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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

My waters have broken too early, please help

685 replies

BadNails · 12/10/2011 21:31

This probably isn?t the right place to post this, so I apologise, but I need to share this in the hope that someone can either help me or that this helps someone else.

I rarely post, am more of a serial lurker but haven?t name changed even though I could be identified in RL. I?m beyond caring about this now anyway.

On Friday, I had a PROM. I was 22 weeks and 6 days pregnant. I wasn?t near home and was with colleagues so ended up at the nearest hospital, lacking my notes and terrified. I was scanned and examined. Things were not good. The deepest pool they found was 1.8cm. My DD still had a strong heartbeat and my cervix was closed. No one gave me false hope, it was explained that the prognosis for her was poor.

With no contractions kicking in, I was able to go to the hospital I am booked into and my consultant took over. She only saw me on the Monday and everything had been absolutely fine. I remember that she had smiled at me and DP, saying she would not expect to see us again and wished us well for the remainder of our pregnancy.

We were told that the gestation we were at presented a difficulty in that if we had been at 17-19 weeks, they would be recommending a termination and yet if we were at 25-26 weeks, they would be fighting all the way. It was just bad luck apparently.

I had felt some tightenings and so believing that labour would start at any time, they placed us into a special room. I was so dazed that it took me until Monday to realise that this special room was where they were expecting our DD to be born and then die. I?m not sure how I didn?t see this when the sign on the door clearly stated that it was kindly donated by SANDS. We had been told that there was an 80% chance that labour would begin within 48 hours, so I would be monitored during that time for this or any signs of infection setting in.

Two and a half days we stayed in that room, situated at the edge of the delivery suite. The midwives were all truly wonderful. With no contractions, I started to regain some hope. I searched the internet trying to find out more information about loss of amniotic fluid and survival rates. I have been on the SANDS, ARC and Bliss websites. I have read about miracles and tragedies. Me and DP swing between hope and despair, but have remained strong.

But today, I think I can?t cope anymore. We have been back home since Monday evening, waiting for a further scan, to see if the fluid has replenished. I have felt DD kicking away, but usually in the area (she can?t really move now). I have prayed to a god I have neglected since my mother died seven years ago. I am drinking enough water to fill a swimming pool in the hope that this might help (I read it somewhere).

DD1 (4 yrs) lives with her dad and we have maintained the story that I am unwell at the moment which is why she couldn?t come at the weekend. Thankfully, she hasn?t asked any questions about the baby, I am only just keeping it together when I speak to her on the phone.

Apparently AFI should be 10cm or so and below 5cm is critical. So I knew that 1.8cm wasn?t good. Today, I was scanned again by the consultant. DD is well with a strong heartbeat and is cephalic and able to stretch her legs a little. There is no AFI. The consultant couldn?t even give us a deepest pool. She estimated 0.5cm. I think my heart broke when she said that.

A paediatric registrar had already explained the importance of amniotic fluid on lung and limb development. Every piece of information given to us was geared towards the worst case scenario. I don?t think I can even remember everything said to us, now I just keep thinking our DD is going to die.

We were given the option to terminate but I am 24 weeks on Saturday, that?s when it could all change. Steroids, surfactant? We won?t be terminating. At 24 weeks, it?s a 50/50 survival rate and half of the babies who survive will have a major disability. There is no way of knowing what effect her current situation is having on her and that makes me feel so terribly guilty.

I?m scared and angry and I don?t know what to do. Apparently, nothing I do will alter the situation. I am still leaking fluid and I feel despair every time it comes out. I?m sorry if this all sounds self indulgent, but I?m trying to make sense of what has happened.

Thank you if you?ve been able to read all of this.

OP posts:
IHeartIona · 14/10/2011 20:15

Fingers crossed for you BadNails your story touched me and I am due one day before you, also due to go to St Peters. Thinking of you

CombineArvester · 14/10/2011 20:42

BadNails I did get all the usual aches and pains, round ligament pain I think its called. Also felt the baby moving much more clearly/painfully both times.

The pain I felt after I contracted the infection (chorioamnionitis) was like an aching in the bones of my pelvis - sort of like a toothache in my hips. Definitely distinguishable from the ligament pains. I also felt slightly nauseous, hot, racing pulse etc. Hope this helps.

Hope steroid injections go to plan. Also hate the way you have to fight for your baby all the damn time, fighting for blood tests /antibiotics / drips...all you want to do is lie on your bed and be a giant womb collecting water Grin

I think your attitude to all this is great by the way - not hiding head in the sand, knowing the risks but still positive. Wish medics were the same.

KathleenMay · 14/10/2011 21:30

Hi Badnails. Been watching your thread through recent days but simply didnt know what to say. Never had experience of PROM. However wanted to add my voice to the support you are getting. Your story is touching many and we are all rooting for you and babynails. Willing you strength and hope. xx

GingaNinja · 14/10/2011 21:56

Just wanted to say good luck.

A colleague at work had her waters go at just before 26 weeks, plus contractions. The hospital managed to slow the contractions right down for 2 weeks but her DS was born at 28 weeks weighing 2lb 10oz. He was 3 months early to the day (due 1st December born 1st September last year). He's now a hulking great toddler and is on the normal child development charts etc. If you weren't told he was premie you would never ever know.

Genevieve rocks. Smile

imip · 14/10/2011 22:37

Badnails, I am very sorry that you find yourself in this situation. I have been there too, with timings similar to yours but a very bad outcome. It seems you have all the right info/advice from people here. I prommed at 21+2 and stayed pregnant, cervix closed until 25+4. I had a cord prolapse and my daughter was stillborn. Cord prolapse is a very real risk with prom, please ask the staff about it as there is a position you can get into (all fours I think) to reduce problems if it happens to you. I was determined to stay pregnant, so much so that perhaps we missed the 'perfect' opportunity to have her. I had chorioamniosis (sp??) and we should have had her a couple of days beforehand. As someone has mentioned, your crp/white blood cell count should be checked. At my hospital I had steriods at 23 weeks. Busy inner London hosp that does save babies from 23 weeks and it was considered viability. We were advised by the neonatal unit to expect the worst and hope for the best, it's the best advice I can pass on. We lost our first child and were clueless about pregnancy - needless to say we learnt a lot quickly. Thinking of you...

whattheactualjeff · 14/10/2011 23:54

imip Sad Sad so sorry to hear about your dd.

OP Genevieve is fab. Nothing to add --- but still rooting for her. x

BadNails · 15/10/2011 00:42

Well the bad news is I've hit a low and can't sleep. The good news is I'm having my first steroid injection on Sunday.

CRP count is back to normal (5.2).

imip what happened with your DD is so tragic and I'm sorry. I think somewhere upthread I mentioned googling cord prolapse. It terrifies me as there is really is very little to be done. You're right, on all fours is the best thing to do whilst awaiting emergency services. The biggest problem is not always knowing that it's happening.

This whole situation has me feeling so helpless Sad

Combine thanks, round ligament pain is the phrase I was reaching for. And yes, giant womb collecting water is what I would like to be Grin

It would seem that both DP and I were both struggling a bit this evening, maybe it's because it was a milestone (of sorts). We discussed the implications of having a disabled child and he admitted to spending some time on the Scope website. I think I somewhat harshly pointed out that at the moment there is still more chance of DD dying than being disabled. It came out worse than I intended.

I just can't believe how hard this is. I know that is such a ridiculous thing to say/write.

Right, enough of that. I've had my tears

Thanks again for all the kind thoughts. I'm going to attempt to sleep Hmm

OP posts:
BadNails · 15/10/2011 00:44

Oh and before I forget, glad the name seems to be going down well. I suspect that if this was Baby Names I would have been shot down completely!

OP posts:
louby86 · 15/10/2011 07:04

Glad you've got a steroid injection booked in! It's so wrong that you have to fight for stuff like that but you're doing such a good job of staying strong. The name for your little one is lovely too! Will be thinking of you over the next few days. Good luck

diyvspse · 15/10/2011 08:05

BadNails - All the best for your injection today. Hope you managed to get a little sleep last night. You and your DP are going through a desperately sad time and the need to make decisions based on uncertain information. Only you can know what you want personally and as a family. You're in my thoughts & I'm praying for a big ballooning belly of amnion for you.

BadNails · 15/10/2011 09:03

Just firing this off before the hurricane that is DD1 arrives....

24 weeks! :)

OP posts:
HPSource · 15/10/2011 09:08

:) :) :)

BOOareHaunting · 15/10/2011 09:16

Yeah happy 24 weeks. Grin

HeadsRollingInTheAisles · 15/10/2011 09:36

24 weeks, yay!

thejaffacakesareonme · 15/10/2011 10:10

24 weeks - fantastic!

Love the name. Am I right in thinking that it means independent and assertive?

Great news that you are getting the steroid injections tomorrow. Praying for you.

Whatevertheweather · 15/10/2011 11:57

Yay babybadnails 24 weeks!! Keep going x

KD0706 · 15/10/2011 12:37

Hi badnails
I just wanted to add my voice to the lovely support you've had already.

Well done for getting to 24 weeks. And I'm pleased you're getting the steroid injections. What a nonsense that you had to fight for them.

I had my DD 17 months ago at 31 weeks. I didn't have prom, I just started contracting. I know it's not the same situation, but a lot of what you say resonates with me. I remember DH crying and me comforting him and reassuring him everything would be ok, when in reality I was crying inside. I just felt I needed to be strong for him.

I have everything crossed for your DD staying put as long as possible. I will also be remembering you in my prayers.

imip · 16/10/2011 07:27

It's such a journey badnails. I was in hosp for a month before dd was born. Googling can be bad, but it can also be good - I found that perhaps medical staff were a little less than perfect when it came to the provision of good information. Dh and I were also researching facilities for disabled children. I found that staff were on the whole pessimistic, but they need to treat each case as if it could turn out well, because prom at 21 weeks can have a good outcome - the kalen website should show that (was a saviour to me in the early days - it used to be emails back in the day!). Also, don't be afraid to ask now why the drs think it happened. For me they could only come up with cervical incompetence and I have a stitch each pregnancy (on 4th surviving dc4 now). Are you on antibiotics? It's worth knowing that antibiotics can cloud the results of crp - usually why they are reticent to give you antibiotics without evidence of an infection. There was someone who prommed the same time as me just after I had lost my daughter and she went on to have a good outcome - she even had a cord prolapse at home. It pains me that I couldn't do the same for my precious baby, but I think you should know that there is hope...x

BadNails · 16/10/2011 07:41

24+1 Smile

Next target = 25 weeks. On balance, whilst I would love to get to over 30 weeks, I think 28 would be a reasonable compromise. And yes, I do feel like I'm bargaining now (isn't that one of the five stages of grief?)

It was so wonderful to see DD1 yesterday. It affected her though as she was crying last night at bedtime saying how she misses me and just wants me to get better. ExP and I have both promised her that I will be fine. I honestly don't know what the best thing is to say. I managed to not mention the baby but then she was kissing my bump Sad

And to top it all off, I finally summed up the courage to speak to my dad and he did a fantastic job of upsetting me. DB and SIL had briefed him on topics to avoid as he will inevitably say the wrong thing. Yesterdays delight was him telling me that I didn't want a disabled child and when I asked him if he was implying that I should 'get rid' (apologies for the phrase, but I wanted to batter him over the head at that point), he commented that it would be for the rest of my life. I pointed out to him that being a parent is for the rest of your life anyway (not a sentiment he evidently shares) and then managed to congratulate him on upsetting me and I would not be speaking to him for a while.

I really miss my mum when things like this happen. She more than made up for 'D'F's incompetent parenting.

After more visitors in the form of a good friend, MIL and SIL, I have actually had the best night sleep since this all happened! So Grin - it's the small victories.

KD0706 I understand exactly what you mean. I keep asking and checking that he's okay and he's usually always 'fine'. Having said that he will open up when he needs to and that reassures me. Sounds like your DD is doing well now?

Is it odd that I am now envious of people who reach over 30 weeks? In the day assessment unit on Friday I found myself eyeing(sp?) up other ladies bumps. Now I know I have crossed the line into plain weird! Actually I think it's more of a SadEnvySad feeling.

Wish me luck for steroid injection number one today. Apparently it'll throw my bloods off for a couple of weeks so will have to be hypervigilant to any other changes.

Also, another quick question for the parents who have had premature labour - did anyone mention anything to you about magnesium sulphate to assist with brain development? It has been mentioned once to us and I was busying myself on the Royal College of Obstetricians and Gynaecologists website yesterday and there was something written into their guidelines about it. Was wondering if this was standard practice in the NHS? I think my consultants are going to start hating me soon... [evil Grin]

OP posts:
BadNails · 16/10/2011 07:56

xpost imip

I agree, the staff, bar possibly one midwife, have been very pessimistic. It's not that I don't understand why, but when you're so low anyway, it's hard to deal with someone else's professional ability to be hopeless.

I have asked a couple of times why this may have happened and they have been suitably vague about it. 'One of those things', 'bad luck'... I'll accept that for now, but it could get ugly if I ever want more children.

I'm not on antibiotics and I'm happy not to be. There seems to be a growing concensus that the negatives outweigh the positives.

And regarding your DD, you must know it wasn't your fault. Cord prolapse can't be controlled or prevented, you know that far better than me Sad. I can only half imagine what you went through because at the moment it is one of maybe three possible outcomes I face. It's like roulette, except someone else chose the number and you don't know what you've got.

OP posts:
Willabywallaby · 16/10/2011 08:01

Read this last week and I'm really pleased to see you're still here. Good luck with the injections and stacking up those weeks.

chimchar · 16/10/2011 08:52

Badnails. Have read your thread this morning. Just wanted to say hang on in there, and a well done to your Dd for staying put! I hope she continues to do so for a good few weeks yet.

Wishing you much luck, and a gentle hug too. X

WeLoveHaribo · 16/10/2011 09:34

Good luck and hang on in there.
Ur at v similar stage to me, can't imagine how ur feeling. Xx

HPSource · 16/10/2011 09:57

Good luck with the injection today and well done for keeping going so far... it's all about the "baby steps" - days turn into weeks :)

GalloweesG · 16/10/2011 10:08

I'm so glad you're still holding on there bad nails. I've been reading this since it started but didn't know what to post.

Things are looking more hopeful and that has given you hope. Look after yourself.