Default disease illustration

Supervision of pregnancy with history of pre-term labor Save


ICD-10 code: O09.21

Chapter: Pregnancy, childbirth and the puerperium

Supervision of Pregnancy with a History of Pre-term Labor

Pre-term labor is defined as labor that begins before the 37th week of pregnancy. It is a major concern for pregnant women, as it can lead to several complications for both the mother and the baby. Women who have a history of pre-term labor are at a higher risk of experiencing it again in future pregnancies. Therefore, it is essential to provide adequate supervision during their subsequent pregnancies to minimize the risk of pre-term labor.

  1. Regular Prenatal Care: Women with a history of pre-term labor require more frequent prenatal visits to monitor the progress of their pregnancy. The doctor will check the cervix length, monitor fetal growth, and assess any signs of pre-term labor. Regular prenatal care will help catch any potential issues early and allow for prompt interventions.
  2. Cervical Length Assessment: Women with a history of pre-term labor are at higher risk of cervical incompetence, which is a condition where the cervix opens too early. The length of the cervix can be assessed through ultrasound, and if it is found to be short, the doctor may recommend a cervical cerclage, which is a surgical procedure to close the cervix and prevent pre-term labor.
  3. Progesterone Supplementation: Progesterone is a hormone that helps maintain a healthy pregnancy. Women with a history of pre-term labor may benefit from progesterone supplementation, which can help reduce the risk of pre-term labor.
  4. Monitoring for Signs of Pre-term Labor: Women with a history of pre-term labor should be aware of the signs and symptoms and report any unusual symptoms to their doctor promptly. Signs of pre-term labor include regular contractions, pelvic pressure, backache, and vaginal discharge.
  5. Bed Rest: In some cases, the doctor may recommend bed rest for women with a history of pre-term labor. Bed rest can help reduce the risk of pre-term labor by reducing physical activity and stress on the body.

In conclusion, women with a history of pre-term labor require close supervision during subsequent pregnancies to reduce the risk of pre-term labor. Regular prenatal care, cervical length assessment, progesterone supplementation, monitoring for signs of pre-term labor, and bed rest are all strategies that can help minimize the risk of pre-term labor. By following these recommendations, women with a history of pre-term labor can have a safe and healthy pregnancy.