Preterm labor: Early signs & how to reduce your risk

Preterm labor happens when contractions begin before 37 weeks of pregnancy—about three or more weeks before your due date. Since a full-term pregnancy lasts around 40 weeks, babies born too early may have difficulty breathing, feeding, and maintaining body temperature. Some may also experience long-term health challenges .

The good news? Some cases of preterm labor can be stopped or delayed, giving your baby more time to develop inside the womb.

• Smoking or drug use
• Being underweight
• Short gaps between pregnancies (less than 6 months)
• Chronic stress (Yep, easier said than done, but stress management is key!)

While preterm labor can happen to anyone , some women are at higher risk , including:

• Women who had a previous preterm birth
• Women pregnant with twins or more
• Women whose water breaks early (before 37 weeks)
• Women with certain infections or previous cervical surgery

It can be hard to tell the difference between normal pregnancy discomfort and signs of preterm labor . Here’s what to watch for:

• Frequent contractions – More than 6 contractions in an hour (even if they’re painless).
• Changes in vaginal discharge – Watery, thick, or bloody discharge.
• Pelvic pressure or lower back pain – A feeling like the baby is "pushing down."
• Belly tightening – Like Braxton Hicks, but more intense and frequent.
• Leaking fluid – A trickle or gush of fluid (your water breaking).
  Cramping or Diarrhea – Cramps that feel like menstrual pain.

Not sure if it’s real labor? Try resting and drinking lots of water —if the contractions don’t stop , call your doctor ASAP!

Call your doctor immediately if you experience:

• More than 6 contractions in an hour
• Bright red vaginal bleeding
• Severe pain that doesn’t go away
• Leaking or gushing fluid
• Reduced baby movement

It’s always better to call and be safe than to wait it out.

If you show signs of early labor , your doctor may try to:

Tocolytic medications – Help delay labor long enough to get additional treatments.

• Steroids – Help develop the baby’s lungs if you’re under 34 weeks.
• Magnesium Sulfate – Can protect the baby’s brain and reduce the risk of cerebral palsy if labor is before 32 weeks.

Progesterone therapy – Can reduce the risk by one-third for women with a history of preterm birth or a short cervix .

While not all cases can be prevented, there are things you can do to lower your risk:

• Take Progesterone Supplements – If recommended by your doctor.
• Manage Chronic Conditions – Like diabetes or high blood pressure.
• Avoid Smoking, Alcohol, & Drugs – They increase the risk.
• Reduce Stress – Yoga, meditation, and deep breathing help.
• Stay hydrated – Dehydration can trigger contractions!
• Eat a Healthy Diet – Focus on protein, iron, and folate-rich foods.

Helps relieve back pain and supports your belly to reduce pressure.

Supports muscle relaxation and stress reduction.

Helps support baby’s brain & lung development .

Staying hydrated reduces contractions and improves circulation .

Helps expecting moms practice mindfulness, relaxation, and emotional balance—which may reduce stress-related pregnancy complications. Includes quick, 5-minute exercises that fit easily into a busy schedule—perfect for moms-to-be looking for simple ways to stay calm and connected.

The content on Awaiting the Stork™ is for informational purposes only and is not intended as medical advice, diagnosis, or treatment. Always consult with a qualified physician or healthcare professional to address your unique health needs and circumstances.