Originally Posted by mama_mimlee
If you are having contrax, painful or EVEN PAINLESS, of more than 4 an hour, you need to get checked. They don't even need to be regular.
Other signs: Change in vaginal discharge; Pelvic pressure; Low, dull backache; Cramps that feel like your period; Abdominal cramps with or without diarrhea
If preterm labour starts, the earlier in pregnancy it happens, the less it feels like labour. I have a couple of friends with 26-weekers (twins and trips) and they all had very quick, painless, spontaneous labours where they never believed that what they were feeling could be labour until the babies were born. Luckily, they both were cajoled into getting checked out by supportive partners during what turned out to be labour and the babies were all born in hospitals with excellent NICU care and all survived.
OTOH, my SIL was in and out of Labour and Delivery from 24 weeks getting contractions checked out and the babies stayed were born by c-section at 36 weeks due to unrelated complications.
I always acted on the theory that with preterm labour symptoms I preferred to have things checked too often rather than being caught out. But, it was a lot easier for me to get to the hospital. If I were you, I would want good professionals I could contact by phone to help me make the decision about when it was worth being flown in.
As for survival, 24 weeks is the earliest most hospitals will even try to save a baby. 28 weeks increases the survival rate dramatically. The risk of long term consequences drops substantially about 32 weeks.
Good luck and may you have a long and uneventful pregnancy.