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Before you can determine how to avoid pre-term labor, you must understand what it is, and what causes the condition. Pre-term labor is diagnosed when labor begins before 37 weeks gestation; 3 or more weeks prior to the due date. Unfortunately, in most cases, the actual cause of pre-term labor is unknown. However, there are instances when certain conditions are identified, and act as a warning sign that early (pre-term) labor is a possibility.
Some known causes of pre-term labor include:
- A prior history of premature labor.
- A prior history of habitual miscarriage.
- Incompetent cervix (the inability of the cervix to hold the pregnancy can be seen in some cases of second and third trimester losses).
- Premature rupture of membranes.
- Carrying more than one fetus (twins, triplets, etc.).
- Smoking.
- Alcohol.
- Drugs/substance abuse.
- Uterine infection.
- High blood pressure during pregnancy or chronic hypertension.
- Hyperthyroidism.
- Gestational diabetes or pre-gestational diabetes.
It is important to understand what labor is, and when it is actually occurring. There are certain "guidelines" that most midwives and health care providers follow and these will be discussed with you. Make sure you understand what these mean, and when to call your midwife or health care provider. Usually, these guidelines include the following:
Call Your Midwife If:
- You have four or more contractions in a one-hour period. If you live more than 30 minutes away from your midwife, you may be instructed to call her if you have 3 or more contractions in an hour. The contraction intensity should be uncomfortable (more than a cramping sensation). Your abdomen should get hard during a contraction and you may have difficulty speaking. You may have to stop and concentrate on breathing while having a contraction. In addition, a contraction can last anywhere from a few seconds to a few minutes. Labor contractions are often felt in the lower back and the sensations may travel around to the front of the belly.
- You suspect your water has broken. Each woman experiences this differently. You may feel a sudden gush, or possibly just a trickle. If you feel that your water has broken, call your midwife immediately. The fluid is usually clear (but can be bloody, or yellow- or green-tinged) and have a sweet smell to it. It will not smell like urine. Ask your midwife if she would be willing to give you a small strip of litmus paper (nitrazine test) to take home. Urine is usually acidic with a pH below 7, whereas amniotic fluid is mildly alkaline with pH of 7.2. It's easy to use and read, and can prevent unnecessary worry. A fern test may be done where a sample of fluid is taken from the back of the vagina with a swab and examined under a microscope. Dried amniotic fluid creates a fern pattern, visible under a microscope.
- ANY vaginal bleeding warrants an immediate call to your midwife. This may be caused by a placenta previa (placenta partially or fully over the cervix opening) or a placental abruption (a partial or fully detached placenta). This can be an emergency. This also may be bloody show (a tinge of blood mixed with gobs of mucous), which is seen in active labor as the cervix is dilating and effacing.
- An odd sense of "pressure" can also be a sign of labor. You may feel a sensation if pressure in you abdomen, thighs, rectum, or vagina. You may also have the feeling that the baby is "falling out" or that you have a "watermelon between your legs" feeling.
- Any change in vaginal discharge. As the cervix dilates and effaces, you will loose your mucous plug from the cervix. This mucous plug is often a creamy color with possibly a slight tinge of blood (very slight).
- A constant pain in the lower back, which radiates towards the uterus, can also be a sign that labor has begun. Many labors are felt in the lower back as a nagging back ache that comes and goes with regular intervals.
- Often, the most reliable sign that labor is beginning, is a woman's intuition that things are not "right" or "normal." Do not hesitate to call your midwife. Remember that they are there to care for you, and your unborn baby. Never feel that you are "pestering" your midwife. They understand your concerns, and expect that you will call with questions.
Although there is no sure-fire way to prevent pre-term labor, there are precautions that you can take to give you and your baby the best chance possible of going to full term.
Among these are:
- Do not smoke, drink, or use other harmful substances.
- Avoid stress and strenuous work.
- Keep the lines of communication open with your midwife or health care provider.
- Rest as much as you can.
- Learn to recognize the signs of pre-term labor.
- Pay attention to the signs that your body (and your baby) are giving you.
Pre-term labor can be treated with various medications, restrictions, and monitoring. If you feel, at any time, that labor is beginning, call your midwife or health care provider immediately. If the condition is caught early on, your baby will have a much better chance of survival.
ACTIVITY
Complete bed rest is necessary once signs of premature labor begin. Discontinue work or other physical activities. Avoid any sexual activity.
MoonDragon's Pregnancy Information: Bedrest Checklist
DIET
Once labor begins, drink only clear liquids until after the delivery.
BENEFICIAL DIETARY SUPPLEMENTS TO PREVENT MISCARRIAGE
Raspberry Leaf helps strengthen the uterus and may be taken as a tea. Red Raspberry has long been established as a female herb. The leaf tea is used by pregnant women to help prevent complications and make delivery easier. It has also been known to reduce menstrual bleeding and relieve symptoms of diarrhea. In addition to preventing complications in pregnancy, reducing menstrual bleeding, and diarrhea, Red Raspberry is used to relax uterine and intestinal spasms. It is known to strengthen uterine walls, and promote healthy nails, bones, teeth and skin. Red Raspberry can diminish the effects of morning sickness, false labor pains, hot flashes, and menstrual cramps. Using Red Raspberry after childbirth helps decrease uterine swelling and reduces postpartum bleeding. Small children can drink Red Raspberry tea for vomiting, dysentery, and diarrhea. The warm tea also soothes sore throats, mouth ulcers, bleeding gums, and canker sores. Pour one cup of boiling water over 1 or 2 teaspoons of dried Red Raspberry leaf, steep for 10 minutes, and then sweeten to taste. Drink 2 to 3 cups daily while pregnant.
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Herbal Remedies: Raspberry Leaf, Woman's Female Support, Yogi Tea, 16 Tea Bags
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False Unicorn root may help when the cervix is too loose to hold the pregnancy as a powerful tonic. Use 3 drops of the tincture four to five times daily, beginning a month before conception and continuing for the entire first trimester.
False Unicorn helps strengthen the uterus. False Unicorn is an herbaceous perennial, native to the Mississippi area. Its leaves are from 2 to 8 inches long, spoon shaped, and wider at the top than at the base. The flowers are white and starry or greenish-white and can reach 2 feet or longer depending on whether they are male or female flowers. For centuries women have used False Unicorn for menstrual and uterine problems, and morning sickness. Native American women reportedly chewed the root to prevent miscarriages. False Unicorn should not be confused with another member of the lily family commonly known as "true unicorn root." They are different. False Unicorn contains hormone-like saponins which help make this herb a ovarian and uterine tonic. It also has an adaptogenic or balancing effect on sex hormones, helping to relieve many disorders of the reproductive tract, menstrual irregularities and premenstrual syndrome related to hormonal imbalance. And this herb has bitter properties that helps it act as a tonic on the liver and digestive tract. Many herbalists recommend False Unicorn for reducing menopausal symptoms, and treating ovarian cysts. It has also been used to normalize hormone levels following oral contraceptive use. This root balances sex hormones in males as well as females. It can also be used for endometriosis, ovarian cysts, menstrual irregularities and pain, premenstrual syndrome and prostate disorders. False Unicorn is used to treat venereal diseases, particularly gonorrhea. It is also used as a diuretic and to rid the intestinal tract of worms. This herb can also stimulate the appetite and relieve the nausea and vomiting that accompany pregnancy. False Unicorn comes in various forms and is an ingredient in many products. For using a decoction, take 1-2 teaspoonfuls of the root in 1 cup of boiling water. Drink 3 times a day. For using a tincture, take 2-4 ml, 3 times a day. If using False Unicorn for the "normalizing" effect on the female reproductive system in regulating the menstrual cycle, or promoting an absent cycle, note that it can take several months before there is a significant effect on the cycle. For other formulations read product label directions.
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Herbal Remedies: False Unicorn Root Extract Herb Tincture, 2 fl. oz.
Herbal Remedies: Miscarriage Tincture (Helps Prevent), 2 fl. oz.
Herbal Remedies: False Unicorn Supplements & Products
Wild Yam helps improve hormonal balance for maintaining pregnancy. Various species of Wild Yam grows throughout North and Central America, and Asia, and has been used to treat indigestion, coughs, morning sickness, gall bladder pain, menstrual cramps, joint pain, and nerve pain. The primary, but incorrect use of Wild Yam as a source of women's hormones is based on the misconception that Wild Yam contains progesterone and DHEA. Wild Yam contains chemicals that chemists can use only as a starting point to manufacture progesterone. This herb does not contain progesterone. Some Wild Yam products have progesterone in them, but it is a synthetic progesterone that has been added to the product. Do not discount the use of Wild Yam as it can still be used to relax muscle spasms, reduce inflammations, and promote perspiration. This herb can be used for menstrual cramps or pain, menopausal symptoms, rheumatic conditions, and gallbladder complaints. Wild Yam is also used to treat colic, gallbladder disorder, hypoglycemia, irritable bowel syndrome (IBS), kidney stones, neuralgia, and rheumatism. Wild Yam comes in various forms and is an ingredient in many products. Wild Yam Extract is used for a wide range of ailments including many female problems and to relieve the pain of child birth. This plant is useful as an anti-inflammatory, antispasmodic, cholagogue, diaphoretic and vasodilator. It alleviates many of the symptoms of menopause and PMS such as hot flashes, night sweats, mood changes, and vaginal dryness. It is also used to treat irritable bowel syndrome, gastritis, gall bladder complaints, spasmodic cramps, painful menstruation, and in small doses is especially helpful in treating the nausea of pregnant women. For best results, read and follow product label directions.
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Herbal Remedies: Wild Yam Extract Tincture, Herbal Remedies USA, 2 fl. oz.
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Herbal Remedies: Miscarriage Tincture (Helps Prevent), 2 fl. oz.
Herbal Remedies: Wild Yam Supplements & Products
Prenatal Vitamin Supplements provide general nutrition, which is very important for fetal development and to support pregnancy.
Herbal Remedies: Prenatal Vitamins, Albion Iron, NOW Foods, 120 Caps
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Folic Acid helps prevent birth defects and supports pregnancy. Folic acid is necessary precursor for the manufacture of genetic material like RNA and DNA. Folic acid also assists in the growth and repair of tissues and in the conversion of fats and amino acids into other useful products in the body.
Herbal Remedies: Folic Acid (Vitamin B-9), 100% Natural, Nature's Way, 800 mcg, 100 Caps
Vitamin C with Bioflavonoids strengthens blood vessels. Vitamin C with Bioflavonoids provides powerful antioxidant protection, strengthens collagen and maintains white blood cell function. Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.
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Herbal Remedies: Vitamin C Supplements & Products
Vitamin E helps balance hormones. Alpha-tocopherol is the most active form of vitamin E in humans, and is a powerful biological antioxidant. Vitamin E is a major antioxidant and the primary defense against lipid peroxidation. Antioxidants such as vitamin E act to protect your cells against the effects of free radicals and oxidative damage. Free radicals are potentially damaging by-products of the body's metabolism. Free radicals can cause cell damage that may contribute to the development of cardiovascular disease and cancer.
Herbal Remedies: Vitamin E-1000, D-Alpha-Tocopherols, NOW Foods, 100 Softgels
Herbal Remedies: Vitamin E-400, 100% Vegetarian, Nature's Way, 400 IU, 100 Liquid VCaps
Herbal Remedies: Vitamin E Oil, D-Alpha-Tocopherols, 100% Natural, NOW Foods, 32,000 IU, 1 oz.
This vitamin E oil may be used as a dietary supplement or applied to the skin for cosmetic or other purposes.
Herbal Remedies: Vitamin E Supplements & Products
HERBAL SUGGESTIONS TO PREVENT MISCARRIAGE
Black Haw and Crampbark are the two herbs most commonly used by European physicians, Native Americans and modern herbalists to calm the uterus.
Black Haw root bark is taken as a miscarriage preventative. Drink one or two cups of tea or half cup of the infusion daily as soon as you are pregnant. Black Haw may be used throughout the entire pregnancy.
Black Haw is part of the honeysuckle family. It is a deciduous spreading shrub with a reddish-brown bark that grows in the northern part of the United States, but in the South, it is a small tree. Since the early 1800s, women used a tea made from Back Haw bark to soothe menstrual pain. It was also thought to help prevent miscarriage and ease the pain that follows childbirth. When combined with false unicorn root, it works well in preventing miscarriage. This plant contains salicin, a pain reliever that acts like aspirin. Black Haw also has antispasmodic, analgesic, astringent, sedative, cardiac tonic, uterine and muscle relaxant, nervine, diuretic, and tonic properties. This plant is sometimes erroneously called cramp bark, and though Black Haw's effects are much stronger than those of cramp bark, the two are used alternately in treating various conditions. Black Haw comes in various forms and is an ingredient in many products. For making a tea with Black Haw bark, use 1 oz. of herb per one pint of freshly boiled distilled water. Steep for 10-15 minutes, and strain. Drink one cup 2-3 times a day. For other formulations and products it is best to read and follow product label directions.
Cramp Bark is commonly used in herbal medicine as a nerve sedative and anti-spasmodic in asthma and hysteria. It is also used to relieve muscle tension in the intestines, airways, uterus, and striated muscles in the limbs or back. It can be taken internally or applied externally for those conditions. Cramp Bark, as its name suggests, is used to treat conditions characterized by muscular cramps and spasms, particularly in the pelvic region, including menstrual cramps, bladder spasm, colic, irritable bowel syndrome (IBS), and spastic colon. It is said to protect against miscarriage and help with threatened miscarriage, relieve the symptoms of menopause. It is also taken to relieve tension headaches, muscle tension, anxiety, and arthritis. Although it has been used for centuries by Native Americans, and is still recommended by herbalists today, scientists need to catch up. Cramp Bark has also been effective in treating arthritis where joint weakness and pain have caused the muscles to become almost rigid. It has also been used in treating high blood pressure and other circulatory conditions. Cramp Bark comes in extract, tincture, and elixir forms. It is important to read label directions before use.
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Herbal Remedies: Cramp Bark Extract Tincture, Herbal Remedies USA, 2 fl. oz.
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Red Raspberry Leaf has a long history of use in pregnancy for threatened miscarriage. Standard dosage: 2 capsules three times daily.
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Herbal Remedies: Red Raspberry Supplements & Products
False unicorn is prized by herbalists for its adaptogenic effect on the ovaries (normalizes function).
Herbal Remedies: False Unicorn Tincture, 100% Organic, 2 fl. oz.
Herbal Remedies: False Unicorn Supplements & Products
Herbal Remedies: Miscarriage Tincture (Helps Prevent), 100% Organic, 2 fl. oz.
Wild Yam (Dioscorea Villosa) may benefit those women who are threatening miscarriage due to stimulation to the adrenal glands as well as the antispasmodic effects of the herb. Wild Yam root is the source material for hormonal birth control pills. It contains glycosides from which the body can manufacture the hormones progesterone and cortisone, which are needed to maintain the pregnancy. The infusion is the strongest preparation. Take 2-4 ounces of infusion every half hour. Results should be evident by the second dose. The tincture is less effective and may cause nausea or vomiting. Use 10 drops every half hour as needed.
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Herbal Remedies: Wild Yam Supplements & Products
OTHER HELPFUL TIPS & HERBAL AIDS TO PREVENT THREATENED MISCARRIAGE:
Along with bed rest and relaxation, take vitamin E (up to 2000 IU a day) during the crisis period.
Alcohol (shot of whiskey or other spirits) relaxes the smooth muscles and can be used to slow or stop uterine contractions if sipped when cramping is felt. Intravenous alcohol is still used in hospitals to help forestall threatened miscarriage.
Lobelia herb is used in two ways: it will aid the miscarriage if the fetus is weak or malformed, but prevent it if the fetus is healthy and strong. Take the leaf and seed tea in sips every few minutes throughout a full hour. After an hour's rest, repeat. Lobelia tea causes nausea or vomiting in some women. The tincture is usually less nauseating. Take no more than 15 drops in a small glass of water as often as every 15 minutes, for several days, if needed.
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Herbal Remedies: Lobelia Extract Tincture, Herbal Remedies USA, 2 fl. oz.
Herbal Remedies: Lobelia Herb, Nature's Way, 425 mg, 100 Caps
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For bleeding near term from possible abruption of the placenta, take 1500 IU vitamin E (3 doses of 500 IU), 50,000 IU vitamin A (2 doses of 25,000 IU), 6,000 mg of vitamin C (6 doses of 1,000 mg), 50 mg zinc (with food) daily for up to 2 weeks or until the pregnancy is stabilized. Although the vitamin E is supposed to "glue" the placenta back onto the uterus and hold it until the pregnancy is full term, however, large doses of vitamin E taken within 1 week of term may cause abnormal adhesion of the placenta to the uterus.
THREATENED MISCARRIAGE BREW
1 tablespoon dried Black Haw root bark or Cramp bark
3 tablespoon dried Raspberry leaf
10 drops Wild Yam root tincture
10 drops False Unicorn root tincture
60 drops Lobelia herb tincture
Put herbs in quart jar and add four cups of boiling water. Steep until cool enough to drink. Add tinctures to one cupful of tea and drink. If contractions continue for more than 30 minutes, add 60 drops of Lobelia tincture to a second cup of tea. Drink a cup every 3 hours, adding tinctures as needed, until miscarriage no longer threatens. Increase the effectiveness of the brew by resting in bed and taking 500 IU of vitamin E every six hours.
These remedies are found in Susun Weed's Wise Woman's Herbal "Childbearing Year"
MISCARRIAGE SUPPLEMENTS & PRODUCTS
Supplements and products for miscarriage, the loss of a pregnancy during the first 20 weeks.
Blue Cohosh Powder, 4 oz. Bulk
Blue Cohosh is used to regulate the menstrual flow and for treating suppressed menstruation.Blue Cohosh Tincture, 100% Organic, 2 fl. oz.
Blue Cohosh supplements are used to regulate the menstrual flow and for treating suppressed menstruation.CapsiCool, Cayenne Supplement, Nature's Way, 390 mg, 100 Caps
CapsiCool is a special cayenne supplement that provides the benefits of Cayenne Pepper without the burning feeling and discomfort in the stomach that otherwise may be experienced.Folic Acid (Vitamin B-9), 100% Natural, Nature's Way, 800 mcg, 100 Caps
Nature's Way Folic Acid is 100% natural and contains no artificial ingredients or preservatives.Healthy Pregnancy, TCM Formula, Duzhong Yutai, 100% Natural, 60 Caps
Healthy Pregnancy, TCM Formula, Duzhong Yutai is made of cuscuta seed, amomum fruit, prepared rehmannia root, ginseng, mistletoe, donkey hide gelatin, Chinese cornbind (shou wu), mugwort leaf, morinda, atractylodes, codonopsis, deglued antler powder, wolfberry, dipsacus and eucommia bark.Manganese Ionic Mineral Supplement, Fully Absorbable, 30 +/- ppm, 16 fl. oz.
WaterOz Ionic Manganese is a pure liquid Manganese supplement. Manganese, also called the "brain mineral," is important in the utilization of all mental facilities/functions.Miscarriage Tincture (Helps Prevent), 2 fl. oz.
The Miscarriage Tincture was created to help prevent miscarriage.Natural Progesterone Cream: A Safe Alternative To Conventional Hormone Replacement Therapy, By C. Norman Shealy, M.D., Ph.D.
In this Keat's Good Health Guide, Dr. Norman Shealy answers all your questions about natural progesterone cream, a viable and safe alternative to synthetic hormone replacement therapy.Prenatal Multi-Vitamin & Mineral, 100% Natural, Complete, Nature's Way, 180 Caps
Nature's Way Woman's Prenatal Multivitamin and mineral supplement provides specially balanced prenatal vitamin and mineral potencies for pregnant women or postnatal lactating women.U O Clear (Ovarian Cyst & Fibroid Support), 500 mg, 60 Caps
The herbs work synergistically to strengthen the body's natural capability of female systems self-cleaning functions, especially for uterus and ovary.Vitamin C-1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps
Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.Wise Woman Herbal For The Childbearing Year, By Susun S. Weed, Janice Novet
This is a complete herbal pharmacopoeia for dealing with every problem that might arise before, during and after pregnancy and childbirth. Simple, safe, remedies for pregnancy, childbirth, lactation, newborns. Includes herbs for fertility and birth control.Herbal Remedies: Miscarriage Information
Herbal Remedies: Miscarriage Supplements & Products
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You or a family member has symptoms of premature labor. Call your midwife immediately. This is an emergency! If you are planning an out-of-hospital birth, you may need to be transported to a medical facility, depending upon just how early you are in your gestational dating. Follow your midwife's or health care provider's instructions. If the symptoms get worse, or don't go away after one hour, call your midwife or health care provider again or go to the hospital. If the symptoms go away, take it easy for the rest of the day. If the symptoms stop but come back, call your midwife or health care provider again or go to the hospital.
When you call your midwife or health care provider, be sure to tell the person on the phone that you are concerned about the possibility of preterm labor. The only way your midwife or health care provider can know if preterm labor is starting is by doing an internal examination of your cervix (the bottom of your uterus). If your cervix is opening up (dilating), preterm labor could be beginning.
You and your midwife and/or health care provider are a team, working together to have a healthy pregnancy and healthy baby. Your team works best when both of you participate fully, so your knowledge about preterm labor can be essential in helping to prevent a preterm birth. Talk to your health care provider about all of this, and be sure to keep all of your prenatal care appointments. Preterm birth is one of the complications of pregnancy that health care providers are working hard to eliminate. Your participation in this effort is just as important as theirs!
During pregnancy, you think you have a urinary tract infection.
After delivery, you have abdominal pain, chills and fever, headache, muscle aches or a bad-smelling vaginal discharge.
New, unexplained symptoms develop. Drugs used in treatment may produce side effects.
PREGNANCY RELATED LINKS
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HELPFUL PRODUCTS & FURTHER EDUCATION
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 2nd Edition
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 4th Edition
Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
-- by Phyllis A. Balch
The Complete Guide to Natural Healing
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