ARE YOU AT RISK FOR PREMATURE LABOR?

Premature labor can happen to any pregnant woman. However, some women have a greater likelihood of delivering early. The list below will help you determine your risk. Check the space beside each statement that applies to you.

Current Pregnancy

____ I am carrying more than one baby (twins, triplets, or more).
____ I am currently experiencing premature labor signs (see warning signs).
____ I am bleeding and am 12 weeks or more pregnant.
____ I am a smoker.
____ I have had abdominal surgery during this pregnancy.
____ I have an abnormal uterus (womb).
____ I have frequent contractions (tightening of the womb).
____ I am younger than 20 or over 35 years of age.
____ I have a cervical opening or thinning more than three weeks before my due date.
____ I have uterine irritability/excessive contractions.
____ I have placenta previa (the placenta partially or completely covers the cervix).
____ I have used street drugs during this pregnancy.
____ I have used alcohol during this pregnancy.
____ I have little support and a lot of stress with this pregnancy.
____ I have been abused.
____ I have gained less than 10 pounds by the 8th month of this pregnancy.
____ I have recently moved to a higher altitude or experienced a significant change in altitude.

Medical History

____ I have previously given birth to a premature baby.
____ I have previously experienced premature labor.
____ I have had two or more previous miscarriages or abortions.
____ My mother was treated with Diethylstilbestrol (DES) while pregnant with me.
____ I have had surgery on my cervix.
____ I have a history of kidney infection or frequent bladder infections.
____ I have an incompetent (weakened) cervix.
____ I have heart or kidney disease and/or diabetes.

If you have checked any of the above statements, ask your healthcare provider to tell you how these factors may affect your pregnancy.

Reprinted from "Carrying to Term: Preventing Premature & Low-birthweight Babies" © 2004 Newborn Hope, Inc.