임신 37주 전 분만을 조기 분만이라고 한다. 조기 분만으로 태어난 아기를 조숙아 또는 미숙아라고 한다.

조기 분만이 시작되면 한시간 동안에 6번이나 그 이상 자궁이 수축된다. 휴식을 취하고 안정해도 그 수축이 끝치지 않을 수 있다. 이럴 때는 조기 분만이 시작되고 조산할 가능성이 있다.

어떤 조기 분만에서는 지속적으로 자궁이 수축되고 또는 규칙적인 간격을 두고 자궁이 수축되고 요통이 생길 수 있다. 골반에 압박감도 느낄 수 있고, 사타구니 부분이 골반 강 속을 끌려가는 느낌도 생길 수 있고 또는 월경통과 비슷한 통증이 생길 수 있다.

진통이 오면서 조기 분만을 할 때 양수 막이 터지면 소변과 비슷한 따뜻한 양수가 질에서 흘러나올 수 있다.

점액전도 나올 수 있고 질 분비물이 증가될 수 있다.

조산을 하는 원인은 확실히 모를 때도 많다. 그러나 다음과 같은 임신에서 조산을 할 수 있다.

• 쌍태임신이나 그 이상 다태임신을 했을 때
• 자궁 감염
• 섬유육종 등 자궁에 생긴 양성 종양
• 자궁에 생긴 다른 이상
• 과양수 증
• 그외

조기 분만을 한다고 의심되면 의사의 지시에 따라 적절한 음식물을 섭취하고 안정을 취한다.

Copyright ⓒ 2014 John Sangwon Lee, MD., FAAP

Low-dose aspirin reduces preterm birth among first-time mothers

A baby born before 37 weeks of pregnancy is considered preterm. Preterm birth is the most common cause of infant death and a leading cause of long-term disability in children. Women in low- and middle-income countries are at greater risk of giving birth prematurely. While much research has focused on preventing preterm birth, scientists are still looking for effective therapies that don’t require large resources.

Past studies suggested that daily low-dose aspirin might prevent preterm birth and preeclampsia—a potentially life-threatening blood pressure disorder during pregnancy or soon after giving birth. But these studies weren’t large enough to prove aspirin’s effectiveness.

Researchers designed a large, multi-country trial to test whether taking daily low-dose aspirin, starting early in pregnancy, would reduce preterm birth among first-time mothers. The study, led by Dr. Matthew K. Hoffman of ChristianaCare, was funded by NIH’s Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). Findings appeared in the Lancet on January 25, 2020

The team enrolled about 12,000 women at sites in India, Pakistan, Zambia, Democratic Republic of the Congo, Guatemala, and Kenya. The first-time mothers ranged from ages 14 to 40. They were randomly assigned to take low-dose aspirin (81 mg) each day or a similar-looking placebo. The participants, research staff, and health care providers were unaware of which participants were taking aspirin or placebo.

Treatment began during the first trimester, as early as the sixth week of pregnancy, and continued until the end of the 36^th week of pregnancy or until giving birth. Deliveries at 20 weeks or later were included in the results.

The team found that woman taking daily low-dose aspirin were 11% less likely to deliver prematurely (before 37 weeks). Preterm birth occurred in 11.6% of the women taking aspirin compared to 13.1% of the women taking placebo.

Taking low-dose aspirin also reduced the risk of early preterm delivery (giving birth before 34 weeks) by 25%. Early preterm delivery occurred in 3.3% of the aspirin group and 4% of the placebo group. Aspirin therapy reduced perinatal mortality—stillbirth or newborn death in the first week of life—as well (45.7 per 1,000 births with aspirin vs 53.6 per 1,000 births with placebo). The researchers found no difference in the rates of preeclampsia or other blood pressure disorders between the two groups.

“Our results suggest that low-dose aspirin therapy in early pregnancy could provide an inexpensive way to lower the preterm birth rate in first-time mothers,” says study author Dr. Marion Koso-Thomas of NICHD.

Aspirin therapy could be useful for diverse groups of pregnant women in various clinical settings. Its low cost and proven safety suggest it could be readily adopted worldwide, particularly in countries where medical resources are scarce.

Preterm labor 조기 분만

Delivery before 37 weeks of pregnancy is called early delivery.

Babies born with early delivery are called premature babies or premature babies. When premature delivery begins, the uterus contracts six or more times in an hour.

Resting and calming may not end the contractions.

In this case, there is a possibility of premature delivery and premature delivery. In some early delivery, the uterus contracts continuously, or at regular intervals, the uterus contracts and back pain may occur.

You may feel the pressure in the pelvis, the groin area may be dragged into the pelvic cavity, or pain similar to menstrual pain may occur.

If the amniotic membrane ruptures during preterm labor with labor, warm amniotic fluid similar to urine can flow out of the vagina.

Mucus may also come out and vaginal discharge may increase. Often, the cause of premature birth is not known for certain.

However, premature birth can occur in the following pregnancies: When you have a twin pregnancy or more than a multiple pregnancy Uterine infection Benign tumors in the uterus, such as fibrosarcoma Other abnormalities in the uterus Hyperplasia etc.

If you are suspected of having a premature delivery, follow your doctor’s instructions to eat adequate food and rest. Copyright ⓒ 2014 John Sangwon Lee, MD., FAAP

“부모도 반의사가 되어야 한다”-본 사이트의 내용은 여러분들의 의사로부터 얻은 정보와 진료를 대신할 수 없습니다.

“The information contained in this publication should not be used as a substitute for the medical care and advice of your doctor. There may be variations in treatment that your doctor may recommend based on individual facts and circumstances.

“Parental education is the best medicine.“