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Author Topic: 28 5/7 weeks pre term  (Read 2266 times)

dharsha

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28 5/7 weeks pre term
« on: August 26, 2013 at 10:41 PM »
Hi Im 32 years old. i was 28 weeks on one fine sunday for my first child. when i was in my bed, i felt urine was coming out without my control and assumed that it s due to urinary infection. so i went to hospital along with my mother and husband, where i was informed that im leaking and my fluid level is getting low, so that admitted on that day itself. every day my fluid level was measured, my baby was doing very well. no pain, no contraction, no BP, no temp, nothing. i was quite normal. on wednesday, i had been informed that my platelet counts are not normal, and fluid is getting dry, so, to be induced. my boy born at 10 am on thursday and immediately kept in NICU. he undergone so many critical problems related to breathing  and treated with antibiotics. but he was very active like normal baby and having 15 ml milk per 2 hour on his 18ht day.  but on 19th day afternoon, he stopped breathing quite some time and his BP getting lower. at 6.30 pm, he was in danger zone and 8 pm, he stopped everything, breathing, heartbeat and gone his way to God  :'(. Later it is diagnosed as Multiple Breath Resistance Disease.


it happened in Jun of this year. now i want to conceive again. whether immature rupture of membrane will happen for the consecutive pregnancy?? any history is available with you?  i could nt control crying every day, so i want my next baby immediately, pls guide me..... and share your views...

122910

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Re: 28 5/7 weeks pre term
« Reply #1 on: August 26, 2013 at 11:41 PM »
So sorry to read about your loss!! I have no advice, but would encourage you to talk to your OB about your risks of this happening again...

amykookykat

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Re: 28 5/7 weeks pre term
« Reply #2 on: September 17, 2013 at 02:43 AM »
So sorry to hear about your loss as well  :'( ... so heartbreaking :'(

I think your OB might have a better grasp of your risk of having this happen again.  Did they say what they thought the reason for your water breaking was (infection?  cervical dilation?)?  When you conceive again, I hope they monitor you and take some more preventative measures to make sure that the baby doesn't have as many problems breathing if they are born early again (did you get steroid shots to help with lung maturity?).

I wish I had more advice...and I hope you get your rainbow baby soon!
Mommy of 4?!?

Daniel - 7/9/08 @ 38w4d
Jared - 3/11/11 @ 38w1d
Kaitlyn - 8/8/13 @ 37w (my bedrest baby!)
Laurel - 2/2/16 @ 38w2d (my 2nd bedrest baby!)

Angela

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Re: 28 5/7 weeks pre term
« Reply #3 on: September 17, 2013 at 11:59 AM »
Hello, dharsha,
I am so very sorry for your loss. I can't imagine the sadness you must feel every day.

We had an obstetrician answer this question a few years ago. The circumstances are so similar to your experience. I'll post the question and answer below, and hope that it gives you some guidance and the strength to be optimistic about your next pregnancy.

With hugs,
Angela

I had a premature rupture of membranes (PROM) with my first pregnancy at 28 weeks with my son. The doctors said that I didn't have an infection, and they didn't know the cause of the rupture. I was only 1 cm dilated and wasn't contracting and had good prenatal care.  If I were to become pregnant again, do you have any recommendations of medications to take or what I could do so I wouldn’t have a PROM again? Also, I have heard that if you have a PROM, then you are at increased risk of it happening again with future pregnancies. Is this true?

You have lived through one of the most difficult challenges that any parent can face and I applaud you for being proactive in seeking information to help improve your next pregnancy. As a maternal-fetal medicine specialist, your story is one that I am very familiar with and I know that the concern about the risk to your future children can be very intimidating.
 
Lacking the specific medical information about your initial pregnancy, I can only draw some general impressions and advice. Yes, women with a history of spontaneous preterm birth and PPROM are at risk for recurrent preterm birth and PPROM. Fortunately, we now have medical tools to help provide healthier outcomes.  And most future pregnancies result in healthy children. This is the goal of all parents as well as their OB/GYN doctors and Maternal-Fetal Medicine doctors.
 
One main tool is progesterone supplementation. In the United States, the data most strongly supports weekly injections of 17-alpha hydroxyprogesterone (17P) but data from other countries has shown benefit from vaginal progesterone as well. Ideally, this is started prior to 20 weeks gestation in women who’ve had a prior spontaneous preterm birth. Women who delivered early due to twins or preeclampsia do not appear to benefit from this treatment.
 
A second set of tools are the fetal fibronectin test (fFN) and transvaginal sonogram of the cervix.  While I prefer fFN, these two tests used together can identify women at risk for preterm birth within the next two weeks. Testing which is normal ("negative") provides great value for reassuring both the woman and her doctor. Testing which is positive provides great value by allowing us to consider interventions that can improve the health of the child. These include medications known as antenatal steroids that mature the lungs and blood vessels. It also includes medications to help decrease contractions. —Dr. Jim Byrne



dharsha

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Re: 28 5/7 weeks pre term
« Reply #4 on: September 23, 2013 at 04:05 AM »
Hi everyone,

Thank u very much for your kind words. Its very encouraging for me.

i was given steroid shots on sunday itself and my baby born on thursday. The reason for PROM was not known; no infection and no cervical dilation also. 

IN the mean time, we went for 2nd opinion  where i havebeen again undergone all the possible medical tests and got positive result, shows i m healthy. our OB instructed to go for aspirin and progesterone supplementation during my next pregnancy and also for steroid shot as early as possible.

Praying God for my next Healthy Child, who is going to change my world alive.

Please remember us during your prayers.

With love and hugs,
Dharsha..