WOMENS-HEALTH Messages for October, 1997: Re: Amnio in pregnancy after PROM loss.

Re: Amnio in pregnancy after PROM loss.

From: Kelly (anonymous@obgyn.net)
Sun, 19 Oct 1997 17:48:14 -0500 (CDT)

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In reply to: jnd: "Amnio in pregnancy after PROM loss."
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At Sun, 19 Oct 1997, jnd wrote: >
>I posted this once before, but got no response, and don't know if it got
>through.
>
>In my 20th week of pregnancy, my water broke. After a week, the
>perinatologist recommended inducing labor, since I was never able to get
>retain enough fluid to maintain the pregnancy. My OBGYN and the
>perinatologist found nothing to tell why this occcurred. The best guess
>is that a mild bladder infection I developed caused this, or "Just one
>of those things." The pathology report showed no anamolies with the
>baby or the placenta.
>
>Since I was 38 at the time of my pregnancy, I had an amnio at 16 weeks,
>with no spotting or leaking resulting. In the 2 months since I lost the
>baby, I have turned 39. I am fairly certain I want an amnio, but my
>Doctor, who was not all that gung ho about the first one, is against
>it.
>My question is: Does anyone have any information on contradindications
>of having an amnio in a pregnancy following a pregnancy loss to Preterm
>Premature Rupture Of Membranes? Are there studies done with statistics
>about this?

Dee

I don't have any studies or statistics to quote, but the risk of a serious complication leading to miscarriage following an amnio is about 1 in 200. My belief is that if you are informed of the risks and the benefits, and if you choose to have an amnio (or a chorionic villus sampling), you should have it. If your doctor is uncomfortable doing it, ask for a referral to a perinatologist.

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

Next message: Sandra: "Re: Hypothyroidism and general infertility"
Previous message: Kelly: "Re: current Miscarriages"
In reply to: jnd: "Amnio in pregnancy after PROM loss."
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