A pregnant woman with sickle cell disease is at increased risk for preterm delivery. A woman with one or more risk factors may benefit from more aggressive management.
Maternal risk factors for preterm delivery:
(1) severe anemia
(2) abruptio placentae
(3) placenta previa
(4) history of uterine surgery
(5) toxemia of pregnancy
(6) multiple gestations (twins, etc)
(7) urinary tract infection (UTI)
(8) chorioamnionitis
(9) cigarette smoking
(10) drug abuse
A fetus who is showing signs of fetal distress may also be delivered prematurely.
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