DSD wrote:
Ambrya I hope things are starting to move. I know after 18 hours if there isnt anything going on they'll start to give you something due to risk of infections.
Thanks. The good news is, I'm started to get contractions when I'm on my feet and moving around, and the contractions are starting to feel like they mean business--maybe a 5-6 instead of the 2-3 I started out with this morning.
The bad news is, the interval is actually much longer now than it was earlier. Earlier sitting still, I was having them 3 minutes apart, and they would end when I changed activities. Now they're 10 minutes apart, but consistent.
They won't be giving me anything at the birth center no matter how long I go with prolonged rupture of membranes. The danger of infection comes from two considerations--the first is Group Beta Strep, for which I tested negative. The second is excessive internal examinations (or internal fetal monitoring), which they don't do. I've only had one internal exam this whole pregnancy, at my prenatal visit last weekend. Now that my water has broken, we're keeping them to an absolute minimum (there have been none so far) because the more times someone shoves a hand up there to check the cervix, the more danger of infection being introduced.
We will be keeping an eye on my temperature and if it looks like I'm getting a fever, we will transport to the hospital, but other than that, it's basically just hands off (and out!) and leave things alone to progress on their own. Since I'm not on a time-clock to deliver this kid like I would be under hospital procedure, there's no need to keep checking on how I'm dilating.
There's actually a video out called "The Birth of Sabine" which was done at my birth center, and the mom in the video had a PROM seven days before she went into labor, and was perfectly healthy. At the end of the video, the captions cite a study published in the 1996 NEJM that showed that danger of infection to women with up to 4 days PROM was no higher than to the women who were induced/augmented within 24 hours with the hands-off approach (I'm assuming this was controlled for factors such as GBS, though it didn't say so specifically.)
Edited, May 22nd 2007 2:34pm by Ambrya