{"id":13540,"date":"2022-09-27T22:57:45","date_gmt":"2022-09-27T22:57:45","guid":{"rendered":"http:\/\/pagim2.feedu.co.il\/?p=13540"},"modified":"2022-09-28T08:46:22","modified_gmt":"2022-09-28T08:46:22","slug":"%d7%9e%d7%94-%d7%97%d7%a9%d7%95%d7%91-%d7%9c%d7%93%d7%a2%d7%aa-%d7%a2%d7%9c-%d7%9c%d7%99%d7%93%d7%94-%d7%9e%d7%95%d7%a7%d7%93%d7%9e%d7%aa-%d7%97%d7%95%d7%96%d7%a8%d7%aa","status":"publish","type":"post","link":"http:\/\/pagim2.feedu.co.il\/en\/%d7%9e%d7%94-%d7%97%d7%a9%d7%95%d7%91-%d7%9c%d7%93%d7%a2%d7%aa-%d7%a2%d7%9c-%d7%9c%d7%99%d7%93%d7%94-%d7%9e%d7%95%d7%a7%d7%93%d7%9e%d7%aa-%d7%97%d7%95%d7%96%d7%a8%d7%aa\/","title":{"rendered":"What is important to know about recurrent premature birth"},"content":{"rendered":"<h4>In the rest of the article, we will detail what is known about recurrent premature birth and what can be done to reduce the chances of recurrence.<\/h4>\n<h4>Premature birth results from a combination of factors. We know how to point out some of the risk factors, but even if you carry some of them, you will not necessarily give birth early.<\/h4>\n<h4>On the other hand, sometimes premature labor starts by itself and without any warning and unfortunately, even if you did everything required throughout the pregnancy, it is still possible to give birth prematurely.<\/h4>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><u>The main risk factors known today for the development of recurrent premature birth are:<\/u><\/span><\/p>\n<ul>\n<li><span style=\"font-size: 14pt;\">Premature birth in the past - mothers who have previously given birth in a premature birth have a 25% - 35% chance of giving birth in a premature birth in the next pregnancy as well<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Twin pregnancy or multiple pregnancy - 50%-60% chance of premature birth<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">A uterus with an abnormal structure such as a single or bicornuate uterus<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Cervix that has undergone surgical intervention such as conization<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><u>Additional risk factors at the time of becoming pregnant that are indicated in the professional literature and which were found to be related to repeated premature birth: <\/u><\/span><\/p>\n<ul>\n<li><span style=\"font-size: 14pt;\">Underweight or overweight before becoming pregnant<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Eating disorders such as anorexia or bulimia.<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Getting pregnant shortly after the previous birth. An interval of at least 18 months from the previous birth is recommended.<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Age under 17 or over 35.<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Pregnancy through in vitro fertilization (IVF) treatments<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">History of preeclampsia<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Hypertension<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">sexually transmitted infectious diseases<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">smoking<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Exposure to air pollution and passive smoking<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Nonmedical drug use and prescription drug use<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Stress in everyday life.<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Low socioeconomic status<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Domestic violence<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">A lot of standing on your feet<\/span><\/li>\n<\/ul>\n<p><span style=\"font-size: 14pt;\"><u>\u00a0<\/u><\/span><\/p>\n<p><span style=\"font-size: 14pt;\"><u>Medical risk factors that appear during pregnancy that may lead to the development of premature birth: <\/u><\/span><\/p>\n<ul>\n<li><span style=\"font-size: 14pt;\">A cervix diagnosed as short in the second or third trimester of pregnancy<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Vaginal bleeding in the second or third trimester of pregnancy<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Urinary tract and vaginal infection.<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Early water drop<strong>.<\/strong><\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><u>If there is a risk of premature birth, your attending physician may recommend one or more of the following measures:<\/u><\/span><\/p>\n<ul>\n<li><span style=\"font-size: 14pt;\">Follow-up ultrasound examination along the cervix from week 16. A cervix shorter than 25 mm is a warning sign<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Fetal fibronectin (fFN) test from the vagina or cervix<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Progesterone hormone treatment as daily vaginal tablets or weekly injections.<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Cervical suture - cerclage<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Using a pessary - a silicone device inserted into the vagina around the cervix<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Medicines to suppress labor called tocolytic drugs and are designed to delay labor for at least 48 hours<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">At the same time, treatment with steroids that accelerate fetal lung maturation and reduce the chance of cerebral hemorrhages in the fetus<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><u>Due to the higher risk of miscarriage among women who have given birth prematurely, the recommendation is to enter the following pregnancy in a planned manner:<\/u><\/span><\/p>\n<ul>\n<li><span style=\"font-size: 14pt;\">Use contraception until you are ready to get pregnant again<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Keep an interval of 18 months from the last birth until the next pregnancy<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">I arrived in optimal health with balanced chronic diseases such as hypertension, diabetes and thyroid function<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Carry out an orderly pregnancy follow-up in order to detect as early as possible risk factors that can be treated such as: cervical shortening, vaginal inflammations and infections<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Avoid smoking<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Avoid drinking alcohol and using non-medical drugs<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Find the right balance at work and at home and reduce estrogenic factors<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Get help if your partner is violent towards you<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Keep adequate rest. Pregnant women should sleep 8 hours a night.<\/span><\/li>\n<li><span style=\"font-size: 14pt;\">Avoid intensive work, carrying heavy objects or actions that require a lot of effort<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt;\"><strong>by Dr. David Shasher, gynecologist and CEO of Fergentech <\/strong><\/span><\/p>\n<p><span style=\"font-size: 14pt;\"><strong>Fergantec <\/strong><a href=\"https:\/\/www.pregnantech.com\/\">Home \u2013 PregnanTech<\/a> Develops an innovative device to delay premature birth. The device, called Lyons, is currently in a clinical trial among pregnant women at risk of premature birth and is being conducted at the Hadassah Jerusalem, Sheba Tel Hashomer, Kaplan Rehovot and Meir Kfar-Saba medical centers. For details and registration: \u00a0<a href=\"https:\/\/bit.ly\/3otz9hn\">https:\/\/bit.ly\/3otz9hn<\/a><\/span><\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>\u05d1\u05d4\u05de\u05e9\u05da \u05d4\u05db\u05ea\u05d1\u05d4, \u05e0\u05e4\u05e8\u05d8 \u05de\u05d4 \u05d9\u05d3\u05d5\u05e2 \u05e2\u05dc \u05dc\u05d9\u05d3\u05d4 \u05de\u05d5\u05e7\u05d3\u05de\u05ea \u05d7\u05d5\u05d6\u05e8\u05ea \u05d5\u05de\u05d4 \u05e0\u05d9\u05ea\u05df \u05dc\u05e2\u05e9\u05d5\u05ea \u05e2\u05dc \u05de\u05e0\u05ea \u05dc\u05d4\u05e4\u05d7\u05d9\u05ea \u05d0\u05ea \u05d4\u05e1\u05d9\u05db\u05d5\u05d9\u05d9\u05dd \u05dc\u05d4\u05e9\u05e0\u05d5\u05ea. \u05dc\u05d9\u05d3\u05d4 \u05de\u05d5\u05e7\u05d3\u05de\u05ea \u05e0\u05d5\u05d1\u05e2\u05ea \u05de\u05e9\u05d9\u05dc\u05d5\u05d1 \u05e9\u05dc \u05d2\u05d5\u05e8\u05de\u05d9\u05dd. \u05d0\u05e0\u05d5 \u05d9\u05d5\u05d3\u05e2\u05d9\u05dd \u05dc\u05d4\u05e6\u05d1\u05d9\u05e2 \u05e2\u05dc \u05d7\u05dc\u05e7 \u05de\u05d2\u05d5\u05e8\u05de\u05d9 \u05d4\u05e1\u05d9\u05db\u05d5\u05df \u05d0\u05d1\u05dc \u05d2\u05dd \u05d0\u05dd \u05d0\u05ea \u05e0\u05d5\u05e9\u05d0\u05ea \u05d0\u05ea \u05d7\u05dc\u05e7\u05dd, \u05dc\u05d0 \u05d1\u05d4\u05db\u05e8\u05d7 \u05ea\u05dc\u05d3\u05d9 \u05de\u05d5\u05e7\u05d3\u05dd. \u05de\u05d0\u05d9\u05d3\u05da, \u05dc\u05e2\u05d9\u05ea\u05d9\u05dd \u05dc\u05d9\u05d3\u05d4 \u05de\u05d5\u05e7\u05d3\u05de\u05ea \u05de\u05ea\u05d7\u05d9\u05dc\u05d4 \u05de\u05e2\u05e6\u05de\u05d4 \u05d5\u05dc\u05dc\u05d0 \u05e9\u05d5\u05dd \u05d0\u05d6\u05d4\u05e8\u05d4 \u05d5\u05dc\u05e6\u05e2\u05e8\u05e0\u05d5, \u05d2\u05dd \u05d0\u05dd \u05e2\u05e9\u05d9\u05ea [&hellip;]<\/p>\n","protected":false},"author":64,"featured_media":13577,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[5],"tags":[137,136,139,138],"class_list":["post-13540","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-5","tag-137","tag-136","tag-139","tag-138"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u05de\u05d4 \u05d7\u05e9\u05d5\u05d1 \u05dc\u05d3\u05e2\u05ea \u05e2\u05dc \u05dc\u05d9\u05d3\u05d4 \u05de\u05d5\u05e7\u05d3\u05de\u05ea \u05d7\u05d5\u05d6\u05e8\u05ea &#8902; \u05dc\u05d4\u05f4\u05d1 | \u05d4\u05e2\u05de\u05d5\u05ea\u05d4 \u05dc\u05de\u05e2\u05df 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