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Premature Labor Symptoms and Signs - When To Call The Doctor

Premature delivery is the #1 reason for newborn deaths. Call your provider if any of the usual warning signs of labor are present three weeks or more before your due date. These signs include:

  1. A general feeling that something isn't right: You simply don't feel well, without a specific cause. 
  2. Pelvic or lower abdominal pressure: A feeling in the vagina, groin, or thighs as though the baby is "falling out."
  3. Menstrual-like abdominal cramps: Can occur with or without diarrhea.
  4. Uterine contractions: Four or more an hour in which the stomach feels tight, whether they're painless or uncomfortable.
  5. Any regular contractions are significant and probably not Braxton-Hicks contractions. Take them seriously.
  6. Dull lower backache: May radiate to the sides or front and isn't relieved by a change in position; may be constant or intermittent.
  7. Stomach cramps: May feel like "gas pains," with or without diarrhea
  8. Increase or change in vaginal discharge: May be pink, brownish, or other colors, mucousy or watery.
  9. Ruptured membranes: Your water breaks anytime before 37 weeks.

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