Medical Questions > Pregnancy Forum > Pregnancy Forum

What can cause premature birth in the late second trimester?

I was wondering what sort of factors could cause a premature birth? My two children were born around 26 weeks gestation. My son who is now 2 years old was born at 26 weeks and my daughter (who passed away due to a premature illness called Necrotizing Entrocolitis) was born at 28 weeks. Both times I've been told that they could not find out the reason for these complications. I am now considered a high-risk pregnancy patient but these questions are still not answered. The only thing that's for sure is that 1. I start bleeding during my 24-25th week of pregnancy. I go to the ER and they tell me my water has ruptured. From there they give me the broad diagnosis of a "Uterine Infection" but they have never once answered my questions how a person GETS a uterine infection so I could know what to do differently in later pregnancies. I'm at a loss right now and I've been to 3 hospitals between 2 different states and at least 5 different doctors who give me the same nonsense. What could they possibly be missing?
Did you find this post helpful?

User Profile
replied June 8th, 2011
Welcome to ehealthforum,
If you start bleeding/spotting around 24-25 weeks of gestation, the precipitating cause should be looked for. Avoid having intercourse at that time. Drink plenty of water. Be in complete bedrest from around 20 weeks of gestation. Avoid any heavy work, avoid lifting heavy objects (including the child). Avoid climbing stairs. Once you have the waters ruptured, uterine infection can set in very rapidly and both causing premature contractions leading to childbirth. Be in regular follow-up with your treating doctor/gynecologist after you cross 20 weeks of gestation. The reasons for premature birth could be many (the exact cause is still not resolved). The cause is believed to be premature rupture of membranes that releases chemicals which precipitate uterine contractions and labor (which in itself is a complex process).
Take care.

Did you find this post helpful?
Must Read
What happens during labor? What do contractions feel like? And how do I know that labor has begun? Read on to learn about birthing basics....
Signs of labor occur after 36 weeks of pregnancy. Learn about the difference between real and false contractions. Plus, we outline signs of delivery complicati...
Almost all women worry about the pain of childbirth. Preparing for childbirth includes thinking about how you'd like to cope with the pain of labor. Read on for...
DISCLAIMER: "Ask a Doctor" questions are answered by certified physicians and other medical professionals. For more information about experts participating in the "Ask a Doctor" Network, please visit our medical experts page. You may also visit our Pregnancy , for moderated patient to patient support and information.

The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.