preterm-birth-risk-management

Preterm Birth Risk Management

Preterm birth—defined as delivery before 37 weeks—can have important implications for a baby’s short- and long-term health.

Early identification of risk and proactive management are key to achieving the best outcomes. Preterm birth risk management focuses on preventing early labour wherever possible and optimising care when the risk is unavoidable.

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Women may be at higher risk of preterm birth if they have

  • A previous preterm birth
  • A history of cervical surgery
  • A short cervix detected on scan
  • Multiple pregnancy
  • Uterine abnormalities
  • Recurrent mid-trimester loss
  • Premature rupture of membranes
  • Certain medical conditions

As a fetal medicine and high-risk obstetric specialist, Dr Devi Subramanian offers comprehensive preterm birth risk assessment and management tailored to each woman’s circumstances.

The cornerstone of preterm birth assessment is the **cervical length scan**, which measures the length of the cervix and helps predict the likelihood of early labour. If the cervix is shorter than expected, or if other risk factors are present, several interventions may reduce the risk of preterm birth.

Management options may include

  • Cervical cerclage, a stitch placed to support a weak cervix
  • Vaginal progesterone therapy
  • Increased monitoring with regular scans
  • Pelvic rest and activity modification
  • Specialist follow-up to monitor symptoms

If preterm labour becomes likely, additional support may include

  • Steroid injections to help fetal lung development
  • Medications to delay labour
  • Planning delivery in a hospital with neonatal specialist care

Preterm birth risk management is not only medical—it is also emotional. The uncertainty of early labour can be stressful, and many women appreciate consistent, calm, and clear guidance. Dr Subramanian provides personalised care, helping mothers understand their risks, follow their treatment plan, and feel supported throughout pregnancy.

With expert monitoring and timely intervention, many women at risk of preterm birth go on to deliver safely and closer to term.

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A CALM & CONFIDENT BIRTH EXPERIENCE

PROFESSIONAL MEMBERSHIPS

Comprehensive Consultant-Led Obstetric Services designed with compassion & clinical excellence for Complete pregnancy, labour, and postnatal care.

Choosing the right pregnancy care is a personal decision. Dr Subramanian offers four fully consultant-led care packages, providing expert guidance and continuity from your chosen start point through delivery and the six-week postnatal review.


Pregnancy Care

After the birth of your baby, experienced consultant-led support helps ensure a smooth and confident transition into motherhood. Dr Devi Subramanian provides comprehensive postnatal care focused on recovery, wellbeing, and expert guidance during this important stage.


Postnatal Care

Every pregnancy is unique, and some require closer monitoring and specialist expertise to protect the health of both mother and baby. Consultant-led care provides reassurance, personalised attention, and continuity throughout pregnancy, whether it is low risk or high risk.


High and Low Risk Pregnancies

Private pregnancy scans provide reassurance and personalised insight at every stage of pregnancy. Under the care of Dr Devi Subramanian, Consultant Obstetrician and Fetal Medicine Specialist at King’s College Hospital, you have access to a full range of high-quality ultrasound scans focused on your baby’s wellbeing and development.


Private Scans

Pregnancy can be a joyful experience, but some women require closer monitoring due to medical or pregnancy-related complications. Complex obstetric care provides specialist expertise to support higher-risk pregnancies and promote the safest outcome for both mother and baby.


Complex Obstetric Care

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