Preterm labor: What dads can do

Preterm labor is labor that occurs before the 37th completed week of pregnancy. (Most pregnancies last 38-42 weeks; your partner's due date is 40 weeks after the first day of her last menstrual period.) Preterm labor can happen to any woman: In nearly half of all cases, we don't know why a woman delivers prematurely. About 12 percent of births (1 in 8) in the United States are preterm. Babies who are born preterm are at higher risk of needing hospitalization, dying, and having long-term health problems than babies born at the right time. Health problems include cerebral palsy, mental retardation, blindness and chronic lung problems.

Preterm labor may sometimes be slowed or stopped with a combination of medication and rest. More often, birth can be delayed just long enough to transport the woman to a hospital with a neonatal intensive care unit (NICU). While the birth is being delayed, the woman receives antibiotics to prevent infection and steroids to help speed up her baby's lung development.

What Dad can do to help
Learn the signs of preterm labor listed below, and encourage your partner to learn them, too.Your partner should call her health care provider or go to the hospital right away if she thinks she is having preterm labor. The signs of preterm labor include:

  • Contractions (the abdomen tightens like a fist) every 10 minutes or more often
  • Change in vaginal discharge (leaking fluid or bleeding from the vagina)
  • Pelvic pressure--the feeling that the baby is pushing down
  • Low, dull backache
  • Cramps that feel like a period
  • Abdominal cramps with or without diarrhea
The health care provider may tell your partner to:
  • Come into the office or go to the hospital
  • Stop what she's doing and rest on her left side for one hour
  • Drink 2-3 glasses of water or juice (not coffee or soda)

If the symptoms get worse or do not go away after one hour, your partner should call her health care provider again or go to the hospital. If the symptoms go away, she should relax for the rest of the day. If the symptoms stop but come back, she should call her health care provider again or go to the hospital.

A woman doesn't need to have all the symptoms to have preterm labor. You and your partner should take action even if she has only one.

Other ways to help your partner have a healthy pregnancy:

  • Encourage her to get regular prenatal checkups. If she agrees, go with her to see her health care provider.
  • Remind her to stay away from alcohol and cigarettes.
  • Help her avoid stress (for instance, take care of the children or pitch in with household chores).
  • Keep her health care provider's phone number handy in case of emergency.

Courtesy of the March of Dimes

 

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Encouragement + An Assist = Success

Nine days past her due date, Sara Howe was awakened at 3:00AM when her water broke. Thrilled that the long wait was finally over, Sara and her husband David packed up and headed to PeaceHealth Southwest Medical Center. By 5:00AM they were comfortably settled into one of PeaceHealth Southwest’s Labor Delivery Recovery and Postpartum rooms, ready for action. But four hours later, Sara contractions had still not progressed so her midwife started her on Pitocin. Soon the contractions kicked in and Sara was well on her way.

At around eight o’clock the next morning, it was time for Sara to start pushing. So she pushed. And she pushed, and she pushed, and she pushed. "The first few hours of pushing went by without me realizing the time," remarked Sara. "But around the fourth hour I started to wonder if I was still making progress. That is when the encouragement of my midwife, husband and the PeaceHealth Southwest nursing staff kept me going. It was like I had my own cheering section."

Unfortunately, even with all the support and encouragement, Sara’s labor was not progressing because her baby’s head was tilted in the birth canal. Neither Sara or her midwife wanted her to have a Cesarean section after all that work, so her midwife suggested an assisted delivery. Read more >

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