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I am 5-1/2 months pregnant and having a problem that I'm wondering if anyone on this e-mail newsletter has had before. I am on full bed rest because last week I started leaking (and have continued to leak) very small amounts of a thin, water-like fluid. The concern is that it might be amniotic fluid. That would be bad news at this early stage. From what my doctor tells me and what I have read this past week, there is no real "solution", but the hope is that with full bed rest I might replenish the fluid faster than it's leaking. Depending on how things go, they will also consider antibiotics to lessen the chance of infection, and possibly steroids to help accelerate the baby's lung development. Apparently if this is amniotic fluid and something goes wrong there is also a very real chance of miscarriage, and at this early stage it is unlikely the baby would live. My doctor said that with every week though, the chances get better.
And there is still the hope that it might be something else. I'm being tested to make sure I don't have some sort of vaginal infection or urinary tract infection that could be causing the discharge.
Guess I'm hoping that someone out there who has either experienced this situation before, or knows someone who has, could offer any input. I am of course very worried (while trying not to get too stressed for the baby's sake!) and just trying to get whatever information I can.
Thanks in advance for any advice, Hoping for info.
Your doctors will no doubt monitor you closely to determine that you have enough fluid for proper lung development; antibiotics and steriods may also be necessary, as your doctors have said.
A helpful website is www.kanalen.org/prom; you can read relevant medical articles as well as 200+ women's stories. Many will have experienced PROM, which you have not, and many, many have ''survivor'' stories. There should be good advice as well as support (I found it very useful a few years ago when I had my PROM).
Good luck! All is not lost. I wish you ALL the luck as you navigate this difficult and scary time. Christine
(a) have an *abdominal* ultrasound (nothing should go in the vagina because infection could be introduced) and have the tech check on your cervical length and Amniotic Fluid Index (AFI) and give you the results. Refuse speculum exams unless absolutely necessary.
(b) go on strict bedrest - stay in bed and get up only to go to the bathroom and not to eat or anything else except doctor's appts; take measures to make sure you are not constipated; stop having sexual intercourse if you are having it. Consider raising the foot of the bed a little bit. Contact Sidelines.org, a great organization for women on bedrest.
(c) get a referral to see a perinatologist immediately, and urge him/her to give you a cerclage if there is any possibility you may have a dynamic cervix (looks closed at some times and shortens indicating it is opening, at other times)
(d) consider getting a home uterine activity monitor (HUAM) to check twice a day to see if you are having preterm labor. If ordered by your doctor your insurance will usually cover it.
(e) get tested for beta strep and go on ampicillin right away.
Many (perhaps most) ob/gyns are incredibly ignorant about dynamic cervix and PPROM in general, and they are not proactive enough about cerclages or referring you to a specialist (maybe because then they lose their fee). I hope none of this advice is necessary, but if it is try to keep your spirits up and remember that at 28 weeks you have reached a major milestone of probable success. I wish you the best of luck and send good wishes your way. Been there
You are in good hands. Doing bedrest is the best course of action for your baby's welfare, and it's great that your doctor is also taking into account other possibilities. Hang in there. I know bedrest is not easy (I was in bedrest for almost 7 months myself for other reasons), but it's worth it. When you have your baby in your hands you will forget about the times when being immobile was so difficult. Take advantage of this opportunity to get all the rest and the reading that you won't be able to do once your baby is here. Good luck! Anon
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