Hi, I'm 29 1/2 weeks pregnant with my 4th child. I have always had preterm labor with my 3 boys, usually stopped with medication. Then allowed to give birth at 37 weeks. This time, the preterm labor has started earlier, at 22 weeks. The E.R. was able to stop the contractions. Things had been pretty normal after that until this last week. I'm a home healthcare aide and worked 5 days straight, twice a day for a quadriplegic man. Since then, I have been having contractions again. I haven't went to the E.R. yet but am getting very concerned. Everytime I stand up for even just a minute I feel my uterus tightening and if I continue to stand for more than 5 mins, I have a contraction. This happens anytime I stand up now. Doesn't matter what I'm doing, even just heading to the bathroom.
Is this something that needs to be checked out right away?
Welcome to the ehealthforum and I am really glad to help you out. Since you have a history of preterm labor, so definitely you are at a risk of preterm labor this time also. It can be due to decidual hemorrhage, cervical incompetence, uterine distortion, cervical inflammation, maternal inflammation/fever (e.g. urinary tract infection), hormonal changes and uteroplacental insufficiency. It is important to find out the cause of preterm labor in your case as treating the cause may prevent preterm labor.
Tocolytics is an option for preventing preterm labor but it is to be used with caution if the pregnancy is less than 24 weeks. My advice would be to consult a gynecologist. In the meantime take complete bed rest, lie on the left side of the body and do not do any heavy or exertional work which causes increased contractions. I sincerely hope that helps. Take care.
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