All you need to know about premature labour and delivery

Overview about premature labour and delivery with Dr Nawoor

According to the WHO, premature births account for about 11% of all live births in the world. Quite a substantial figure! While premature labour happens rather inadvertently, are there ways to prevent it? We go round the question with Dr. Nawoor, Gynaecologist at the Clinique Bon Pasteur, and Director of the Nehru Hospital in Rose Belle.

How can we define prematurity?

There are three types of preterm births. We speak of moderate to late preterm when the birth arrives between 7 and 8 months, very preterm between 6 and 7 months, and extremely preterm when the child arrives before 28 weeks, that is before 6 months of pregnancy. In some countries, such as England and the United States, the foetus is considered viable after 22 weeks, despite a high mortality and morbidity rate. In Mauritius, a child is considered viable as from 26 weeks.

How can we recognise premature labour?

The signs may resemble those of a full-term pregnancy: contractions, fluid flow through the vagina, torn amniotic sac, loss of the mucous plug, painful stomach cramps or even dull pain in the back.

What are the main causes?

In most cases, premature labour happens without warning or known reason. There are, however, some causes that must be taken into account, as they are likely to lead to premature delivery. Some internal causes – such as uterine fibroids, uterine malformations, infection or cervical failure – or causes directly related to pregnancy – such as hydramnios, or excess of amniotic fluid, uterine overdistension in twin pregnancy, placenta praevia or retroplacental hematoma – may induce premature labour. Some conditions, such as diabetes mellitus or high blood pressure, can also play a part. Finally, overwork, long daily commuting or trauma must also be considered.

Is it possible to prepare for this?

There are many risk factors to monitor. These include tobacco, alcohol and drug abuse, a history of premature childbirth, short time lapse between pregnancies, traumatic events and socio-economic factors, such as poverty or poor nutrition. We therefore need to identify at-risk patients and perform a close prenatal follow-up, providing advice and raising awareness on premature labour. If the patient shows signs of early labour, there are many things, which can be implemented, whenever possible. In addition to forced rest and leave of absence from work, the focus will be on adequate infection treatment, cervical stitch or the administration of tocolytic or antispasmodic drugs.

How are premature babies different from full-term babies?

Although, most of the time, premature babies are born with all their organs, these are still immature. Sometimes, such babies still have their eyes closed, some must be intubated to be able to breathe… In most cases, we notice an extreme skin sensitivity, which can be very painful. This does not mean that parents should avoid touching their premature baby – quite the contrary! It is strongly recommended that the mother engages in ‘skin-to-skin’ contact as soon as the baby’s condition permits. Beyond all this, the premature baby requires a great amount of care, love and courage to go through this fight. And a fight it is, since it takes a real fighter to be born in such difficult conditions and spend two months, sometimes three, in an intensive care unit!

For more information, do not hesitate to contact our maternity service at 401 95 00.


Related Article

According to the French National Cancer Institute, prostate cancer is the most common type affecting men. What are the signs that need to be taken into account? Here’s what you need to know. Although the risk of getting prostate cancer before the age of
Your doctor says that you should undergo a cataract surgery… What should you expect in the days following the operation? What precautions should be taken? Dr. Li Yim, an ophthalmologist at the Clinique Bon Pasteur, has accepted to answer all our questions.
While it should only cause a temporary discomfort, gastroenteritis—an infection of the digestive tract—can sometimes have harmful consequences in infants and young children. Vomiting, diarrhoea, abdominal cramps, fever, loss of appetite… How to prevent
Did you know that it was a woman who invented the first real computer program in 1843? In a field which has essentially been dominated by men, many women have nevertheless brought much progress! Now in 2023, women inclusion in the digital world is put
Orthopedic surgery Specialising in the surgical treatment and correction of various deformities and injuries, orthopedic surgery definitely covers a large spectrum. Yet, some of the more common conditions are a daily reality for most self-respecting
Osteoarthritis is the most common joint disease, often associated with ageing. It is thought to be caused by the ageing of the joints, but can affect individuals of any age, and more particularly athletes and people suffering from obesity. On this World
Physical pain, dizziness, lung problems, psychiatric disorders, osteoarthritis… Is there anything that physiotherapy does not treat? With the aim of improving the patient’s physical condition, physiotherapy uses various means to design the best
As your pregnancy is coming to full term, you realise that Mother Nature is being temperamental: your delivery will thus have to be scheduled. What are the reasons behind such a decision? How to get prepared? Here is the answer in three parts. What are the
Here it is: you are expecting your first child and asking yourself a lot of questions… What is exactly the role of a paediatrician? Why is it important to have one? When to look for one? Dr. Alleesaib, paediatrician at the Clinique Bon Pasteur, is answering
While the benefits of breastfeeding have been long proven, many mothers become quickly discouraged. Lack of time, stressful sessions, lack of psychological support, incorrect information… And yet, breastfeeding is all good! We discussed the matter with Dr.
Launched in the United States, where the consumption of ultra-processed foods is one of the worst habits, National Junk Food Day is an annual reminder of the dangers of unhealthy food. Indeed, it is thought to be responsible for one in five deaths, even more
Thanks to phenomenal medical and technological progress, people tend to live longer every year. However, with a growing ageing population, the WHO reports that by 2021, 1 in 6 elderly people are likely to have been subjected to abuse. On this World Elder
When we talk about a clinic’s efficiency, we immediately associate it with the care organization and teams. However, many of our behind-the-scenes colleagues are vital to making the Clinic efficient and productive. Among them are the system
Even today, vitiligo is a condition that is still causing researchers much concern! Affecting about 1% of the population, it is expressed by a gradual depigmentation of the skin that irregularly affects certain parts of the body, particularly the face,
July 15th marks World Youth Skills Day and celebrates the importance of teaching young people all the relevant skills needed to achieve success in employment, getting a decent job and becoming an entrepreneur. The Clinique Bon Pasteur has been participating
We often hear about the importance of having a health check-up. As a preventative health care measure, it helps to identify potential pathologies before they appear or become serious. Who should have a check-up? How does it work? Interview with Dr Panchcoory,
Each year on May 25th, the thyroid gland is given special attention. And for good reason! Despite its small size, this gland controls many of our body’s essential functions. And since thyroid disorders are among the most common endocrine problems,
While the baby blues, which is often associated with postpartum hormonal shifts, is rather common after birth, postpartum depression affects up to 20% of new mothers, the WHO reports. How to explain such phenomenon? What are the signs to watch for? How to
Temperatures have started to drop and evenings are turning milder. Winter is beginning to show its face, no doubt about it! With it comes the onset of seasonal flu, which can be prepared for with the vaccines offered by the Clinic. Who are they for? When to
Radiology and pulmonology : what pulmonary imaging can reveal about your lungs Everyday your lungs are doing an extraordinary job: bringing oxygen into the blood and driving out the carbon dioxide produced by the cells. They may be nevertheless affected by