Pregnancy After Preterm Birth
Whether you've experienced an early loss, a premature birth, or you're planning your first pregnancy knowing about preterm birth and what you can do to prevent it is important. With the right support, knowledge and care you can take steps to help your pregnancy make it closer to term. Here's what you need to know.
Key Strategies for Preterm Birth Prevention
These evidence-based strategies have been proven to help prevent preterm and early term birth. Work with your healthcare team to develop a plan that's right for your situation.
Cervical Length Screening
Between 16 and 24 weeks of pregnancy, ask for cervical length measurement during your ultrasound scan. This is one of the strongest predictors of preterm birth risk. If your cervix is found to be shortened, there are treatments available to help prevent early delivery.
Progesterone Treatment
Vaginal progesterone is a natural hormone that can reduce preterm birth risk, especially if your cervix measures short or you’ve experienced a previous preterm birth. Treatment is typically started between 16 and 20 weeks and continues until 36 weeks. Your healthcare team will talk with you about whether this is appropriate for your pregnancy.
Smoking Cessation
Quitting smoking (or vaping) is one of the most important steps you can take for your pregnancy. Pregnancy is a powerful time to make this change, and there's excellent support available. Talk to your midwife or health professional about smoking cessation programs and support that can help you succeed.
Timing of Birth
If your pregnancy is healthy, waiting until at least 39 weeks for labour to start naturally is ideal for your baby's development. The last weeks of pregnancy are critical for the final stages of your baby’s organ development. Any planned birth before 39 weeks should have a clear medical reason.
Planning for Success
Seek Specialist Support
If you have had a previous preterm birth, consider asking your doctor for a referral to the Preterm Birth Prevention Clinic at King Edward Memorial Hospital (if you're in WA) or your state's equivalent service. These specialists can develop an individualised care plan tailored to your pregnancy.
Plan Ahead
Before pregnancy, or early in your pregnancy, have a conversation with your healthcare team about your pregnancy history and work together to create a management plan. This might include more frequent visits, different monitoring, or specific treatments.
Managing Fear and Anxiety
It is completely normal to feel anxious about a subsequent pregnancy if you have experienced a prior loss or preterm birth. Having a clear plan with your care team may help, connecting with others who understand can also make a difference. You might find it helpful to speak with your GP, a counsellor, or your care team if anxiety is affecting your wellbeing during pregnancy. There is support available, and asking for help is a sign of strength, not weakness.
You're Not Alone
Many families have navigated this journey successfully. Every pregnancy is different, and the choices you make now, informed by what you have learned, can make a real difference for you and your baby. Your healthcare team is there to support you every step of the way. Tiny Sparks WA is also here if you need connection, support, or someone who understands what preterm birth means for families.
External Resources
Australian Preterm Birth Prevention Alliance: Evidence-based information on preterm birth prevention strategies
Every Week Counts: Resources and research on the importance of every week of pregnancy
King Edward Memorial Hospital Preterm Birth Prevention Clinic (WA): Specialist services for women at high risk of preterm birth
Disclaimer: This page provides general information only and is not a substitute for medical advice. Always speak with your healthcare provider about what is right for your individual pregnancy. Every pregnancy is different, and your care should be tailored to your specific needs and circumstances.