Jump to content

Likelihood of prem birth after first child was late prem?


  • Please log in to reply
14 replies to this topic

#1 epl0822

Posted 14 January 2013 - 02:21 PM

My first child was born just under 36 weeks - a late prem. I have been healthy my whole life and throughout the pregnancy. No major stress during pregnancy either. I have no idea why I went into labour a month early. Aside from being the tiniest baby on the ward, DS had no health problems.

Now that we are thinking of TTC #2 I have been wondering about the likelihood of giving birth early for the second time. I can't find any info on this other than some studies showing that women are more likely to have premature births for second and subsequent children anyway. We have taken out PHI and it does not kick in until later on in the year. So if I get pregnant quickly I am slightly worried about having to pay huge hospital bills if I go into labour a month early again (I guess I will go to a public hospital in this case). Has anybody had an early birth for their first child then went onto deliver at term for subsequent children? Did your OB say you had a higher chance of prem birth for the second pregnancy?

#2 cinderellainsydney

Posted 14 January 2013 - 02:52 PM

Hi,

Yes, in general, having one previous pre term birth increases the chances of subsequent birth/s being preterm also. However it really depends and health can change between pregnancies. Having pre term babies is not a risk on its own, rather the presence of factors that are known contributors such as shorter cervical length, abnormal uterine flow, use of marijuana, lack of overall feeling of well being, being of  Caucasian ethnicity, hypertension, having had abortion/s, having a mother with diabetes and/or a history of  preeclampsia, and a family history of low birth weight babies etc etc.

For example, if you are in Tropical North QLD, you could say that because of previous cyclones in your area, the likelihood of future cyclones rises, but the main risk factor is your geographical location NOT the statistical relationship between past and future results.

Your obs. can evaluate your risk by examining each of the contributing factors.
There were a few studies about pregnant women who have previously had preterm babies might be able  avoid another preterm birth if taking progestrogens,




#3 sqawk

Posted 14 January 2013 - 03:01 PM

PHI uses your EDD as to whether it will cover your delivery costs.  So as long as your EDD (as agreed by your caregiver) is after the date when you cover kicks in, then you will be covered, even if you then deliver early and its prior to that date.

#4 Corella

Posted 14 January 2013 - 03:08 PM

I would have thought being Caucasian was protective - that being of ATI background, or a recent/first generation migrants increases the prenatal predictors of premature birth.

#5 epl0822

Posted 14 January 2013 - 03:50 PM

QUOTE (sqawk @ 14/01/2013, 03:01 PM) <{POST_SNAPBACK}>
PHI uses your EDD as to whether it will cover your delivery costs.  So as long as your EDD (as agreed by your caregiver) is after the date when you cover kicks in, then you will be covered, even if you then deliver early and its prior to that date.

Oh really? Is this across all health insurers? I didn't know this, thank you for posting!

#6 sqawk

Posted 14 January 2013 - 03:53 PM

double check with your insurer but Im pretty sure its across the board.  you may need a letter from your ob/care giver stating your EDD if you do end up delivering "early"

#7 Jessie_T

Posted 14 January 2013 - 08:53 PM

QUOTE (epl0822 @ 14/01/2013, 04:20 PM) <{POST_SNAPBACK}>
Oh really? Is this across all health insurers? I didn't know this, thank you for posting!



No it's not all phi. The one I a, with, goes by edd but the other one I was looking at goes by the date the baby was born. So if bubs came early and you weren't in it for 12 months, you weren't covered.

#8 fairymagic

Posted 14 January 2013 - 08:59 PM

I would check with your PHI provider as this is not the case with all insurance companies. Make sure you also have family cover if going to a private hospital - this will cover your baby should it need a higher than normal level of care.

Re having had a 36 weeker - it does not guarantee another early bubs. It does depend on why you went into labour early last time - if the cause is known. Were your dates accurate last time?? It is certainly something your OB will need to know about (if you didn't have him/her last pregancy) and they may keep a closer eye on you but it doesn't mean you will have an early bubs again. Interestingly, a friend of mine had a 36 weeker (breech) then had a 28 weeker due to placental abruption and then went to 40 weeks with her third.

Good luck and enjoy your pregnancy (when it occurs). Try not to stress of the birth date until it happens. original.gif

#9 black cherry

Posted 14 January 2013 - 09:00 PM

Hi op, I know HCF goes by EDD in case you are with them.

#10 new*to*this

Posted 15 January 2013 - 09:46 PM

I'll be watching this thread as DD was a 35 weeker too (cause of prematurity unknown) and we're also planning on conceiving a second this year. Based on my family history (I was 1 month early and my younger brother was only 1 week early) I'm expecting to bake the next one a little longer but I'd be interested to hear of other people's experiences.

#11 mez70

Posted 16 January 2013 - 08:43 PM

one thing I would also like to make sure people know that is regardless of EDD if you have preg complications that require bed rest etc, bad morning sickness etc They WILL NOT BE covered, whilst you are still serving the waiting period. I know a lot of funds won't budge on bubs arriving before due date and if you get told they will cover delivery based on EDD get it in writing...

I was admitted on bed rest with both my pregnancies, first time I was admitted for 10 days at 28 weeks, discharged and then delivered at 31 weeks, (was very nearly in hosp for the duration though and only allowed home as I had no kids and could rest)

Second pregnancy I was admitted for 3 nights at 33 weeks and went on to have bubs at 37 weeks

#12 epl0822

Posted 18 January 2013 - 02:34 PM

QUOTE (mez70 @ 16/01/2013, 09:43 PM) <{POST_SNAPBACK}>
one thing I would also like to make sure people know that is regardless of EDD if you have preg complications that require bed rest etc, bad morning sickness etc They WILL NOT BE covered, whilst you are still serving the waiting period. I know a lot of funds won't budge on bubs arriving before due date and if you get told they will cover delivery based on EDD get it in writing...

I was admitted on bed rest with both my pregnancies, first time I was admitted for 10 days at 28 weeks, discharged and then delivered at 31 weeks, (was very nearly in hosp for the duration though and only allowed home as I had no kids and could rest)

Second pregnancy I was admitted for 3 nights at 33 weeks and went on to have bubs at 37 weeks

If this happens, can you go to a public hospital? Or would you have to switch from private to public entirely?

Just in case anybody is interested, I mentioned this question to my GP when I saw her for something else this week. She said birth at 36 weeks is not of any concern because it's pretty much nearly full term. When asked about my likelihood of going into early labour again she said anything could happen with subsequent pregnancies but it's highly unlikely I'll be late (ie beyond 40 weeks).

#13 mez70

Posted 19 January 2013 - 08:43 PM

Yes if you had any antenatal complications and required admitting during the waiting period the choice would be either A: self fund private stay (huge dollars payable by yourself) or B; you would be admiited to a Public Hosp as a Public Patient and therefore you would also be seeing dr's etc other than your chosen OB etc.. Would depend on why and how long you are staying as to  if your would need to change from private to Public as well.. Eg 3 nights for rehydration and Morning sickness etc is not going to have any major impact on what is happening say 30 odd weeks later...You would neede to chat with your health fund and provider......


#14 fairymagic

Posted 22 January 2013 - 08:54 PM

I would check with your OB with regards to being admitted to hospital whilst serving your waiting period. If in a public hospital your OB may still be able to care for you privately - that care may come under the Pregnancy costs you pay your OB?? Just check at your next appt.

#15 FiFiLicious

Posted 23 January 2013 - 08:47 PM

My #1 was born 36 weeks IUGR due to placenta problems. I had a very big bleed at 12 weeks which was assumed that it was part of the placenta tearing away.

I didn't worry about # 2 as a result. So when I started bleeding again at 30 weeks, I figured my body may not be able to grow placentas well. ( he was born finally at 32 weeks). I would not even consider a third as I am too high risk now ( 38, hypertensive, previous prems and 1 cranial deformity - cleft)

The good news is, unless the baby is a micro prem, most babies born post 30 weeks are ok ( need much assistance to begin with) not to say thaperfect 30 weeks is dire, but the risk of longer term issues is higher of course.

Your care by your OB is covered by your OB fees in hospital if you need to go in pre birth.  What you may not be covered for is hospital room and surgery/delivery which would mean you would go public and lose your OB for the delivery, especially If they aren't affiliated with the public hospital closest to your home.

So for eg, I live in syd and close to RPA, but my OB works in POW and womens.  If I wasn't covered, I would have to go to RPA as a public patient but my OB could still advise me, consult etc.  they would not be able to examine or perform the delivery At RPA.

Good luck!




2 user(s) are reading this topic

0 members, 2 guests, 0 anonymous users

 

Special Ticket Offer, Save $8!

The Essential Baby & Toddler Show is back this April! Save $8 off the door price for a limited time only!

Finding baby name inspiration in unusual places

Sometimes the greatest baby name ideas come from the most unexpected places, as these EB members show.

The case for inducing at 37 weeks

While we often think of pregnancy as a 40 week affair, experts agree that 37 weeks is actually “full term". So is there an argument for inducing all births at 37 weeks?

Does controlled crying really work?

Controlled-crying techniques may help some babies sleep through the night, but for many exhausted new parents, it's just a recipe for more tears all round.

How I taught my infant to use a toilet

As people become more aware of these benefits, I hope more parents will practice this method, so we can cut down on nappies and improve baby bonding.

'I thought it was impossible': Emily Symons pregnant at 45

Aussie actress Emily Symons has announced she is pregnant with her first baby.

Shallow water blackout kills fit, healthy dad

A little girl will grow up without her father after the fit and healthy 34-year-old passed away while doing something he had practised his whole life.

Afternoon naps may be bad for toddlers' sleep

You could be doing yourself a disservice by encouraging your toddler to have an afternoon nap, according to new research.

Best gifts for newborns, new mums and christenings

We've compiled a guide to some of the most popular presents for newborns and new mums, and for christenings and naming days.

Jaime King to be a mum again

Actress Jaime King is pregnant with her second child, giving 16-month-old James a sibling.

Nannies should receive government funding

The Abbott government should extend funding to nannies, and direct childcare payments to low and middle income families, a landmark study on childcare has found. 

Common skin irritations in newborns (and how to treat them)

As many as one in two newborn babies suffer from skin irritations in their first few weeks. So what are the most common rashes and irritations to look out for?

10 wall decals for the nursery or playroom

Wall decals are the answer to creating a beautiful nursery or children's space without lifting a paint brush, a spirit level or even a hammer.

Preschooler walks 2.4km home alone

Three-year-old Cain Trainor headed off home after his first day at a new preschool without telling anyone.

Video: Why mums get nothing done

In spite of being in an almost constant state of motion while looking after the kids and trying to keep things together at home, it can seem as though parents have managed to get nothing on the to-do list done by the end of the day.

The middle name game

The middle name is no longer an afterthought, and parents' inspiration comes from many places.

Have a baby or your money back - but there's a catch

A new IVF scheme offers couples the chance to fall pregnant and give birth - or get their money back. But there's more to it than you might think.

A rare glimpse inside the womb

A baby born still inside the amniotic sac gave US doctors a rare glimpse at life inside the womb.

Battered mum forced to write to her attacker ex in jail

Three years ago Jason Hughes viciously attacked his ex-partner. Now she has to write to him three times a year.

Woman pleads not guilty to ultrasound scam

A West Australian woman will fight allegations that she scammed expectant mums by selling them fake ultrasound pictures of babies.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Brain damaged mum receives compensation

A Sydney mother who suffered brain damage when she was hit by a car while pushing her newborn baby in a pram has reached a confidential out-of-court settlement with the driver's insurance company.

Indigenous midwives break down the barriers

A culturally sensitive midwifery service has gained the trust and respect of Aboriginal women.

The Katering Show's next big delivery

Most mums-to-be plan to take things easy and perhaps have a little break from work as the birth of their baby draws near. Not Kate McCartney.

53 creative pregnancy announcements

Announcing that you're expecting can be a time to express your creativity, sense of humour and imagination. Check out how other parents and parents-to-be have broken the news to friends and family.

Why I have mixed feelings about Cindy Crawford's leaked photo

Last week an un-retouched photo of model Cindy Crawford surfaced, showing the 48-year-old mother-of -two posing in underwear.

How to create a Peppa Pig pancake

Thought your toddler could not love pancakes any more than they already do? How about if the breakfast treat came in the shape of every two-year-old's favourite cartoon character?

'It's a little life, not a little loss': pregnancy after miscarriage

I thought I was never going to be able to have a successful pregnancy. I decided that I wasn't going to form an emotional attachment with this baby.

Bonds Baby Search 2015: what you need to know

February 18 marks the start of one of the most prolific annual baby competitions in Australia: the Bonds Baby Search. And this year is going to be more special than ever.

Who will manage your Facebook account when you're gone?

This is not something that people like to talk about, but Facebook has announced that it will grant users more control over what happens to their pages after they die.

Struggling mum of four wins $188 million

Mother of four Marie Holmes was financially struggling after quitting her jobs at Walmart and McDonald's in order to care for her children.

Pregnant obese women a 'relatively new problem', coroner hears

A first-time mother whose daughter died hours after her frightening birth insists she was never told of the risks of being obese and pregnant.

'I'm angry as hell': the story behind mum's passionate vaccination plea

She has labelled parents who do not vaccinate their children "misinformed imbeciles" - and for that, she makes no apologies.

IKEA hacks for the nursery and kids' rooms

Are you one of those that know the whole IKEA catalogue by heart? Love their stuff but want to personalise it? Here's some inspiration to help you realise the potential of IKEA furniture and fittings.

8 different kinds of tantrums

I never thought I’d say this, but for a brief moment last week, Kim Kardashian and I had something in common: both our kids had public tantrums.

Polycystic ovary syndrome: symptoms, treatment and your fertility

Polycystic ovary syndrome (PCOS) is the most common female hormonal condition, affecting roughly one in 12 Australian women.

What's the best position for giving birth?

If doing it on your back is out, what's the best position for labour and birth?

Wife forgives snake catcher husband for car surprise

With Valentine's Day coming up, Nat Gilbert could be forgiven for thinking her husband might be planning a surprise for her.

Kids who meet milestones at their own pace

We usually only hear the success stories: tales of the two-year-old who’s talking, running and completely toilet trained. But other stories need to be told too.

Ruby shines as Bonds Baby

Sarah Kiss has a word of advice for proud mums and dads who are keen to enter their babies in this year's Bonds Baby Search Competition - just have fun.

Why dads should go to sleep school

If your family needs to go to sleep school, go with them. You are part of that family and you are part of the solution.

36 baby names inspired by food and drinks

A French court may have ruled out Nutella as a baby name, but that doesn't have to stop you from taking inspiration from the supermarket (or bottle shop). See what parents in the US have chosen for their delicious little ones.

Clever breastfeeding products

Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.

 

Win a KitchenAid Mixer

Let's celebrate 300,000 fans on Facebook

To celebrate, and to thank our amazing fans, we?re giving away a KitchenAid Artisan Tilt-Head Stand Mixer.

 
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.