17/11/2025
Today is World Prematurity Day - an opportunity to raise awareness and highlight the importance of preventing preterm birth wherever possible.
In Australia, 8–9% of babies are born prematurely. Preterm birth is linked with a vast range of both short-term and long-term health concerns, including significant risks such as cerebral palsy and perinatal mortality.
Fortunately, we know that a proportion of preterm births can be prevented. Preterm birth prevention is an area I’m deeply passionate about, and one in which I’ve developed significant experience and expertise. Early identification of patients at risk is key.
If you have any of the following risk factors for spontaneous preterm birth, I recommend seeking expert review and care:
✅ Previous preterm birth or mid-trimester loss
✅ Prior cervical surgery (cone biopsy or ≥2 LLETZ/LEEP procedures - even a single LLETZ may warrant review)
✅ Uterine anomalies (bicornuate, didelphys, septate uterus etc.)
✅ Multiple cervical dilatations (≥3 curettes)
✅ Cervical tears during labour/birth
✅ Transabdominal cerclage (TAC) in-situ
For patients at high risk of iatrogenic preterm birth (medically-indicated due to complications such as pre-eclampsia or fetal growth restriction), early initiation of appropriate prophylactic measures is vital:
✅ Previous pregnancy affected by high blood pressure or growth restriction
✅ Underlying medical conditions (type 1 or type 2 diabetes, high blood pressure, autoimmune conditions, kidney disease)
✅ Advanced maternal age
✅ BMI >30
✅ Family history of pre-eclampsia
Every pregnancy deserves the chance to reach full term. Awareness is the first step; tailored care is the next.
