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На этом этапе развития плода его масса варьируется от 500 до 2500 граммов [2](https://genomed.ru/journal/beremennost-i-planirovanie-rebenka/prezhdevremennyie-rodyi-sovremennyie-issledovaniya). \n\nПреждевременные роды могут быть спонтанными (развиваются самопроизвольно) и индуцированными (вызывают с помощью медицинского вмешательства) [4](https://www.kp.ru/family/ya-mama/prezhdevremennye-rody/).\n\n## Причины\nТочные причины преждевременных родов не всегда удаётся выяснить [7](https://www.NestleBaby.ru/articles/prezdevremennye-rody). Некоторые факторы, которые могут спровоцировать их: \n* **Инфекции нижних половых путей** — повышают сократительную активность матки, что приводит к укорочению и размягчению шейки матки раньше срока [7](https://www.NestleBaby.ru/articles/prezdevremennye-rody). \n* **Истмико-цервикальная недостаточность** — шейка матки размягчается, укорачивается и расширяется раньше 37-й недели [7](https://www.NestleBaby.ru/articles/prezdevremennye-rody). \n* **Хронические заболевания матери** — риск преждевременных родов выше при сахарном диабете, гипертонической болезни, ожирении, пороках сердца [7](https://www.NestleBaby.ru/articles/prezdevremennye-rody). \n* **Травмы** — к преждевременным родам может привести падение, удар по животу [7](https://www.NestleBaby.ru/articles/prezdevremennye-rody).\n\n## Симптомы\nНекоторые признаки преждевременных родов: \n* тянущие или ноющие боли внизу живота [10](https://MedPortal.ru/enc/procreation/precursor/4/); \n* сокращения матки, даже если они не вызывают боли и имеют нерегулярный характер [10](https://MedPortal.ru/enc/procreation/precursor/4/); \n* давящее чувство в области промежности, влагалища, прямой кишки [10](https://MedPortal.ru/enc/procreation/precursor/4/); \n* учащённое мочеиспускание [10](https://MedPortal.ru/enc/procreation/precursor/4/); \n* выделение прозрачной или розоватой слизи из влагалища — с большой долей вероятности это слизистая пробка, в норме закрывающая вход в полость матки до родов [10](https://MedPortal.ru/enc/procreation/precursor/4/). \n\nПри появлении этих симптомов необходимо немедленно обратиться к врачу [6](https://MedAboutMe.ru/articles/prichiny_prezhdevremennykh_rodov_chto_nado_znat_budushchey_mame/).\n\n## Диагностика\nДля установления факта преждевременных родов и их стадии проводят: \n* **Гинекологический осмотр** — специалист оценивает состояние шейки матки, определяет наличие выделений и их характер (есть ли кровь) [16](https://mamadeti.ru/article/kak-raspoznat-prezhdevremennye-rody-i-chto-delat-esli-oni-nachalis/). \n* **Ультразвуковое исследование (УЗИ) органов малого таза** — с его помощью измеряется длина шейки матки и состояние (раскрытие) внутреннего зева [16](https://mamadeti.ru/article/kak-raspoznat-prezhdevremennye-rody-i-chto-delat-esli-oni-nachalis/). \n* **Кардиотокографию (КТГ)** — проводится для определения наличия маточных сокращений (могут быть признаком начала родов) и оценки сердцебиения плода [16](https://mamadeti.ru/article/kak-raspoznat-prezhdevremennye-rody-i-chto-delat-esli-oni-nachalis/).\n\n## Лечение\nТактику терапии выбирает врач с учётом состояния женщины, плода, срока беременности и иных факторов [7](https://www.NestleBaby.ru/articles/prezdevremennye-rody). Некоторые методы лечения: \n* **Покой** — рекомендуют постельный режим, особенно при укорочении шейки матки или раскрытии зева [16](https://mamadeti.ru/article/kak-raspoznat-prezhdevremennye-rody-i-chto-delat-esli-oni-nachalis/). \n* **Гормональная терапия** — препараты прогестерона помогают поддерживать беременность [16](https://mamadeti.ru/article/kak-raspoznat-prezhdevremennye-rody-i-chto-delat-esli-oni-nachalis/). \n* **Использование токолитиков** — препаратов, расслабляющих матку и подавляющих схватки [16](https://mamadeti.ru/article/kak-raspoznat-prezhdevremennye-rody-i-chto-delat-esli-oni-nachalis/). \n* **Антибиотики** — при наличии инфекционных или воспалительных процессов [16](https://mamadeti.ru/article/kak-raspoznat-prezhdevremennye-rody-i-chto-delat-esli-oni-nachalis/). \n\nЕсли остановить роды невозможно, команда врачей подготовится к рождению недоношенного ребёнка, ему потребуется особый уход [16](https://mamadeti.ru/article/kak-raspoznat-prezhdevremennye-rody-i-chto-delat-esli-oni-nachalis/).","linksData":[{"sourceId":1,"url":"https://stolichki.ru/clubs/mother/pregnancy/prezhdevremennye-rody-kogda-malysh-toropitsya-na-svet-ranshe-sroka","shownUrl":"https://stolichki.ru/clubs/mother/pregnancy/prezhdevremennye-rody-kogda-malysh-toropitsya-na-svet-ranshe-sroka","title":"Преждевременные роды: когда малыш торопится на свет раньше срока","shortUrl":"stolichki.ru","isTranslated":false,"description":"","greenUrl":"stolichki.ru"},{"sourceId":2,"url":"https://genomed.ru/journal/beremennost-i-planirovanie-rebenka/prezhdevremennyie-rodyi-sovremennyie-issledovaniya","shownUrl":"https://genomed.ru/journal/beremennost-i-planirovanie-rebenka/prezhdevremennyie-rodyi-sovremennyie-issledovaniya","title":"Преждевременные роды: современные исследования, методы диагностики и роль генетической диагностики в клинической практике","shortUrl":"genomed.ru","isTranslated":false,"description":"","greenUrl":"genomed.ru"},{"sourceId":3,"url":"https://ru.wikipedia.org/wiki/%D0%9F%D1%80%D0%B5%D0%B6%D0%B4%D0%B5%D0%B2%D1%80%D0%B5%D0%BC%D0%B5%D0%BD%D0%BD%D1%8B%D0%B5_%D1%80%D0%BE%D0%B4%D1%8B","shownUrl":"https://ru.wikipedia.org/wiki/%D0%9F%D1%80%D0%B5%D0%B6%D0%B4%D0%B5%D0%B2%D1%80%D0%B5%D0%BC%D0%B5%D0%BD%D0%BD%D1%8B%D0%B5_%D1%80%D0%BE%D0%B4%D1%8B","title":"Преждевременные роды — Википедия","shortUrl":"ru.wikipedia.org","isTranslated":false,"description":"","greenUrl":"ru.wikipedia.org"},{"sourceId":4,"url":"https://www.kp.ru/family/ya-mama/prezhdevremennye-rody/","shownUrl":"https://www.kp.ru/family/ya-mama/prezhdevremennye-rody/","title":"Преждевременные роды: на каких неделях беременности, причины возникновения угрозы, здоровье ребенка, клинические рекомендации в 2025 году","shortUrl":"kp.ru","isTranslated":false,"description":"","greenUrl":"kp.ru"},{"sourceId":5,"url":"https://teledoctor24.ru/article/957-1-prezhdevremennye-rody/","shownUrl":"https://teledoctor24.ru/article/957-1-prezhdevremennye-rody/","title":"Преждевременные роды: причины, симптомы, признаки. 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