Women who have had a preterm delivery in the past are also at increased risk for its occurrence in another pregnancy. While preterm labor is hard to predict, once the diagnosis is made there are treatments that may help. It is important to notify your doctor if you experience unusual pain either in your back or abdomen. If you feel tightening on the abdomen, cramping or vaginal pressure, these may be signs of preterm labor. Your doctor should evaluate any leakage of fluid from the vagina to be sure there has not been preterm premature rupture of the membranes.
Fetal problems consist of multiple gestations, congenital abnormalities and growth abnormalities.
These pregnancies are at risk for preterm labor and growth problems. While pregnancies with multiple fetuses can progress normally, they must be followed carefully to avoid complications. With intensive care, many of these pregnancies are successful and healthy. Congenital abnormalities complicate 2 to 5 percent of all pregnancies. The abnormalities range from minor problems to severe complications.