Prevent unintended pregnancy.
- Women who do not desire future pregnancy should pursue permanent contraceptive options (e.g., tubal occlusion or vasectomy).
- Women who desire future pregnancy should have an inter-pregnancy interval of at least 18 months . They should use effective contraception (preferably an intrauterine device (IUD) or contraceptive implant) until they are ready to have another pregnancy.
- Women without contraception should be referred to a gynecologist or other appropriate health care provider. Subsidized contraception is available through Planned Parenthood (see all Pregnancy-related, Other services providers (118) in our database).
Prevent or delay preterm birth in a subsequent pregnancy.
- Maternal-Fetal Medicine (high-risk obstetrics) consultation is recommended before the next pregnancy AND early in the next pregnancy.
- The Maternal-Fetal Medicine physician will discuss strategies to reduce the recurrence risk. Depending on the reason for the
prior preterm birth, these strategies may include:
- Quit smoking.
- Stop any illicit drug use.
- Maintain or achieve appropriate weight (normal body mass index).
- Progesterone supplementation during the next pregnancy
- Cerclage (‘cervical stitch’) early in the next pregnancy if cervical insufficiency is suspected
- Optimal medical management of chronic medical problems, such as hypertension, diabetes, and kidney disease
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|Authors:||Sarah Winter, MD - 11/2014
Jennifer Goldman-Luthy, MD, MRP, FAAP - 11/2014
Erin Clark, MD - 9/2014
|Content Last Updated:||12/2014|
Institute of Medicine (US) Committee on Understanding Premature Birth and Assuring Healthy Outcomes.
Preterm Birth: Causes, Consequences, and Prevention.
Washington DC: National Academies Press; 2007. 978-0-309-10159-2 http://www.ncbi.nlm.nih.gov/books/NBK11362/
The extensive report provides information on risk factors and suggested strategies to reduce preterm births. PMID: 20669423