spoken for

7 Responses to “blah, blah, blah”

1. anneberit
   March 21st, 2009 at 7.19 pm ♥

   

   I would cry to if I had to be away from my kiddo ;) even if it was for a good cause like caring for a new kid…. good luck with everything these last couple of days -and hope to see you online later. :D

2. Becca
   March 21st, 2009 at 7.39 pm ♥

   

   may I ask why you are going to be staying in the hospital? I know you had PROM, and have been monitored frequently. Why can that not continue?

3. letti
   March 22nd, 2009 at 12.11 am

   

   will you be able to bring your own laptop? I’ve been pretty weepy too, all the raging hormones and like that.

4. Vixx
   March 22nd, 2009 at 1.06 am ♥

   

   Good luck! You’ll be in my thoughts.

   V xx

5. Val
   March 22nd, 2009 at 5.36 pm

   

   Anne — Thank you!!

   Becca — not sure if it makes a difference but I technically had PPROM. I have to go in and get steroid shots (for her lungs) and be monitored 24/7 with the belts and stuff so that if there’s a problem such as cord compression or whatever else can happen, that they’ll take her. If we make it good enough for long enough, they take her at 34 weeks.
   Also, she’s still breech and they don’t expect that to change at all.

   Letti — Yup!

   Vixx — Thank you!!

6. Val
   March 22nd, 2009 at 5.39 pm

   

   Oh and supposedly there’s this fear that an infection will come and kill us both, so… I guess they worry about that.

7. Val
   March 22nd, 2009 at 5.48 pm

   

   Ok, one more from me. Did some Googling (though I don’t do it often because it makes me cry) and according to http://emedicine.medscape.com/article/261137-overview :

   Premature Preterm Rupture of Membranes

   Premature preterm rupture of membranes (PPROM) occurring from 24-37 weeks’ gestation is far more difficult to manage than premature rupture of membranes (PROM) at term. Several issues need to be considered in formulating a plan of management. Prematurity is the principal risk to the fetus, while infection morbidity and its complications are the primary maternal risks. All plans for management of PPROM remote from term should include the family and the medical team caring for the pregnancy, including the neonatal and maternal medical team. Remote from term, PPROM should only be cared for in facilities where a NICU is available and capable of caring for the neonate. Because most PPROM pregnancies deliver within a week of ROM, transfer of the pregnant mother to a qualified facility is urgent and should be facilitated immediately upon diagnoses.

   The vast majority of women proceed to active labor and deliver soon after PPROM. With appropriate therapy and conservative management, approximately 50% of all remaining pregnancies deliver each subsequent week after PPROM. Thus, very few women remain pregnant more than 3-4 weeks after PPROM. This is important information to give the woman considering expectant management remote from viability.1

   Spontaneous sealing of the membranes does occur occasionally (<10% of all cases), mostly after PPROM that has occurred subsequent to amniocentesis; however, this is the exception rather than the rule.

   Several areas of controversies exist regarding the best medical approach or management of PROM remote from term. Expectant management and immediate delivery are potential options in these patients, and each has its own advantages and disadvantages. With appropriate care, the maternal risks of expectant management are generally accepted to be minimal and a clear neonatal advantage exists by reducing risks of prematurity.

   Controversies exist as to interventions such as steroids for acceleration of lung maturity, antibiotics, and tocolytics.

   It makes me cry because every time I read something like this it talks about how most don’t last 3 or 4 weeks without going into labor and here we’ve passed the 5 week mark and she’s still going strong. Not to mention, maybe I haven’t technically had PPROM because that looks like it starts at 24 weeks, mine was at right before 21. They didn’t put me in right away because I was before 24 weeks and then I think we got some dates messed up and he was thinking I was a week behind (my fault) and made me pick one or two weeks and I said two which put me at 26 weeks, then they bypassed the weekend. Whoa. lol. But another reason to have me there is because of her being so early, this hospital has a Level III NICU which is apparently pretty darn good.

   That site continues with a lot of more info and statistics though, such as “Survival varies with gestational age at diagnosis (from 12% when diagnosed at 16-19 wk, to as much as 60% when diagnosed at 25-26 wk).10 Until viability, maternal safety should be the primary concern.” So, ya know, whatever. I don’t really put all my hopes and fears in statistics. It’ll work out.