Most women carry their babies to full term (approximately 39 weeks). However, all pregnant women – especially those in high-risk categories – should be aware of the symptoms of a premature labor. These include:

• Contractions (tightening and hardening of the uterus) that are 10 minutes apart (or less)
  
  
• Watery fluid that leaks from the vagina, indicating that the woman’s water may have broken
  
  
• Menstrual-like cramps in the lower abdomen, which could be intermittent or constant
  
  
• A low, dull pain in the back (below the waistline), which could be intermittent or constant
  
  
• Pressure in the pelvic area that feels as if the baby is pushing down
  
  
• Stomach cramps that may sometimes be accompanied by diarrhea or gas
  
  
• Vaginal discharge that changes or becomes heavier, especially a sudden flow or leak of fluid, and includes spotting or bleeding

It is recommended that any woman who suspects she is entering premature labor contact her obstetrician-gynecologist (ObGyn) immediately. Some ways that have been suggested to reduce symptoms associated with preterm labor include emptying the bladder, lying on the side (lying on the back can sometimes increase contractions) and drinking several glasses of water because dehydration can lead to contractions.

Although these efforts to prevent preterm delivery have been widely reported, many, including bed rest, home monitoring of uterine activity, hydration and sedation, have little supportive evidence that they are effective, according to the American College of Obstetricians and Gynecologists (ACOG).