Questions in the
Maternal and Child Health Forum
have been answered by
doctors from Henry Ford Health System.
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Subject: Re: 2nd Trimester miscarriage PROM 5 months into the pregnancy my membrane ruptured and all amniotic fluid was lost. 1 week later i went into labor and delivered the baby (a girl-beautiful-but only 9" and at 20 weeks was not considered viable). after testing the placenta, it was discovered that I am a strep b carrier and that it COULD have been a reason for the rupture. When my water first broke i went to the ER and my obgyn said that the cervix was soft but not open and that an incompetant cervix COULD have been the reason the membrane ruptured also. this is my medical history:i am 35 yrs old and had 1 child (beautiful boy-died when he was a yr old in accident) at 18 yrs. had 2 abortions in mid twenties atwhich time they found class 4 displasia and cone biopsy was perormed 1 wk later (not laser surgery, Dr. was afraid he couldnt get it all so he cut it out).now, in december ihad a misscariage at 3 months apparently a fetus with missing chromasomes, got pregnant again 2 months after and lost her in the 2nd trimester. My Questions are: Is there any way to prevent future loss? Did the strep b play a major role in the miscarriage? How dangerous is a circlage to the membrane? Are there any difinitives oram i going to just have to take my chances? My husband and i really want a family so we are looking for high risk pregnancy doctors in the Connecticut area do you know any? would appreciate any advice or info. DearTheresa: the Obstetrics and Gynecology Departments, Harford Hospital, University of Connecticut, and Yale can all be helpful to you. You are also within striking distance of Boston and its medical establishment. Treatment depends upon diagnosis. Incompetent cervix is correct by circlage with high effectiveness and safety. Group B streptococcus can be identified an the bacterium is usually snesitive to antibiotic. Both of these conditions are associated with loss of pregnancy around twenty weeks. Both an present as unexpected rupture of membranes. Keywords: mid-trimester miscarriage This information is provided for general purposes only and is not a medical consultation. If you have specific questions, please contact your physician. | |
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