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    Premature Labor With Twins

    Also called preterm labor, premature labor is when you start having contractions and true labor after your 20th week of pregnancy and more than 3 weeks before you expect to deliver your babies.

    A baby that is born prematurely is much more likely to have health and development problems. It's much better for your babies to have time to grow and develop in your uterus. That's why it's a good idea for every pregnant woman to learn the signs and symptoms of premature labor.

    Recognizing the signs and knowing what to do about them increases the chance that you can get help quickly to stop preterm labor. This prevents your babies from being born too early, so your babies have more time to grow and develop in the uterus.

    Signs and Symptoms of Premature Labor

    Premature labor is usually not painful, but there are several warning signs and symptoms.

    • Contractions in your uterus every 10 minutes or more often
    • Tightening or low, dull backache that may be constant or come and go, but changing positions and other comfort measures don't ease it
    • Menstrual-like cramps or lower abdominal cramping that may feel like gas pains, with or without diarrhea
    • Increased pressure in your pelvis or vagina
    • Increased vaginal discharge
    • Leaking of fluid from the vagina
    • Vaginal bleeding
    • Flu-like symptoms such as nausea, vomiting, or diarrhea
    • Less movement or kicking by your babies

    What to Do If You Have Signs of Premature Labor

    Call your doctor right away if you have:

    • Leaking of fluid from the vagina
    • Vaginal bleeding
    • Sudden increase of vaginal discharge

    Check for contractions if you have any of these signs of premature labor:

    • Menstrual-like or abdominal cramps
    • Low, dull backache
    • Pelvic or vaginal pressure

    Here's how to check for contractions:

    • Lie down -- on your left side if you can.
    • Place your fingertips on your abdomen.
    • Check to see if you can feel your uterus tightening and softening.
    • Use a contraction timer or write down the time at the beginning of one contraction and again at the beginning of the next contraction.

    Call your doctor if:

    • You have contractions every 10 minutes or more often that do not go away within an hour after changing your position, relaxing, or drinking 2 to 3 glasses of water.
    • You have any of the warning signs listed above and they get worse.
    • Pain is severe and persistent.

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