Natural Birth and Baby Care.com

Do I have to prepare for another preterm rupture of membranes?

by Kelli
(Bolton, England)

I had my son 5 years ago, I had a big bleed at 17 weeks, my waters broke at 29 weeks but I did not go into labour. I was induced at 34 weeks and baby was fine.

5 years on I'm now 19 weeks pregnant and planning for a natural birth at home. However it seems medical staff are planning for me to have a premature baby!

I have been told to come to hospital at 28 weeks for steroids in case baby is early, I said no! I told the doctor this pregnancy is totally different, Ive had no bleed, no problems, and that I'm not willing to 'plan' for a premature labour. The doctor was not happy, and said we will have to discuss again.

I don't know what to do - I feel if I take the steroids, I am agreeing with the doctors that I am high risk, which I don't think I am, or to just stick to my guns and say no, leave me alone and if something was to happen to take action then.

Sorry to go on a little, thanks, Kelli :)

Answer:

Hi Kelli,

What an incredibly frustrating situation you're in! First, let me assure you that many mothers have found that they had a completely smooth pregnancy after a previous one had complications.

I think if you want to stick to your guns, you should - you're right, there is no reason for you to plan for PROM or any other complications.

The most important thing is for you to take excellent care of yourself so that you're doing everything you can to stay healthy and low-risk.

If you're planning for a home birth you've probably already done a lot of research on staying healthy and having the best chance for a good birth. Stick to what you've researched.

If you're having a great pregnancy there is really no reason the doctor can say you should need to take steroids or do anything to "prepare" for a premature delivery. As you said, you've had no bleeds this time around and things are different.

I would read over all the articles I have on healthy pregnancy, paying special attention to the pages on diet and nutrition.

Also, read good books that will support your choices. Ina May's books are good: Ina May's Guide to Childbirth and Spiritual Midwifery.

Also good for becoming empowered is Laura Shanley's freebirth book (even if you're not planning an unassisted birth): Unassisted Childbirth.

And as always, a good childbirth class can help you prepare for your birthing. You can take a look at my childbirth class reviews if you haven't picked a class yet.