Premature labor

Premature labor

It occurs when a baby is delivered before 36 weeks of pregnancy. Factors that lead to premature labor are e.g. premature rupture of your membranes, weak cervix, and placenta separation. The baby is not yet ready to face life outside the mother’s uterus in terms of respiration, temperature control and bleeding, liver function and infections. So the babies are kept in special incubators for a period of time till they are ready.

Scientific Update (October 2026)

This chapter was first published in 2018 as part of the Prenatal Care Book, and has been reviewed and updated according to the latest guidelines. Key updates:

  • Steroid injections for lung maturity are given between 24 and 34 weeks and may be considered from 22 weeks depending on the case.
  • Magnesium sulfate is given before preterm birth under 30 weeks to protect the baby’s brain and reduce the risk of cerebral palsy.
  • For prevention, cervical length is measured by ultrasound in high-risk women; if under 25 mm, vaginal progesterone or a cervical stitch is used depending on the case.
  • Survival has improved greatly: more than 90% of babies born after 28 weeks survive in modern neonatal units.

References: NICE preterm labour and birth (NG25), RCOG Green-top Guidelines.


International Guidelines

In line with global standards, Dr. Sabry follows the latest recommendations from the American Society for Reproductive Medicine (ASRM), European Society of Human Reproduction and Embryology (ESHRE), and Royal College of Obstetricians and Gynaecologists (RCOG). Thus, patients receive care that is safe, ethical, and evidence-based.

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Why Choose Dr. Ashraf Sabry?

Dr. Ashraf Sabry, consultant in obstetrics, gynecology, fertility, and aesthetic gynecology, is recognized among the best OBGYN and fertility specialists in Cairo. With over 20 years of experience, he combines science and compassion to provide world-class care. Book your appointment now through the contact page here or Whatsapp us or call us on +201022224442

This chapter is for medical education and does not replace an examination and consultation with your doctor.

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