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I think I started leaking again. I am having some cramping and have to remain in bed to keep from leaking. The doctor is no longer in her office but set an appt for monday. I am 16 weeks on monday. The leaking isn't too severe, though. I belong to a prom (premature rupture of membranes) list server and these woman told me that the amount I am leaking is normal for prom at 16 weeks. It just gets worse.

This just stinks. This sounds immature but I never thought something like this would happen. I had no problems with my first birth and it literally takes me two weeks off of birth control and one cycle and I am pregnant. At least this time and last time.

This is just so depressing. I joined some high risk pregnancy forums but they are dead. You guys give me a good laugh.
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replied February 2nd, 2007
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Awe, sorry I dont have much to say but I hope everything is .A.Okay
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replied February 2nd, 2007
Active User, very eHealthy
Sorry .I can't help you out with any info. I just wanted to tell you that you will be in my thoughts and prayers! It doesn't sound like the doctors are too worried about it?
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replied February 2nd, 2007
Extremely eHealthy
Can't you go to the hospital?
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replied February 2nd, 2007
Extremely eHealthy
I hope everything turns out well.

Think positive thoughts!!!

~cindy
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replied February 2nd, 2007
Especially eHealthy
If you are experiencing leaking, you need to go be seen in the emergency room.

Didn't the doctor say your bag had closed back up? Does he have any insite as to why this continues to happen?
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replied February 2nd, 2007
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I see a perinatologist. My doctor doesn't know why this happened as most cases of prom is unknown. I have to go to the hospital if I leak a pair of underwear, start bleeding a lot or cramping. Prom individuals sometimes continually leak throughout their pregnancy which is the reason they have to remain on bed rest and drink about a gallon of water a day. It is a miracle if someone who has prom delivers a full term baby. I only leaked on the friday I ruptured. Since I stopped leaking so quickly, the specialist thought it was a twin along with what the ultrasound showed. The doctor also said the other possibility was that I did seal. If that happen, the bag is weak and the chance of it leaking again is high (at least that was my understanding). If this is, in fact, leaking from the baby then my poor baby.

If I do leak a lot or start cramping bad then I will go to the emergency room. I hate emergency rooms. They sometimes don't take pregnancy this early seriously.

I heard of a patch that doctor's can use to seal up the sac, if they know where the leaking is...Mine doesn't yet because I didn't show evidence when I first saw her. I would really like to try that patch if they do find leaking.

The biggest thing is that I truly thought I was alright as I haven't evidenced any leaking since jan 19th, when the whole thing initially happened (i think that's the date??).

Thanks everyone for listening to our woes.
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replied February 2nd, 2007
Especially eHealthy
I'm really sorry you're having so many problems and worries. I hope everything turns out ok!

Oh, and don't apologize for coming here to talk. That's what we're here for and you need a place to get it out.

Good luck!
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replied February 2nd, 2007
Especially eHealthy
ladylee70 wrote:


i heard of a patch that doctor's can use to seal up the sac, if they know where the leaking is...Mine doesn't yet because I didn't show evidence when I first saw her. I would really like to try that patch if they do find leaking.


would this work it the sac is weak? Did they diagnose you for with true .P.R.O.M and have they started any antibiotics?

I'm curious how they didn't see a twin at the 7 week ultrasound you had but are insistant that you miscarried. It seems to me that you should maybe get a 3rd opinion.
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replied February 2nd, 2007
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My first doctor wasn't good. He was the one who didn't listen to me at all regarding my thoughts of passing a twin, the way the thing I passed looked, etc. I went to the specialist and she looked at the ultrasound quality and said that it wasn't good at all. She stated that if the twin was never formed, they probably would have missed it. She explained that when you go into a regular ultrasound and have a "typical' ultrasound, technicians usually look for black (fluid) with white in the middle (baby)with the little fluttering heartbeat - when it's that early. If I did have a twin, it is doubtful the lil' one was ever formed. I described for her the thing I passed and she said it did sound like I may have had a twin but I will never know for sure. That combined with how the ultrasound had a split in the membrane (so hard to picture - you would have to see it) and there is evidence something was in that part and it is still filled with something.

The first doctor should have placed me on antibotics immediately. He didn't and sent me home probably to miscarry, although he didn't say that. He told me to check my temperature three times a day and call if it got over 100. It got to 99.2. All of this is the reason why I changed!! When you first rupture, shouldn't you be placed on antibotics to prevent infection. I did some reading and read that you should get some type of antibotics before 18 hours after you prom. There are not a lot of articles on proming this early, though.

I actually made an appt with the specialist a week and a half later, when I was disenchanted by my care from the doctors. She gave me a a great ultrasound with high tech equipment, listened to me, explained so much... She gave me the two test to check for leakage (same two I had before). The doctor didn't see any recent evidence of leakage. She said I didn't have evidence of an infection and checked me for group strep b. If I were positive with gbs, she would have given me antibotics...I was negative. It was strange I was negative because I was positive with my first child...I will be asking about that.

This doctor is so great!! I am truly happy with her. She did dx me with true prom. That is on all of my paperwork. She really has been careful with me. The difference between my other doctor and her is like night and day. She is very knowledgable. I am hoping to get additional information from her on monday.

You seem to know your stuff. Have you had or do you know anyone who has experienced this or some other high risk pregnancy?? Do you just read a lot???
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replied February 2nd, 2007
Especially eHealthy
Sometimes I just know things Wink that makes me sound smarter than I am. Wink

how did she diagnose you with true prom if you weren't currently leaking and your amniotic sac had sealed itself, I wonder? What kind of test did she do?

You had mentioned you woke up in a pool of blood, that may have indicated your cervix was dilating - or that would be my personal fear anyway - as miscarriage at 13 weeks is generally quit painful and a closed uterus would not let anything pass through it.

Did she give you a level 2 u/s or a vaginal ultrasound (your second doctor, not your first)? Also, you have every right to any photo taken during your 7 week ultrasound. It would be inside your file at your first doctor's office. It could help your 2nd doctor to better identify what actually did happen to you and I would demand it immediately - considering your situation.

Good luck.
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replied February 2nd, 2007
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About three hours after I ruptured, I went to the regular ob and he gave me those two tests: the fern test (name?) and another one that test for amniotic fluid. Both were positive. That doc dx me with prom and the other doc looked at all the evidence and didn't change my label...She continued the dx but it was with her I asked if my dx was prom. So, I guess she didn't first give me that dx. When I was with her, she did the same two tests and I wasn't leaking at the time. You don't have to leak all the time to still have prom, unfortunetly.

Since I wasn't leaking and I hadn't leaked that I know of for at least two weeks, she did do a vaginal ultrasound. The quality of that ultrasound is a lot better. Is there such a thing as a level ii vaginal ultrasound??? If it wasn't a level ii ultrasound, I will be upset. After all of this happening....They should give me a dang good ultrasound!!!



They did have pictures of my first ultrasound. I have a copy of the first one. The quality is horrible. When I went into the specialist, my cervix wasn't dilated at all and my placenta was "good and long". I have no idea if I was open when all this happened initially. I asked the specialist and she said the notes don't say anything about my cervix after all of that happened. The notes, I guess weren't that good.

I asked why I didn't have pain when I ruptured, had some blood and passed something and both doctors said some people actually don't have much pain. I still don't get this point at all. Also, your point makes sense about having a closed cervix and it would be extremely painful for things to pass. So, I would assume my cervix was wide open - with no pain. My regular ob should have told me that. I was in pain for a few days after that, which he did say could have been the start of premature labor. Again, he didn't believe it was a twin.

If I was having any pain, I would have felt it. My pain tolerance is so dang low. I needed strong pain killers for menstral cramps for several years and needed three epidurals with my first child. Pain medication rarely works for me. I will never have answers as I didn't save the thing I passed. It was definitely like tissue but it wasn't formed.

So, I won't have any answers regarding the whole 'was it a twin, wasn't it" issue. I do know who to go to if I need help in being a better advocate - you.

As for waking up in a pool of blood, it was actually really watery-like. It wasn't pure blood so to speak. It was some blood mixed with a lot of water. At first, I though I had peed my pants until I saw the blood. It's a scary feeling as you very well know. At that time, I felt like it wasn't really happening and I was going to wake up any second. I am so sorry for your loss. To loose a baby is hard, period, but I feel it is even more difficult when you feel you are out of the woods with the whole chances of miscarriage.

Times like right now, I am wondering if my cervix is dilating because of some extremely mild menstral-like cramping. The same type of cramping I had right after I leaked and passed something and I had that cramping for two or three days. I will just pray I make it until my monday appt. I should ask for that dang level ii ultrasound if I didn't get it.
If I didn't, why wouldn't the specialist have given it to me?? Wouldn't my situation prove I need one?? Now I am upset by that.
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