PREGNANCY-BIRTH Messages for July, 2000: Re: If not preterm labor, what could it have been?

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Re: If not preterm labor, what could it have been?

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 20 Jul 2000 14:08:38 -0500 (CDT)

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In reply to: Michelle: "If not preterm labor, what could it have been?"

At Thu, 20 Jul 2000, Michelle wrote: >
>Yesterday, I thought I was having symptoms of preterm labor. They were
>most of the classics like cramping, nausea, indigestion, continuous low
>back pain, extreme pelvic pressure and the feeling that something was
>lodged in the pelvis as well as what I felt were at least five painful
>contractions in an hour. The only thing I wasn't experiencing was
>unusual discharge or bleeding.
>
>I went to my doctor's office and saw the nurse practitioner. She said I
>was not dilated, and she could see no significant contractions on the
>monitor. I got the impression that she didn't really think I had
>experienced preterm labor. She never asked me about where the pain was
>or any symptoms that I was experiencing. She just sort of wrote me off
>since I wasn't dilated or showing contractions. I felt really stupid
>and very embarrassed.
>
>My questions are 1) Can you have the symptoms of preterm labor and not
>be in preterm labor?

LAbor is "The progressive effacement (thinning out) and dilatation of the cervix secondary to uterine contractions." Preterm is "Less than 37 weeks Gestation"

Preterm Labor is "labor at less than 37 weeks". Since the cervix was not dilating it was not labor. 4 contractions an hour for 2 hours in a row, before 37 weeks, without effacement and dilation, is referred to as "Threatened Preterm labor". This happens frequently for unknown reasons and there is little we can do about it. It is called "False labor" once one gets to 37 weeks. Again there is little if anything that we can do about it.

If not preterm labor, what would have caused these >symptoms? 2) Can contractions suddenly stop?

YUP!!

I was not feeling them so >much by the time I got to the doctor's office but the pelvic pressure
>and low back pain were still there.
>
>Thank you.

RDB With no Magic Wand.

-- R.Daniel Braun, MD FACOG FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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