WOMENS-HEALTH Messages for September, 2002: Re: pPROM at 19wks

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Re: pPROM at 19wks
From: samir (anonymous@obgyn.net)
Mon, 30 Sep 2002 15:59:16 -0500 (CDT)

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In reply to: Jamie: "pPROM at 19wks"

At Mon, 30 Sep 2002, Jamie wrote: >
>I am 26 years old and have two children, ages 7 and 1. Both were
>uncomplicated full-term vaginal births, the most recent was at a
>licensed birthing center with no drugs.
>
>I recently had pPROM at 19wks 3days pregnancy. Labor was induced and I
>gave birth to my third child (stillborn) 9/15/02. Had D&C afterward for
>retained placenta. My bloodwork and culture for GBS (which was positive
>last pregnancy) came back normal. No sign of infection. Also no odor
>or discharge. IC doesn't seem likely; it took 3 days and several doses
>of cytotech (sp?), then laminaria, then high dose pitocin to start
>contractions. After starting the meds, my outer os opened a little, but
>docs could see and feel that the inner os was still tightly closed.
>
>Does this rule out IC and does a repeat of the pPROM seem likely in my
>case?
>
>Anything I can do to improve chances of avoiding pPROM next pregnancy?

it is unlikely to be incomptent os.check for infection and treat any.

-- SAmir Fouad Aziz Assist Professor OB.Gyn Director Gyn.oncology Al-AZhar University-Egypt Editorial advisor OBgyn.net(P&B,Gyn.Oncology)
This is for teaching purposes only

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