Jump to content

twin waters breaking at just under 24 weeks prognosis UPDATED post 36


  • Please log in to reply
46 replies to this topic

#1 muminwaiting

Posted 21 October 2012 - 10:22 AM

Hi everyone

My sister has had her waters break this morning of her identical twins. there was a lot of fluid but no blood.

She is currently in hospital on bed rest they have given her antibiotics. As its a sunday results are going slow. Both babies still have heart beats.

My sister isnt sure as she is exhausted but she isnt sure if they are both in the same sac. (im not sure if identical twins share a sac or not) so whether that makes any difference or not?

The doctors have said as she is close to 24 weeks they may be viable if she goes in to labour. her Ob hasnt seen her yet as far as I know.

Does anyone have any experience with this? Is there any way this can end well?

The dr has mentioned a high risk of infection but that is about it.

If anyone has any good or bad experiences in this situation that they could share with me that would be wonderful as we are all very lost.

My sister and her husband have already lost 2 babies and I cant bear to think these precious babies wont be coming home with them they are so desperate to be parents and would make wonderful parents.

Sorry for the rambling. Thank you for your help

Edited by muminwaiting, 31 December 2012 - 05:36 PM.


#2 Superman+4sisters

Posted 21 October 2012 - 10:36 AM

I'm so sorry your sister is going though this sad.gif  I'd recommend posting this in the Babies Born Early section as they lovely ladies there would have a lot more expertise in this area than the average person

#3 nene

Posted 21 October 2012 - 10:37 AM

Hi muminwaiting... Iam so sorry to hear this news.
Here is my twin story with good & bad outcomes...

When I was 18 weeks one of my  twins waters broke. I went straight to hospital on bed rest. I had an amazing female OB who said most OB' would not try an save either due to it being so early she was a Christian so believed she had to do whatever she could to save the boys.

So I had a stitch and stayed in hospital for just under 2 weeks on antibiotics, anti contraction drugs etc.  Anyway at 20 weeks twin a's umbilical cord came down and there was nothing they could do to save him.  Due to it being twins I had to wait for my cervix to open naturally and deliver him. In the end I went under sedation and she delivered him.

I was then stitched up again & went on VERY strict bed rest as my cervix had nothing but the stitch keeping twin b in.  I didn't even prop my head shoulders on a pillow, just laid 100% flat & on my side.  I was in hospital for a while but they sent me home as I wasn't eating the food and I had a live in "maid" at home as we were living in Singapore at the time. She was able to feed me really healthy food which I believed made such a difference.

Anyway long story short I had steroids at 23 & 24 weeks as they thought birth was eminent.  At 30 weeks they wanted to deliver him - I said no as I am stubborn and told her I would go close to term. She told me not to get my hopes up.  So miraculously I got him to 38 weeks where I agreed enough was enough and they could induce me.

I had over 15 tablets daily, gave myself daily injections and had a nurse com in regularly to give me other injections... But I was stubborn, barely moved for 20 weeks and was blessed to give birth at 38 weeks to a very healthy little boy.

I know my OB said originally that sometimes the sac can also repair itself so they might happen also??  For me it did not sad.gif

All the best for you all.

#4 nene

Posted 21 October 2012 - 10:41 AM

I just wanted to add my twins were not identical. Being in different sacs saved one of them.  

The twin with the broken waters also survived for 2weeks after my waters broke so if these little ones can hang on for a few more weeks inside obviously their outcome would be slightly better.

  I agree with above poster the mums in the babies born early section were fantastic support when I was going through this.

Edited by nene, 21 October 2012 - 10:43 AM.


#5 muminwaiting

Posted 21 October 2012 - 10:47 AM

Thank you nene I am so greatful for you sharing and I am sorry for your loss.

I have just spoken to Mum and her Ob doesnt have practising rights at the hospital she is at (a big public hospital) but he has phoned her and has organised an experienced ob to be seeing her.

Aparently also the admitting nurse told my sister it was a good thing it looks like only one of the sacs have ruptured so they must be in seperate sacs (is this possible with identical twins?)

they are giving her plenty of fluids at the moment and she is having another scan soon to see how they are going.

I will also post this in the reccomended section thank you

#6 nene

Posted 21 October 2012 - 09:04 PM

All the best ... Fingers crossed for a very positive outcome.

Good news about separate sacs!

#7 Elemenopee

Posted 21 October 2012 - 09:17 PM

QUOTE (nene @ 21/10/2012, 10:41 AM) <{POST_SNAPBACK}>
I just wanted to add my twins were not identical. Being in different sacs saved one of them.


Not just separate sacs, separate placentas.

A quick run down on the main 3 types of  twins:
Mono chorionic/Mono Amniotic - Identical twins, one amniotic sac, one placenta. A small percentage of ID twins
Monochorionic/Di Amniotic - ID twins, 2 amniotic sacs, one placenta (your sisters twins OP)
Dichorionic/Di amniotic - Fraternal twins (and ocasionally ID twins), 2 amniotic sacs, 2 placentas

Unfortunately with ID twins as they share one placenta. They will both be born at the same time. Google the member Quixote OP. Her girls were born around this gestation. It took a long time, but she took 2 girls home. I am crossing everything that your sister can hang on until a few more days and get some steroids on board. Wishing her all the best.

#8 libbylu

Posted 21 October 2012 - 09:28 PM

You can find links to survival rates for prem babies like this one:

http://www.spensershope.org/chances_for_survival.htm


It is touch and go up to 26 weeks though, so keep everything crossed she can keep them in at least a little longer.  Every day counts, as according to this website, chance of survival increases by 2-3% per day between 24-26 weeks gestation.  Wishing her the best of luck.

#9 muminwaiting

Posted 22 October 2012 - 04:01 AM

Thank you for that information libbylu and elemenopee.

she is having a big scan today so the dr's will have a better idea of what is to come.

thanks again

#10 MrsApple

Posted 22 October 2012 - 11:37 AM

How are things going OP? a good friend of mine had identaical twins who are now 3 years old and healthy. Her waters broke at 22 weeks and they were born at 26 weeks and 3 days.



#11 frogneek

Posted 22 October 2012 - 01:18 PM

Hi op- my first dd was born at 20+6 after pprom at 17 weeks. Both my girls were separate sacs same placenta. My second dd was born at 23+6 so 3 weeks later - although extremely unheard of it does happen. There is a chance both bubbas can pull through, hope everything goes well today!

#12 Elemenopee

Posted 22 October 2012 - 05:23 PM

Thanks frogneek, I didn't know that can happen.

#13 miinii

Posted 22 October 2012 - 05:29 PM

Just checking in to see if you have any news about your sister and her twins. I hope no news is good news OP

#14 nene

Posted 22 October 2012 - 06:08 PM

Thinking of you & your family OP.

#15 muminwaiting

Posted 22 October 2012 - 06:16 PM

some better news today. both babies are measuring more than 700gms  biggrin.gif  my sister has been given steroids and is still on fluids and antibiotics.

Her ob is quite happy at the moment as the babies are urinating and have fluids in their stomachs which apparently is all good news  original.gif  she is still on bed rest and will stay in hospital but tonight we are alot more hopeful!

thanks again for all of you sharing your information and stories we really appreciate it.


#16 nene

Posted 22 October 2012 - 08:46 PM

Fantastic!! That's wonderful news for you all original.gif

#17 Therese

Posted 22 October 2012 - 08:51 PM

That's great news muminwaiting.

#18 Elemenopee

Posted 22 October 2012 - 08:54 PM

Wow they are a good size for that gestation. A good weight is a good starting point if they are born soonish. Glad she is holding on, crossing fingers for another week or 2 at the very least and the steroids to kick in.

#19 Soontobegran

Posted 22 October 2012 - 08:56 PM

That sounds very promising OP original.gif
Those babies are a very good size for their gestation....this will make things considerably easier if they are born as micro premmies.

#20 miinii

Posted 22 October 2012 - 09:49 PM

So Happy to come here and Read something positive. I really hope for a great outcome!


#21 mumz3

Posted 22 October 2012 - 10:19 PM

Hi Op My son was born at 26 weeks after prom at 13 weeks. He was born at 990 grams. He is now 7.5 months old and going fantastic.

There is lots of support groups on facebook for people with pprom. They are a great bunch of people from all over the place and lots of information on there.

If you have any questions about my journey please feel free to pm me Sending bbighug.gif and hope she holds on longer

#22 Mariamsmum

Posted 23 October 2012 - 06:43 AM

Wonderful news! I hope the babies continue to bake for a few more months yet.

#23 Jet07

Posted 23 October 2012 - 07:39 AM

Hi,

I haven't logged in to this site for a few years but a friend told me about this post. My full story was published as a Feature Member story in 2009
http://www.essentialbaby.com.au/life-style...90727-dy19.html

My waters broke at 24+5, and although I wasn't feeling contractions the monitor showed I was contracting. I was given steroids but unfortunately they couldn't stop the labour and the boys were born just 14 hours later (steroids need 24 hours to take effect) at 24+6 weighing 620g and 740g.

As you will read one survived and he is now nearly 10 years old (wow I still can't believe that!). The other lived 53 days. Obviously medical care has improved greatly in 10 years so outcomes are higher than they were then, but you still need to be aware of the difference between "survival" rates and "outcomes". Most babies born this early do end up with some sort of long term issues. My survivor (we say he IS a surviving twin - not he WAS  a twin) has very mild cerebral palsy, borderline intellectual disability and various other "├»ssues" but has a great quality of life.

On top of that in 2005 I attended a medical conference called "Perinatal Care at the Borderlines of Viability" which was looking at the then current guidelines for NSW and ACT for when to initiate care and when to withdraw care. We voted to maintain the status quo that there is a grey area between 22 and 27 weeks where it should be decided on a case by case basis. As you probably know survival rates at this stage go up by  few percent per day so every day they stay in will really help.

I think I can still get PM's to my email (I hope!) so if you want further info or to chat send a message as I may not get back in here again.

Edited by Jet07, 23 October 2012 - 09:38 AM.


#24 Jet07

Posted 23 October 2012 - 08:56 AM

I thought of heaps more to say while taking my boys to school.

As well as my experience of supporting others on this site up to a few years ago when I returned to work, and at Austprem, and various other premmie support groups on Facebook, I have two very close friends who have also had male micro premmies. One born at 28 weeks at Royal North Shore in Sydney is now 6 or 7 years old, at school, and showing absolutely no signs of his early birth. Another born a few months ago in Chicago at 25 weeks has gone home from hospital last week with nothing out of the ordinary showing yet. Shea's outcomes were due mainly to his Grade IV IVH (brain bleed), which is the worst level of brain bleed. Without that he wouldn't have CP or ID or some of his other problems.

Some of the research we have supported through our fundraiser in Tainn's memory over the last 10 years, has looked at reasons why boys don't do as well as girls (which has been known anecdotally for a long time). The researchers at HMRI have found a molecular difference between genders which lessens as gestation increases and disappears by 30 weeks. Now they know what the difference is they are trying to get further funding to work out what to do about it to increase outcomes for males.

I am glad your sister is at a large public hospital. Smaller and private hospitals are not equipped to deal with micropremmies. Most can only handle births from about 32-34 weeks when a SCN is needed rather than a NICU.

All the best for a long boring period of bed rest or your sister!

Edited by Jet07, 23 October 2012 - 08:58 AM.


#25 nene

Posted 25 October 2012 - 08:01 PM

How's your sister going OP?  You are all still in my thoughts!




1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Ada Nicodemou: 'I can never be completely happy again'

Home and Away actress Ada Nicodemou has opened up about the loss of her stillborn baby.

10 things to consider when you're thinking about trying for a baby

Before you start tracking your menstrual cycle and reading up on the best positions to get pregnant, there are a few other things you may want to consider.

Baby Gammy's dad tries to claim charity money

The biological father of baby Gammy has reportedly tried to access charity money raised for the little boy's medical costs.

How special surgery and IVF can create a post-vasectomy baby

Cricket legend Glenn McGrath and his second wife Sara are expecting their first child together, thanks to IVF and a delicate surgical sperm retrieval process that helped the couple to conceive.

Belle Gibson's mother 'disgusted and embarrassed'

The mother of disgraced wellness blogger Belle Gibson has accused her daughter of lying about her childhood in an attempt to garner public sympathy.

Life On Mars

It's men who need 'retraining', not women

We are all responsible for our own behaviour. Telling victims to harden up is wrong.

Doctor's mobile phone 'left inside c-section mum'

A new mum claims a doctor left his mobile phone inside her after delivering her baby via caesarean section.

I'm a mum and I'm following my dreams

I want my kids to know that no matter what happens in life, you can still be who it is that you've always wanted to be.

Those first daycare days

I had this innate 'mum' moment the other day.

'If one person had listened, my life would have been so different'

Katherine's father will die in prison for the horrifying sexual abuse of his daughter. Yet she is the one with the true life sentence.

Couple to celebrate terminally ill baby's birthday in unique way

Baby Jai Bishop has lived at Starship Hospital for the past seven months, with his parents flying back and forth from Hokitika, 1100km away, to be by his side.

This new plan undermines breastfeeding and baby health at everyone's expense

Mothers, babies, the health system and the wider society are going to pay the price of this new budget.

Trying to understand why your baby is upset

Working out what?s underlying your baby's fussiness can be a case of trial and error. Here are a few common causes and how you can remedy each one.

When those you love judge your parenting

In today's society, never has it been harder to parent without judgment. But what about when judgment is coming from closer to home?

Don't play the victim blame game with family violence

It's not a woman's job to teach violent men how to behave.

11 truths about having two under two

When I told my mothers? group that my husband and I had started trying for our second baby they told me I was crazy. Now I can see why.

'How do you say goodbye to someone you've only just started to get to know?'

New mum Sarah Sutton was faced with a shattering scenario no person should have to endure.

It's a ... boy! Couple welcomes son number 13

"It's a boy!" That's the phrase Kateri Schwandt has heard in labour delivery ward for the 13th time in her life.

Six reasons to go for a walk

Can't find time to get to the gym? It could be just as beneficial to put your baby in the stroller and go for a walk.

Seven questions you should be asking about your health cover

If the last time you assessed your health cover was five years ago, there?s a chance it may no longer suit your needs. To ensure it?s still right for your family, click here for seven questions to ask.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Where are the childcare places?

It?s all very well to encourage women to work if they choose to, but how can the measures lead to increased workforce participation when women are once again left holding the baby?

The pain of not having babies and not knowing why

After seven years of wishing, hoping, crying, punching pillows and shouting "why me?!", the end result is more than I ever thought possible.

Getting your family finances in order

Whether you're after a new car for a growing family, a bigger house, or are just fixing up your finances, here are the basics on borrowing.

Mum shares graphic selfie to warn against tanning

A mum has shared a graphic photo of her skin cancer treatment as a warning to others.

Does parenthood make us happier?

We can certainly gain higher levels of happiness when we become parents, but the trick is to not get overwhelmed by the pressures of raising our kids.

No, having a dog is not like having a human child

It's obvious these people dote on their pets, but they're barking up the wrong tree.

Toddler styling

Seven things my toddler taught me about my home

My standards at home were never that high but having a two-year-old has taught me to be cool with chaos.

Australia's top baby names of 2014

The numbers have been crunched and it's official: Australian parents are having a bit of an 'O' moment.

How to set up the perfect nursery for your baby

You'll soon be meeting your baby, but you've got one big task to get done first: setting up a comfy, calming nursery you'll both be able to enjoy.

Childcare rebate: tougher rules for stay-at-home mums

A new form of activity testing will be introduced to ensure the highest subsidies go to parents who contribute the most to the workforce.

The women who desperately need more support in pregnancy

For women suffering from chronic morning sickness or hyperemesis gravidarum, pregnancy can be the roller coaster from hell.

When labour doesn't happen and you're induced

I never actually went into labour - so by 42 weeks I was booked in for induction.

Mum's grief for triplets inspires change

The death of Sophie Smith's triplet baby boys has motivated the half-marathon mother and her team to raise $1.25 million for charity.

The best advice for treating head lice

Just like a horror movie ... THEY'RE BAAAAAACK. So what works in treating and avoiding head lice and nits?

Overdue and over it

A watched womb never labours ... or at least mine didn't.

Parenting an early walker

Watching your child take their first wobbly steps is one of the best parenting highs you'll ever experience. But with that high comes a new reality.

Baby-led weaning worked for us

My baby wasn't interested in food - until we tried something new. Now she's eating it all, and it often comes from my plate.

'Paralysed bride' becomes a mum

Rachelle Friedman Chapman was preparing to marry the man of her dreams when tragedy struck four years ago.

 

Top baby names

Baby Names

The numbers are in and we can now bring you the 2014 top baby name list for Australia.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.