spontaneous rupture of membranes at 28 weeks

[ladylush]

My waters broke at 27+5 weeks and I was kept in hospital for a few days. My observations have been fine and there is no sign of infection as yet. Baby seems to be fine. Has this happened to anyone else at this stage and if so how was your pregnancy managed? I'm a little concerned that there are no immediate plans for an ultrasound, given that loss of amniotic fluid can restrict growth.

Goodness Landanmom + duchesse - just saw the time you posted

*waves

As duchesse said this did indeed happen to me and George is fine now.. dribbling down my cleavage infact !

It's a worrying time but 28 weeks is past the critical lung development time i think and if you've had th steroids that makes things better.

fwiw i never had any fluid on scans, leaked alll the time and ds still grew lungs. they are stronger than we give them vredit for.

www.kanelan.org/prom is a good site

My waters broke at 29-30 weeks and DS was born at 34.5 weeks.

I was given steroid injections straight away, and was scanned every few days just to check.

DS had no water around him for the rest of the pg as everything my body produced just came straight out.

I also had bloods taken every few days to check for infections etc.

I was booked in for an induction at 35 weeks, but DS came of his own accord at 34 weeks and was delivered in a very average birth.

DS was kept in SCBU for 5 days just for observations. He was healthy and fit apart from slight jaundice.

Don't worry to much about this, just make sure that your Dr's and midwife have a plan in place, and make sure they stick to it. Also request scans if you are unhappy.

worzsel - glad all is well with your baby Very reassuring. I will check out that site. Thanks.

Jacqueline - I think I would be worried less if I had been offered a scan but despite asking twice I was told there is no indication. I'd have thought checking the level of fluid/placenta function was important.

Jaqueline - forgot to say glad all was well with your baby. A lot of babies are jaundiced even at term so not necessarily a result of being born early.

I had dopplar scans every weeks to check the placenta towards the end, they also checked his weight. I think scanning you is inportant if only to get babys position. Ds was breech so i had to have a section, we'd not have known that without the scans, they will also help keep you going emotionally.

Hello again, was just checking in to see how you were ladylush.

In answer, they never did find out why my waters went...thought it might be infection but that wasn't the case. I did have a bleed at 20 weeks though which it says in my book can be a risk factor (but the hospital didn't seem to think this was the reason).

Our own personal theory is he wanted an extra Christmas (he was due Jan, born Nov!).

I have to say, they weren't that rushed about scanning me except I had CFM the morning after my waters broke and they weren't that happy with his heart rate...anyway it was fine (he was probably sat on the cord or something) but they took the opportunity to check everything else...after that they were going to scan every 2 weeks I think (he came on the morning of my next scan). Hope that helps...am sure they would have scanned me more if I had demanded, they were pretty good at doing everything to keep me sane!

Wishing you and all the other mummies on here who are waiting for eager babies all the best xx

Landanmom, Just wnated to say hang on in there.

My waters broke at 12weeks and now I have a very cheeky 3yo DD. It's really good news that your LO has held on for a week.

When my waters burst, they told me to go home and to come back in the morning. They said it would all be over by then but of course it wasn't and I had a gut feeling that my DD would be strong.

ladylush- thanks, am nearly 33 weeks and disgustingly well. I keep waiting for things to go pear-shaped.

The reason I was up that early is because some bloody fly took up residence in my ear and woke me up at stupid o'clock buzzing at my ear drum. Honestly, you couldn't make this stuff up.

lol duchesse Glad all is going well with you. Are you going to get an extra scan due to your underactive thyroid? I have one due at 34 weeks but this lo will probably be here before then.

Loulou - I am ok thanks. It's frustrating being inactive but every day lo hangs on is good. Currently 28+3 and my goal is to last til at least 30 weeks. I will ask for a scan when I see the consultant next week.

whocares - so glad all was well with your dd. She obviously is a fighter Sorry to hear she lost her forearm though but I am guessing she probably doesn't let it hold her back too much.

just in case anyone is confused, whocares posted on another thread.

Yup, I do have a scan booked for 34 weeks, but didn't realise the underactive thyroid might be the reason- my consultant seems far more worried about gestational diabetes and enormous baby due to advanced maternal age than to the thyroid issues. I don't have GD btw, had the tests and everything- you'd be hard pushed to find someone less diabetic than me. But hey-ho, I get another look at the baby...

I am on 50mcg a day of thyroxine and it's made sooo much difference to how well I feel that I never want to stop taking it! My T4 has stayed the same as in early pregnancy, interestingly (14 ish) but my TSH has halved from 4.5+ to 2.5, and that seems to be enough to make me a new woman.

Exactly - another chance to see baby. That's how I'm viewing it too. Agree about the thyroxine - the lower TSH makes a huge difference to well-being. I don't think they understand much about treating patients with subclinical hypothyroidism but the treatment speaks for itself.

Although as my obs consultant (she also has an interest in endocrinology issues of pregnancy) pointed out, if you have symptoms then you're not technically subclinical whatever the tests may say. I like her, a lot.

What a sensible lady Makes a change for a doctor to look at the individual rather than the digits.

How are things today Ladylush ?

Did you get a chance to look at the kanelan website, it so helped me though the dark times.

Hi Worzsel Yes I did look at the site. Very useful. Saved it in my favourites. Am going to use it to help me draft some questions to ask the consultant on Thursday. I'm doing ok. Had a lovely lazy day today with dh and ds. Am almost 29 weeks and now optimistic that lo will hang on at least another week. Don't know why or how I think that but I suppose it's because I haven't had any twinges or pain and the fluid is still clear. I've been keeping my fluid levels up and haven't lost much today despite drinking lots. Hopefully some of it is going to the baby My bump is looking bigger again, but could just be imagining that.

ladylush, my waters broke at 31 weeks and I delivered at 33 weeks. Was also booked at St Georges.

I was told by the docs that although unusual, some women can make it to term without any fluid - and with no adverse effects from lack of fluid. Seems like a lot of conflcting advice around.

Fingers crossed you hold on, every day helps. Also, just to say, there were lots of babies born at your baby's current gestation in my NICU unit who were all fine and went home after a few weeks.

Your probably expanding again I lost all of my fluid over the week and didnt look atall pregnant and then it built up again and i regained my bump.. I loved the bump part of pregnanncy, it's gutting to see it deflate isnt it

Are you being well looked after ?

this is the link to my post on here

There are some pictures on the end of it of my Ds when he was born and more recently

Thanks for your post Doozle Was your lo ok? Do they know why your waters broke early?

Worzsel - yes, I felt sad when my bump deflated. Went back to work today and they were all fussing - in a nice way. The thing is, I work very close to home (10 mins drive) and it's actually closer to the hospital. Plus the time passes quicker when I'm at work. Taking it easy though. Will check out your link.

Hi Ladylush - just seen this. Just wanted to say I will be thinking of you and hoping LO stays put for a while.

FWIW (expect you've been bombarded with such stories), a good friend delivered twins recently at 31 weeks exactly. They are now 17 weeks and no problems.

Good luck. Hope all goes well.

Thanks Wheely The positive stories are great to hear so bombard away

Worzsel - what a lovely thread Just read most of it and what a rollercoaster of emotions you went through. I bet the support really helped you through. Your ds looks gorgeous in those pics It was useful to see what joyfuleyes mum's dept. recommend in terms of management of women with PPROM. I will be asking for fortnightly scans and I also think that given what happened to you during/pre birth, a scan during labour would be helpful. It doesn't bear thinking about what could have happened if you had proceeded with a vaginal delivery

Hi ladylush, yes she was fine and has just turned 3. She came home after 3 weeks in NICU.

Re: causes, actually I requested my notes after the birth and went to see an obstetrician to talk about it. It was not conclusive but he thought it was probably due to a low grade infection. And since then, I've discovered that I'm hypothyroid so that might have also been a factor. Why don't they test pregnant women for thyroid levels automatically when they do all the other blood tests?!

Anyway rant over, it's possible that they won't find a specific cause in your case. The docs all seem very unclear about Pprom and often disagree about the reasons why.

Keeping my fingers crossed again for you and that the little one stays put. Keep us posted.

Doozle - I also have an underactive thyroid but have been seeing an endo and my TF has been monitored regularly/thyroxine dose adjusted. I think you are probably right - they probably don't know enough about PPROM.

How are you doing LL ?