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Premature Labor: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Premature or preterm labour arises when a pregnant woman's body starts preparing for delivery way before the due date. Preterm labor can, in most cases , lead to an early birth if not controlled with the help of medical intervention. Typically, preterm labour starts three weeks before a woman's due date. Fortuntely, the delivery of the child can be delayed by adopting treatment methids for preterm labor. Only two types of methods are commonly used. One of them is a surgical procedure known as cervical cerclage and the other is the administration of certain medications in the form of injections or IV fluids. In case these treatment options fail to work, the doctor will suggest giving birth to the baby, which can be done vaginally or through a Cesaerean section , depending on the condition of the mother. Although it's popular belief that bed rest can help in controlling the symptoms of preterm labor, it really cannot and most doctors advise against it due to the potential risks it comes with.

How is the treatment done?

If the symptoms of preterm labour are mild, doctors will recommend the use of medications first. Three different types of medications are generally used and these are corticosteroids, magnesium sulfate and tocolytes. Corticosteroids are given when the woman is between 24 to 34 weeks pregnant and is administered via an injection. These help in slowing down the lung development of the baby. Magnesium sulphate is offered as treatment when ther's high risk of delivering the baby betweenb 24 and 32 weeks of gestation. It is administered intravenously. Lastly, tocolytes are given for short-term relief and help in delaying the delivery for up to two days. These are administered intravenously too. It should be mentioned here that each of these methods are carried out in a hospital. Apart from drugs, a surgery known as cervical cerclage is performed to halt delivery. This surgery can be performed either with the help of local or general anesthesia. Generally, the operation is carried out through the vagina. In this procedure, a speculum is inserted into the woman's vagina so that the vaginal walls can be spread apart for the surgery. To close the cervix in order to stop preterm labour symptoms, the surgeon may either stitch the outer part of the cervix or tie a tape around the cervix and then stitch it up. The surgeon may also make a tiny incision in the cervix and then tie a tape there to keep it closed.

Who is eligible for the treatment? (When is the treatment done?)

Pregnant women who are suffering from the symptoms of preterm labour are eligible for these treatment methods. They will have to be at least 24 weeks pregnant for the medications to work. Women who are less than 24 weeks are pregnant are eligible for the surgery.

Who is not eligible for the treatment?

Pregnant women who are suffering from complications are not eligible for any of these treatment methods. Moreover, pregnant women who are beyond 24 weeks pregnant are not the right candidates for surgery. Also women who are a couple of weeks before their due date may not be eligible for either surgery or medications.

Are there any side effects?

Side effects are a common occurrence in the use of medications to curb the symptoms of preterm labour. These side effects include nausea, dry mouth, headache, blurry vision, flushing, weakness, heartburn, veritgo, palpitations, nervousness, fever and feeling warm. Cervical cerclage has side effects too, which are contractions, cramping, vaginal bleeding, low back or abdominal pain, fever, nausea, foul odored vaginal discharge and more.

What are the post-treatment guidelines?

For medicines used to treat preterm labour, post-treatment guidelines include following a healthy diet, resting and immediately reporting any side effects that take place to the doctor. As for surgery, women may have to stay in the hospital overnight or for at least a couple of hours. Once discharged, they will have to routinely have the medicines prescribed and take bed rest for at least 2-3 days after the procedure. Abstinence from sex is also important. The doctor will inform the woman when she can resume normal activities.

How long does it take to recover?

The recovery time of cervical cerclage is not fixed and is entirely dependent on the way in which the procedure was carried out. As far as the medications, the side effects may take a couple of days to wear off so that the woman can recover.

What is the price of the treatment in India?

Cercival cerclafe is carried out in most hospitals in India and the cost of it ranges from Rs 10,000 to Rs 13,000. The medications used to treat preterm labour cost between Rs 200 to Rs 4870.

Are the results of the treatment permanent?

The results of each of these treatment methods cannot be defined as permanent per se. Their success depends on if the pregnancy lasts up to or at least close to the full term.

What are the alternatives to the treatment?

Bed rest is generally recommended as the best alternative to medical intervention for preterm labor. However, most medical experts do not advocate it now due to potential side effects.

Popular Questions & Answers

My wife has 6 weeks pregnant. I have given mifegest kit to her 2 days before. After 48 hours give 2 tab misoprostol then she feel bleeding and cramp within 1 hour and pass some clots and some round shape structure of size 12 to 15 mm. After 12 hour I have also given 2 nd dose of 2 misoprostol tablet orally. She has also feeling cramp and bleeding. Till now total 3 pad changes within 15 hours of after given misoprostol. Now can I continue any antibiotic or not if yes please provide details of any medicine to be use. Now wat to do. Is complete abortion done or not. Wat to care I have to do now. Or I have to continue any medicine further .pls suggest me in details.

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
you can do when ultrasound scan to find out if it is incomplete abortion it is emphasized that medical termination of pregnancy is strictly done under direct doctors supervison

My wife has 21 years old & 5 weeks pregnant. I want to terminate this. Which medicine I can use .is mifegest kit is safe. Any another medicine required to pain relief. This is our first pregnancy. Wil it affect in future pregnancy .any side effect of medical abortion. Wat precaution we have to take. Pls.

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
Medical termination of pregnancy is strictly done that director doctor supervision kindly visit a doctor for an ultrasound scan to find out whether the baby is inside the uterus or in the fallopian tubes like ectopic.
1 person found this helpful

Hello madam. I am 21 years old. I tested with preganews and with the same sample of urine I tested with 2 kits, I got fainted double line in one and got light fainted double line in another. One the same day (on 16th april) I took mifepristone from the unwanted kit at 4: 30 pm and then on 18th april at morning 7: 30 am I took 4 tablets of misoprostol bucally. It started bleeding after 2 hours but very light. Then at 3: 15 pm on the same day (18th april), I again took 4 misoprostol tablets vaginally, and at 4: 15 pm I took 2 tablets of misoproprostol bucally. After some time I started bleeding. But it has been nearly 20 hours, I got wet with only one xl size pad. Please help me out doctor. I also got very tiny white grain like structures in my blood.

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
medical termination of pregnancy is strictly done under direct doctor supervision and kindly please go ahead with doing an ultrasound scan to find out what exactly is happening inside

I am 32 year old .m trying last 6 months that time I had ultrasound & result is my egg is not raptured Dr. gave hucog 5000 injection 2 times but still egg not rupture .dr. Suggest do laparoscopy but m not ready for that please give me suggestion.

MBBS, DGO, Fellowship in Infertility
IVF Specialist, Bangalore
Hi, May be this cycle is not good. try injections for follicular growth next month, follicular scan and trigger with 10,000iu next cycle. you may need iui treatment. Meet a fertility expert

My friend had mtp on february 8th and noticed spotting until march 28 but now in this month of april since 12 she have brown spotting what is the reason.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Burhanpur
Hello, it would be best to get a repeat ultrasound pelvis done to check and rule out any retained products of conception.

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Written By
MBBS,MS - Obstetrics and Gynaecology
Gynaecology
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