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2nd time Moms..

Abeja1226Abeja1226 member
in Preemies
If you had a preemie for your first, what kind of prevention (if any) is your OB doing/or did for your second pregnancy.  I gave birth to DD at 35 weeks and my OB mentioned when/if I get pregnant again I will have to have progesterone shots once a week starting at 19 weeks.  Has anyone been told the same thing or had these shots?
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Re: 2nd time Moms..

  • sunnytreessunnytrees

    I had my preemie last so I can't speak from personal experience but 35 weeks doesn't seem too early or likely to cause great concern unless you already knew of possible issues with LO or you yourself had some health concerns??

    Obviously, I am very new to this and maybe shouldn't be offering my 2 cents, but to me that just seems a bit excessive. Unless, as I said, there are known health risks for you or baby. 

    I'll be watching this thread as I am curious to see what others who are actually in that situation have to say.

    My beautiful girls: Hadley 9.28.06, Emmerson 11.29.08 and Pilar 2.07.11, born premature at 33.3 weeks.
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  • ShannonSkyShannonSky member
    I've been researching my butt off on this topic and basically what I've found (granted this is stuff I've seen for MY SPECIFIC case) is that the 17P shots can decrease the risk of having another preemie by about 34%. However, I haven't found any studies looking at the risk of having another preemie due to pPROM (which is supposed to be unlikely, anyway) while doing the 17P shots. Also, if you've had your preemie after 34 weeks GA, the 17P shots haven't been shown to help in future pregnancies. That being said, ACOG recommends 17P shots be offered to all women who have previously had a baby <37 weeks GA.
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  • ShannonSkyShannonSky member
    Here's the info on it: https://mail.ny.acog.org/website/17PResourceGuide.pdf
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  • sweetpea18sweetpea18 member
    Dd1 was born at 34 weeks on the dot. For my second pregnancy, I was in the 17p injections from weeks 16-36. Like the pp said, there's about a 33-34% chance that it will prevent ptl. I was willing to do whatever I needed to, to prevent having another preemie. I made it full term with dd2 and was induced at 38w3d (due to bp issues and being on blood thinners). My ob isn't sure if it was the injections, the procardia or the 6 weeks of bedrest that got me to term.
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  • ruthiewithruthiewith
    I had a preemie for my first and second.  I got severe pre-e both times.  No major precautions for my second pregnancy, except I took a baby aspirin every day and had many more prenatal visits and ultrasounds with the second.  They were watching me like a hawk, which ended up being good because they admitted me in time to catch the pre-e in time.  
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  • mrsmikeymrsmikey

    We will discuss p17 shots after my 20 week appt.  My OB really doesn't feel strongly about them for me right now b/c of my pPROM, and I'm really not at high risk for having a preemie this time.  It was just one of those crazy fluke things that can happen to anyone and I have just as much chance carrying this baby full term as anyone else.

    But he's going to measure my cervix at my 20 week appt and we'll go from there.  I may just have extra monitoring and cervix checks. 

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  • Abeja1226Abeja1226 member

    My case was very different, I had a prefect pregnancy up until 1.5 weeks before I delivered.  They did a protein test and checked my cervix (at just about 34 weeks) and I was completely closed and negative for the FFP (I think that's what it's called) so I had a 5% chance to go into labor (I was having a lot of BH and they told me I had an overactive Uterus or something but I would most likely goto term).  So it was against all odds that I went into labor spontaneously at 35 weeks.  DD was a healthy weight (almost 6 pounds) and the only thing wrong with her was her blood sugar was low and she had to have an IV.  I really don't like the idea of these shots but I guess it might be worth it if I can bring a baby to full term this time.

    DD stayed in the hospital for 10 days (which was complete BS...she could have come home with us) and I know that's a really short time compared to the other babies that are more premature but as you all know, not bringing a baby home with you from the hospital and watching every other mother be able to is torturous.  That and the fact they don't tell you anything about when you can bring your baby home.  I'd just love to have a "normal" stay the next time in the hospital.

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