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 :::

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!




0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users

 

11 things that will happen when you're breastfeeding

After having three children and various degrees of success feeding them all, there's one thing I can tell you: virtually nothing will go as planned.

Surgery for baby born with a tail

A baby born with a tail has had it removed after doctors feared the birth defect might cause long term damage to his lower body.

When 'skin to skin' becomes a family affair

An adorable photo of a little boy and his dad enjoying skin to skin contact with newborn twins is melting hearts everywhere.

35 hilariously weird 'top tips'

Who would have thunk it? We never knew there were so many uses for feminine hygiene products. 

Pregnancy skin woes: acne, dry skin, itchy skin

Here are some of the most common skin complaints in pregnancy and how to tackle them, face on.

Watch this fun dance class for babywearing dads

Is there anything sexier than a babywearing dad?

Parents, this is how to cut grapes to avoid choking

One mum has learnt a harrowing lesson about the best way to cut grapes to make it safe for toddlers and little kids to eat.

When your kids have totally different temperaments

Sometimes it has felt like whiplash parenting. She perches watchfully while I vacuum; he tries to climb on and go for a ride.

How do our stress levels influence our baby?

Since having my second baby a number of people have commented on how placid, content and settled he is and, similarly, many have commented on how this is a reflection of how I am with him.

Separation anxiety isn't just for kids

Despite its prevalence, most doctors tend to be reluctant to diagnose adult patients with separation anxiety.

A charm bracelet, a boy, and my beliefs questioned

I was staring at the face of my son, realising that my once steadfast decision to be open minded was quickly unravelling at the seams.

Why I'm so grateful for Hayden Panettiere's PND honesty

There are baby steps and giant leaps forward. But there are steps backwards, too. And, oh, how they can hurt your heart.

The heartbreaking story of little Moko

The mother of 3-year-old Moko Rangitoheriri said she should have picked up on the signs. {Warning: distressing content}

Kate Beckinsale and teen daughter recreate birth photo

Kate Beckinsale has recreated her daughter Lily's birth photo, 17 years after she was born.

The adult-size stroller you'll want to test drive

It's one of the biggest baby related purchases they will make, so it makes sense that parents-to-be get a chance to road test a stroller.

Pregnancy announcement shows the reality of IVF

It's a long way from baby booties or bump shots people have become accustomed to in social media pregnancy announcements.  

Soleil Moon Frye welcomes fourth baby

"Punky Brewster" is a mom again, for the fourth time. Soleil Moon Frye announced the birth of her baby boy, Story, on Instagram Wednesday.

Mum breastfeeds baby found abandoned on the street

A woman has been praised as a "beautiful mother" after breastfeeding a baby which had been abandoned at the side of a street. 

A birth with a difference: the 'natural caesarean'

We've shared stories of gentle caesareans before, but a new video shows a new option called a 'natural caesarean'.

Baby name inspiration by music genre

If you're all about the music, then you'll need a musical name for that baby. We've got all the lists for you by music genre.

Giving effective instructions to toddlers

One of the most common errors made by parents is in how they give instructions to their children.

 
Advertisement
 

Top 5 Articles

Advertisement
 
 
 

What's hot on EB

The babies who are one in 70 million

Bethani Webb was excited to find out she was pregnant, but the first time mum did not realise she was carrying four babies not one.

Cafe offers breastfeeding mums a free cup of tea

A Sydney cafe is offering breastfeeding mums free cups of tea in a bid to show support for the right of women to nurse their babies wherever they choose.

To snip or not to snip? When the decision is not clear cut

Jamie Oliver, who considered a vasectomy, is to be a father again. A fellow dad reflects on his own decision 11 years ago

Doctors stunned by rare twins born almost six weeks apart

To everyone's surprise, Kristen Miller "kept doing better each day", keeping her second baby safe.

Baby book ideas for modern parents

Before my son was born I was given a lovely baby book full of blank pages waiting to be filled with weights and heights and first words.

The adorable smile of a baby seeing his mum clearly for the first time

There is no doubt seeing their child smile for the first time is an unforgettable moment for parents everywhere.

Mum tells how toddler 'nearly hung himself' in cot mishap

When Alison Johnson put her 18-month-old Caleb down for a nap, she had no reason to believe her son was in any danger.

Babies are still switched at birth? Yes, it can happen

All my panic and tears aside, my biggest question looking back is about the kind of security measures used in the maternity ward.

Doctors slammed for taking selfie with newborn

Everyone who visits a mum in hospital in the days following childbirth wants to get a photo with the new baby.

ergoPouch Twosie Sleepsuit for winter breastfeeding

Finally, there's a way to keep warm while breastfeeding through winter.

Health check: How long does sex 'normally' last?

What to do with this information? My advice would be to try not to think about it during the throes of passion.

When breastfeeding sucks: fixing common problems

From niplash to tight boobs, biting to milk supply issues, Pinky McKay looks at common breastfeeding issues and how to solve them.

10 things I've learnt in my first six months with twins

Six months on we're all still alive, and the more we get to know each other the easier the days become.

Mum's loving kiss leaves baby fighting for life

Kirsty Carrington thought nothing of giving her newborn son a kiss, little did she know it would leave the baby fighting for life.

When doing chores is your new 'me time'

After children, 'me time' looks a little different.

Get going: 14 travel strollers for families on the move

A stroller can make or break travelling with a baby or toddler. Here are 15 great single travel stroller options.

10 ways toddlers are terrific

It always pays to remind yourself of how terrific toddlers can be - they're little like this for such a short time

 

Vintage Toys

The toys of your childhood

Take a trip down memory lane with these vinage and retro toys that you may have had in your childhood or your parent's childhood.

 
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.