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


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#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!




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