pPROM

Cynthia - posted on 08/06/2009 ( 16 moms have responded )

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Did you experience pPROM? If so, how did your delivery play out & have you had subsequent pPROMs?

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[deleted account]

PROM is the reason my son was born at 24 weeks. I ruptured at 22 weeks and was lucky - very lucky that I didn't immediately go into labor. I was put on bed rest in the hospital and given fluids and antibiotics and received daily fluid checks for the first few days. When the doctors realized that I had a full rupture and my fluid never built back up, I was told complete bed rest in the hospital, not able to get up to shower or use the bathroom either. I lasted about 11 days before going into labor, luckily after I was able to receive steroids. I have not had subsequent PROM because I have not been pregnant since. This was my fifth pregnancy, the 4 before ending in early miscarriage and I became pregnant all 5 times with the help of a fertility specialist. I do have a good friend who delivered at 26 weeks due to PROM and she had a second baby at 38 weeks!!!

Caitlin - posted on 01/03/2013

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Hi Tanya,

I'm still holding on! I will be induced at 36 weeks (6 days away) if I am still holding on by then! So far it has been 4 weeks from tomorrow that my membranes ruptured. I am put on the CTG at least once a day and bub seems to be 'happy'.

I decided to wait as long as I can as I feel that I am under very good care at the hospital and any sign of infection will be picked up early. In the mean time I am still taking the antibiotics and am waiting eagerly to make it to 36 weeks!

Thank you for your support Tanya.

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Tanya - posted on 12/23/2012

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I also had prom. It is my 3rd pregnancy and I have 2 older boys at home (3 and 22 months). With this pregnancy, I was pregnant with identical twin boys who ended up developing twin to twin transfusion syndrome. I had surgery to try to save them at 17 weeks. They were doing well and we thought we were in the clear until 22 weeks when twin A had no heartbeat. Since he was the presenting twin, that made my risk of early delivery higher. We went 5 more weeks until my water broke. They gave me steroids and magnesium sulfate. My labor wasn't progressing much for the first day and a half. Then my contractions went into hyperdrive, from every 60-90 minutes to every 10. I ended up delivering by emergency c-section about 48 hrs after my water broke. My twin B is now a week old (28 weeks gestation) and in the NICU.

To Caitlin, I think every case is different. If your baby seems to be doing well when checked on ultrasound, then you can probably wait. However, if your doctor thinks things could quickly take a bad turn, then go for the induction. It all depends on how your body is responding to your prom. Are the Dopplers normal? If not, there may be some problems with the placenta, in which case delivery is your best option. My Dopplers had been abnormal but improving, but they weren't sure if my body was just readjusting to the loss of the others baby. After delivery, they showed my husband the placenta and there were parts of the placenta that looked clearly unhealthy.

Good luck with your decision! Let us know how everything works out!

Caitlin - posted on 12/21/2012

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This is an old post but I thought I'd share my story so far as I'm having trouble finding info in pPROM.

I'm currently 33+1 weeks with my first. I went into threatened preterm labour at 24 weeks and was put on bed rest in hospital for two weeks. I had two doses of steroids and spent the first week on nifedipine. I was discharged home at 26 weeks on progesterone pessaries as my cervix had shortened and was told to take it easy, which I did. Cervical length monitoring was done every fortnight and the progesterone worked in lengthening my cervix.

Then at 31+2 weeks I had a scan which showed separated membranes. My cervix length was normal. 8 hours later my membranes ruptured. I was again admitted to hospital and labour started 18 hours later. The hospital where I was admitted couldn't care for a baby less than 32 weeks and they couldn't get me a bed anywhere in the state that could care for our baby should it have been born that day so I was again given nifedipine to stop the labour. I was also given a 3rd dose of steroid and started on erythromycin 500mg three times a day. I am still holding on almost 2 weeks later but we need to decide on whether to be induced at 34 weeks or 36 weeks as my infection risk increases as time goes on and I personally don't feel comfortable being on antibiotics for such a long period of time. I also feel that labour has tried to start twice and maybe there is a reason for it.

In the mean time I continue to have irregular contractions which every couple of days become regular, 5 mins apart, painful and then cease after 3 hours (although they have been giving me temazapam which I have since refused as I feel it may be causing the contractions to cease). It feels as though my body is no longer sure of what it needs to do! My cervix apparently has a little bit of length to it and is half a centimeter dilated.

It's such a hard decision that we need to make over the next two days. There isn't a whole lot of research on pPROM and I'm not sure which holds the greater risk to our baby; inducing at 34 weeks (we know baby will go to special care for up to three weeks) or continuing till 36 weeks taking high doses of antibiotics and risking infection to myself and my baby. Both carry risks, although the risks for keeping baby in till 36 weeks seem higher than should it be born at 34 weeks.

I have read all the research I can find and have openly asked the obstetricians mountains of questions. From what I understand the usual procedure in Australia for pPROM at 32+ weeks is to allow labour to continue; from 24 to 29 weeks labour is stopped until 34 weeks. At 31+2 weeks, I was in a grey area and my obstetrician felt I should have delivered only it was too risky as no one could care for baby. There is currently research being done as to whether the delivery should occur at 34 or 36 weeks but there won't be a result to that research for another few years.

What are peoples views having been in similar situations?

Miriam - posted on 09/08/2012

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Hi Cynthia

I just read your post back in august 2009.

How did your second pregancy end? full term? I hope so.

I had pprom at 34, but my baby had several complication, and he passed away, I´m so scared it could happen again.

Christi - posted on 10/30/2009

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I had pPROM with my 2nd and last baby, so I can't say if I would have it in subsequent pregnancies. Water broke at 28 weeks, made it to 33 on hospital bed rest. Son spent 39 days in the NICU. C/S at 33 weeks.

Kristen - posted on 10/30/2009

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I had PPROM at 22.5 weeks with my twin A and was admitted for hospital bedrest at 24 weeks. Twin B ruptured at 25.5 weeks and I delivered at 26 weeks because I went into labor and that meant that there was probably infection. Twin A is Kathy and she had a LONG road, but is a bubbly 2 year old now. She does have secondary pulmonary hypertension, but I believe this is from a hospital error more than her water breaking and early delivery. Twin B is Kobe and he is healthy.

Amber - posted on 10/30/2009

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I have had 6 pregnancies and 5 live births. I had PROM with all 5 live births. My water broke at 34wks, 35wks, 35wks, 32wks, and 30wks. With my 30wk one they kept me in the hosp and refused to deliver, I was on anti's and had a low grade fever, though the drs said it was fine. It turned out we were infected from it, she was born at 32wks, she had necrotizing enterocolitis, ecoli sepsis, 3 holes in her heart, and too much tissue in 1 ventricle along with ASD. She then got the ecoli sepsis and NEC a 2nd time. She later added in cirrhosis (liver disease) from the prolonged TPN. She spent 4mos in the NICU because of everything and a less than 10% chance of survival.

She is now almost 5yrs old, and has very few issues from it all.

Cassana - posted on 10/27/2009

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hello, I PPROM with my first at 35 weeks, my 2nd at 29 and I am currently 27 weeks pregnant with my 3rd and my waters broke 5 weeks ago!! I have been getting contractions since but nothing is happening to my cervix (which has been a good thing) so I was given antibiotics and steroids and yet I'm still going and my body is doing a good job of replenishing the water around her so she is safe. also it now seems that my waters have re-sealed themselves which can happen, so now it's just the contractions I have to deal with now which I am on strong medication for to control the pain. there is no real explanation as to why this all happens but I'm just happy to be past that real danger zone and to still be pregnant. x

Denise - posted on 10/26/2009

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I had PPROM at 33 and half weeks with my first baby. She was 5 lbs 5 oz! She was perfectly healthy..although a pokey eater and her bilirubin was a little messed up. So we spent a week in the NICU. I am 31 weeks pregnant with our second baby. I wonder every day if I will go early again. There was no explanation to my PPROM with the first pregnancy.

Laurie - posted on 08/29/2009

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I had PROM at 30 weeks due to septated uterus delivered at 32 weeks (4lb 11oz) via emergency c-section. Had some issues with second one but made it to a scheduled c-section at 36 weeks (7lb 6oz).

Cynthia - posted on 08/07/2009

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Thank you for your stories. I'm glad you've had such positive outcomes. I too had pprom at 33 weeks with my first daughter. My water broke at a doctor's visit and I went into labor immediately. My daughter was born in less than an hour. Much to our surprise, she was 5lbs 8oz. We spent 33 days in the NICU. She turned 18mos yesterday and is the epitome of health! We were VERY blessed. I had never prayed so hard in my life! I am currently 23 weeks pregnant with our 2nd daughter and I am scared to death that I will experience pprom again. The doctor's say there's nothing to worry with too much, but they are monitoring me closely. They haven't limited my activity, but we have a doctor's appointment on Monday where I suspect that will be discussed. My cervical length checks start Monday also. There was no explanation for my pprom with my first. No incompetent cervix, no infections...NOTHING! In fact, I was completely text book until 3 days before when my lower back started aching. It was the weekend and my family had me convinced that we didn't need to go to the ER, so I waited until my appointment. My doctor sent me to monitoring and everything was fine. I stood up to sign my release papers and my water broke. I'm just scared because there were no explanations and I'm not sure what to expect the second time around. The further along I get, the more nervous I become.

Liz - posted on 08/06/2009

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I had prom at 25wks from incompetent cervix and a bi-cornate uterus. scheduled c-section at 33wks after we got a mature lung profile on baby. My son was in the nicu for 25 days. He is now 3yrs and I've been trying to get pregnant again for the last 2 years. My peri says next time I will get a cerclage at 11wks to keep my cervix closed to prevent prom and I will probably have at least partially limited physical activity.

Jeanine - posted on 08/06/2009

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I had pPROM at 20 weeks. I lost all my water and I was given the option to terminate the pregnancy beccause they said it was a good chance I would go into labor between 6-7 days. Well they gave us a couple of hours to decide and I felt that they weren't giving us all our options. As my husband and I heard the heart beat we couldn't choose their route. I knew there were big risks to both me and the baby being that I am a nurse also. However, I had and wanted to take that chance! We made it through all the aweful statisitcs over and over that we were told. We made it almost 10 more weeks. Now I know another girl who went through the same thing with her son. She also made it out okay 10 weeks later. I am not saying we didn't have a lot of hardships through it all! It was scary for sure not knowing since it was my first! For this other person it was her 2nd. She had her first 2 weeks kater than her due date. I had my second this past feb right on time. I felt it was a fluky thing and it probably was for us. We are done now with 2 healthy girls. Don't expect it to be easy by any means in the NICU after because it was hard I won't lie but you can make it! It took 9 more weeks after in the NICU. He or she may need intubation mmore than likely due to the loss of fluid. Since they have something called surfactant now that can be put into there lungs after they are born to help develop them this is the best invention for pPROM. Our daughter had 2 doses and was on the ventilator for a week. They thought she might have needed more but she pulled it out on her own and they tested her and she did okay! She was a fighter. The other contraption called the CPAP is aweful! She struggled with it for several weeks we couldn't wait for her to be off that. But she did get off and then was put on the nasal cannual for a few weeks. She was watched by very skilled nurses and NP's and PA's and residents and doctors! We were very very lucky with our outcome! She was born at 29 weeks 5 days. I prayed every day she wouldn't suffer for the fact that I wanted God's will to be to give her to us! and our prayers were answered. I don't feel you have to be religious for this to be a good ending but have some faith and believe that good things can happen no matter what the statistics say! to help that little one pull through! Good luck! I will pray for your happy ending. By the way she Just turned 3 in June and is very very healthy! So is our friends little boy with the same situation.

[deleted account]

PROM is the reason my son was born at 24 weeks. I ruptured at 22 weeks and was lucky - very lucky that I didn't immediately go into labor. I was put on bed rest in the hospital and given fluids and antibiotics and received daily fluid checks for the first few days. When the doctors realized that I had a full rupture and my fluid never built back up, I was told complete bed rest in the hospital, not able to get up to shower or use the bathroom either. I lasted about 11 days before going into labor, luckily after I was able to receive steroids. I have not had subsequent PROM because I have not been pregnant since. This was my fifth pregnancy, the 4 before ending in early miscarriage and I became pregnant all 5 times with the help of a fertility specialist. I do have a good friend who delivered at 26 weeks due to PROM and she had a second baby at 38 weeks!!!

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