Preterm labor is uterine contractions with cervical change that place the fetus at risk for delivery before 36 weeks.  Be alert for the following:

 

·          Greater than 6 contractions per hour

·          Rhythmic cramping in the lower pelvic region or abdomen

·          Increased pelvic pressure

·          Leaking of clear fluid from the vagina

·          Vaginal bleeding

 

If there is concern for contractions, try emptying your bladder, drink 2 glasses of water, and rest.  If the contractions subside then they were likely Braxton Hicks contractions or uterine irritability.  If the contractions persist then you should call your provider to be seen in clinic, or go to labor and delivery for evaluation.  Dehydration, over activity, and urinary tract infections may produce contractions.

 

If you feel that you have broken your bag of water, then you should call your provider or go to labor and delivery for evaluation.

 

Some people have spotting after sexual intercourse or over activity.  If you have bright red blood from the vagina, you should call your provider or go to labor and delivery for evaluation.

 

* Please call the clinic during business hours so that you may be seen if there is concern.