50% of cases, the exact cause is unknown. However, several factors may increase the risk:

  • Previous history of abortions or preterm delivery

  • Pregnancy through IVF/ART

  • Recurrent urinary tract infections

  • Smoking and poor nutrition

  • Low socioeconomic status and maternal stress

  • Pregnancy complications like preeclampsia, bleeding, PROM, or excess amniotic fluid

  • Uterine abnormalities (short cervix, malformations)

  • Medical conditions: hypertension, diabetes, severe anemia, fever, diarrhea, appendicitis, or recent abdominal surgery

  • Multiple pregnancy, congenital fetal anomalies, or intrauterine death

  • Placental problems: placenta previa, abruption, infarction, or thrombosis

Diagnosis of Preterm Labor at Zenith Hospital, Nagpur

  • Regular uterine contractions are the main symptom

  • Confirmed by cervical examination

  • Transvaginal ultrasound to check cervical length

  • Fetal fibronectin test – presence between 24–34 weeks can predict preterm labor

Management of Preterm Labor

At Zenith Hospital, Nagpur, the goal is to delay delivery safely when possible and ensure the best outcome for mother and baby. Management may include:

  • Glucocorticoids to help mature the baby’s lungs

  • Transfer to a tertiary center with NICU support if needed

  • Tocolytic drugs (to temporarily stop contractions) unless contraindicated

  • Antibiotics to prevent infection

  • Magnesium sulfate for neuroprotection and to reduce risk of cerebral palsy (if <34 weeks)

  • Careful intrapartum monitoring with a neonatologist present during delivery

  • Vaginal delivery is preferred unless a cesarean is medically necessary

Can Preterm Labor be Prevented?

While many cases are unpredictable, risks can be reduced by:

  • Treating infections early

  • Identifying high-risk pregnancies through screening

  • Using preventive medications (like tocolytics) when appropriate

  • Administering corticosteroids if preterm birth seems likely

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