Question for fellow late loss PGALs (esp pre-term labor)

MeggM1 · June 2012

My loss was after a twin pregnancy and pre-term labor that came on unexpectedly at 32 weeks. My daughter passed several days after the birth due to injuries during the c-section, and while the pre-term labor can be partially explained by the twin pregnancy and we have an explanation as to what caused my daughter's death, I'm still so scared about what the third trimester is going to bring.

I am seeing an MFM at 12 weeks for an NT scan and to discuss some early recommendations since regardless of the benefit of an explanation, preterm labor and a neonatal death make this pregnancy high risk.

So my question is for other late loss moms, especially those that had preterm labor - what extra precautions is your doctor taking with this pregnancy? Any interventions or recommendations like bed rest? I just know that regardless of how anything looks that I'm going to be begging for my doctors to do everything they think is prudent.

Thanks ladies - T & Ps to all of you and your rainbow pregnancies.

careyalis · June 2012

My doctor is basically putting the ball in my court. We can choose to go to the MFM right off the bat or only go of it seems necessary (we chose the latter-too many sad memories there.) He did immediate blood work and scheduled an immediate appt to make a game plan. I will have several ultrasounds to monitor progress as well.

monica92603 · June 2012

I'm so sorry for your loss. My loss was very different but my OB and MFM have me come in for weekly NST and BPP starting at 32 weeks. I know during my growth u/s this week the tech commented that my cervix looked good so I know they were able to check me that way. Maybe one or both of your doctors will start checking you via an internal or an u/s starting after your anatomy scan if they see any unfavorable changes. They may suggest a cerclage?? The thing is, and I don't know your story, it doesn't sound like your daughter passed bc she was preterm so I'm not sure what extra they may do. I know my doctors did some stuff just to make me FEEL better and that did make a difference to ME. Best of luck to you.

barbie92 · June 2012

I went into pre-term at 22 weeks 3 days and delivered Robby at 23 weeks. This time I will be taking the p17 shots starting at 16 weeks and I have been instructed to take it easy and stay off of my feet as much as possible. I haven't met with my MFM yet since I got pregnant ( we had an appointment to get cleared to TTC) ,but my MFM and high risk OB are working very closely together.

lovemymaddy · June 2012

My loss was due to a placental abruption at 37+ weeks. He died four days later. We are doing twice weekly NSTs, doppler ultrasounds twice a week to monitor the amount of blood flow to the baby's brain, growth ultrasounds, and kick count charting. ((hugs)) PgAL is so tough

leneae10 · June 2012

I had PTL/IC with my twins and had them super early at 17w and 18w. With my rainbow baby, I got a transabdominal cerclage, did 17p shots starting at 16w and also did at home uterine monitoring every day for an hour. I saw my sonographer every other week until 24w for cervical length checks. I ended up having a massive fetomaternal hemorrhage (possible abruption) but he survived that and was delivered at 35w.

MeggM1 · June 2012

Thank you for sharing! I have just felt so helpless the first trimester, and even though I know deep down it is likely I will feel that way the rest of the pregnancy, I just want to do what I can. I'm anxious to see the MFM next week and start a plan. Thanks again for sharing your stories.

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Question for fellow late loss PGALs (esp pre-term labor)

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