WOMENS-HEALTH Messages for July, 1998: Re: Ruptured Membranes at 20 weeks

Re: Ruptured Membranes at 20 weeks

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Thu, 9 Jul 1998 09:52:06 -0500 (CDT)

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At Thu, 9 Jul 1998, Cathy wrote: >
>My membranes ruptured at 20 weeks due to an incompetent cervix. When I
>arrived at the hospital I was dialated to 3cm, my membranes were bulging
>down into my vagina 1 1/2", and I was leaking amnionic fluid. A high
>risk OB explained that our son was not developed enought to survive. He
>gave us three possible scenarios: Most likely, if we waited, I would
>develop an infection and would deliver our son within the next few days.
>The infection would not only kill our son, it could also hurt my ability
>to have any other children. In the outside chance that I was able to
>carry the pregnancy another 3-4 weeks, the lack of amnionic fluid would
>retard the development of our son's lungs and bones - which would
>further complicate an already very premature birth. He almost
>definitely would not survive, and would live a painful short life in
>NICU. The third possibilty was to induce labor, and ensure that our son
>did not suffer and that we would be able to have more children.
>
>We chose to induce labor - which logically I know was the right
>decision, yet I can't help but feel that we gave up too soon. I trust
>our doctor, and know that he would not have let us make a wrong
>decision. I just need some reassurance that we did what was right.
>
>I will definitely have a cerclage with our next pregnancy. Thank you.

Cathy: The choice you made was agonizingly difficult, but your Ob was right. I have seen this event happen over a 30 year practice, and the best advice from a variety of expert perinatologists and neonatologists concurred with your Ob.With a cerclage inserted next time the outlook for the pregnancy is very optimistic.

Good Luck

Dr.B

Next message: Kathy: "Confused and concerned about the pill. How do I know if it is working????"
Previous message: Amy: "bleeding placenta"
In reply to: Cathy: "Ruptured Membranes at 20 weeks"
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