WOMENS-HEALTH Messages for January, 2009: Re: PREGNANCY: PPROM and placental abruption

Re: PREGNANCY: PPROM and placental abruption - recurrence?

From: Pat Sonnenstuhl, CNM (anonymous@obgyn.net)
Mon, 26 Jan 2009 12:32:54 -0600 (CST)

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In reply to: J.: "PREGNANCY: PPROM and placental abruption - recurrence?"

I am sorry for your loss. Determining the cause of the PPROM and loss is critial. Sometimes it is an infection, or 'incompetent cervix' (Cervix dilates too soon). In general, your sceanario wouldn't happen again, especially if you are healthy, and don't drink or smoke (which would increase your risk of problems). My experience has been that these events do not reaccur, but you will be watched carefully from the beginning, and I suspect will have your own anxiety until you cross over this point in time. Please discuss this in more detail with your OB caregiver, as they are familiar with your records, and your unique situaiton.

At Mon, 26 Jan 2009, J. wrote: >
>Hello,
>
>Four months ago I lost my first pregnancy, with my membranes having
>ruptured at 19 weeks. I hung on in hospital for two weeks after the
>rupture, but ultrasounds showed the beginnings of fetal crushing due to
>the continued lack of fluid. Given that, and my doctor's concern about
>the likelihood of infection eventually setting in, I was induced and
>delivered at 21w 3d.
>
>I am still awaiting full results from the autopsy. However, my doctors
>believe my PPROM was probably brought on by placental abruption, as I
>spotted from the 13th week of pregnancy onward (and had full bleeding
>after my membranes ruptured). I should add I was 35 years old at the
>time, but am very healthy and had no other risk factors for abruption (I
>do not smoke, have high blood pressure, or take drugs).
>
>We are getting ready to try again for another pregnancy, and my question
>is regarding the chances that these problems could recur. I have read
>that the overall chances of PPROM occurring again in subsequent
>pregnancies could be as high as 30% - but that individual risk is most
>reliant on what caused the PPROM in the first place. Assuming that the
>cause of my PPROM was placental abruption - and given that my risk of
>another abruption in a future pregnancy appears to be about 10% - does
>this mean that my risk for a future incidence of PPROM would also be
>about 10%?
>
>Thank you for any advice or insights you may have, regarding my case.

--
Pat Sonnenstuhl, CNM, CPPI, CHt
Peace on Earth Begins with Birth
Birth Counseling and Fertility Therapy
http://home.comcast.net/~prebirthhealth/birthcounseling.htm
Hypnosis for Healing
http://home.comcast.net/~prebirthhealth/hypnosisforhealing.htm
Peaceful Birthing
http://www.peacefulbirthing.org

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