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I just had a baby. He was born 7 weeks early. When the placenta was delivered the doctor said it was very old looking and it was falling apart. I haven't had the opportunity to talk to my doctor yet about the reports from it. But the nurse at the office said some things about it but she was talking to fast for me to understand. She said something about a blood clot, and the baby would have been in stress and that's why he came early. She also said that next time I become pregnant they will be monotoring the placenta.
I want to know what went wrong and if its something that will happen again if I get pregnant again.

Also in the begining of the pregnancy I had alot of bleeding. It was everyday from week 6 to week 22. Ultrasounds always showed everything was fine with the baby and could never come up with an answer for the bleeding. It was always alot of blood. Sometimes it was more like red water.

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replied October 1st, 2008
Labor and Delivery Answer A4776
Every delivery that happens between the 20th and 37th week is considered as a pre-term. The exact mechanism(s) of pre-term labor is largely unknown but is believed to include:
1.decidual hemorrhage - e.g, abruption, mechanical factors such as uterine over-distension from multiple gestation or polyhydramnios;
2.cervical incompetence - (e.g, trauma, cone biopsy;
3.uterine distortion - e.g, müllerian duct abnormalities, fibroid uterus;
4.cervical inflammation - e.g, resulting from bacterial vaginosis, trichomonas;
5.maternal inflammation/fever - e.g, urinary tract infection);
6.hormonal changes - e.g, mediated by maternal or fetal stress), and
7.uteroplacental insufficiency - e.g, hypertension, insulin-dependent diabetes, drug abuse, smoking, alcohol consumption).

Although prediction of pre-term delivery remains inexact, a variety of maternal and obstetric characteristics are known to increase the risk, presumably via one of these mechanisms. Finally, the fetus plays a role in the initiation of labor. In a simplistic sense, the fetus recognizes a hostile intrauterine environment and precipitates labor.

Risk factors for pre-term birth include demographic characteristics, behavioral factors, and aspects of obstetric history such as previous pre-term birth. Demographic factors for pre-term labor include non-white race, extremes of maternal age (<17 y or >35 y), low socio-economic status, and low pre-pregnancy weight. Pre-term labor and birth can be associated with stressful life situations (e.g, domestic violence; close family death; insecurity over food, home, or partner; work and home environment) either indirectly by associated risk behaviors or directly by mechanisms not completely understood.

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