• Reducing Your Risk for Preterm Labor and Delivery

    There are steps that you can take before you become pregnant and during your pregnancy to reduce your risk preterm labor and delivery.

    Take Care of Your Health

    • Get good prenatal care. See your healthcare provider before trying to get pregnant. See your healthcare provider regularly during your pregnancy. Go to all your prenatal appointments, even if you feel fine.
    • Get treatment for any infections. For example, if you feel burning or pain when you urinate, tell your healthcare provider. You may have a bladder infection .
    • If you take prescription drugs, ask your healthcare provider if they are safe before or during pregnancy.
    • If you use herbal supplements, stop them before trying to get pregnant. Check with your healthcare provider on the safety of any supplements before using them.

    Eat a Healthy Diet and Stay Active

    • Eat a well-balanced diet that includes fruits, vegetables, and whole grains. Do not skip meals.
    • Consider adding fish to your diet. It may reduce the risk of preterm birth.
    • Drink plenty of water.
    • Stay active during your pregnancy. Your healthcare provider can give you exercise guidelines.

    Make Lifestyle Changes

    • If you smoke , quit . Smoking increases the risk of pregnancy complications, like premature birth . If you quit smoking, your risk of premature birth becomes similar to that of mothers who are nonsmokers. This is just one of the many benefits of quitting.
    • Avoid secondhand smoke.
    • Do not drink alcohol while you are trying to get pregnant or during pregnancy.
    • Do not use illegal drugs .

    Take Care of Your Mental Health

    • Learn strategies to reduce stress .
    • Physical and emotional abuse is harmful to you and your baby. If you are in an abusive relationship, seek help from your healthcare provider, family, or friends. You can also call organizations like the National Domestic Violence Hotline at 1-800-799-SAFE (7233).

    Learn the Signs of Preterm Labor

    To reduce the risk of preterm labor progressing to preterm delivery, learn the signs of preterm labor. Call your healthcare provider right away if you have any signs of preterm labor.

    High Risk Women

    Women with a history of preterm births may need to have extra care to prevent preterm labor. Your healthcare provider may recommend progesterone therapy during pregnancy or having a cerclage placed.


    Abuse during pregnancy. March of Dimes website. Available at: http://www.marchofdimes.com/pregnancy/stayingsafe%5Fabuse.html. Updated October 2008. Accessed April 23, 2013.

    Preterm labor. The American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq087.pdf?dmc=1&ts=20130423T0923201528. Accessed April 23, 2013.

    Prevention of preterm labor and preterm birth. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 16, 2013 . Accessed April 23, 2013.

    Reduce your risk of preterm labor and birth. March of Dimes website. Available at: http://www.marchofdimes.com/pregnancy/pretermlabor%5Freducerisk.html. Updated September 2012. Accessed April 23, 2013.

    7/21/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: McCowan LM, Dekker GA, Chan E, et al. Spontaneous preterm birth and small for gestational age infants in women who stop smoking early in pregnancy: prospective cohort study. BMJ. 2009;338:b1081.

    3/31/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Englund-Ögge L, Brantsæter AL, et al. Maternal dietary patterns and preterm delivery: results from large prospective cohort study. BMJ. 2014 Mar 4;348:g1446.

    4/24/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Leventakou V, Roumeliotaki T, et al. Fish intake during pregnancy, fetal growth, and gestational length in 19 European birth cohort studies. Am J Clin Nutr. 2014 Mar;99(3):506-16.

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