Delivered at 23 weeks after recurrent bleeding — was there a missed warning sign?
By <name>/u/LoarcaLuna</name><uri>https://old.reddit.com/user/LoarcaLuna</uri>
It’s a bit of a long story so thanks for taking your time….🫶 I’m trying to understand something that has been very difficult for me to process, and I would really value an opinion of anyone who knows about this. I had recurrent bleeding from 10 weeks, with hematomas seen around the placenta. Around 21–22 weeks, I developed increasing cramps/contractions, sludge in the amniotic fluid, and some kind of tissue looking material coming out of the vaginal canal. My CRP began rising, and I was treated with antibiotics for a suspected urinary/vaginal infection. I was hospitalized for about six days before my daughter was born at 23 weeks because of heavy bleeding and contractions. A vaginal bacterial test was negative, and infection became less suspected. I was eventually sent home because there was felt to be little more that could be done. My daughter was born after my waters ruptured (placental abruption). The placental pathology later showed moderately severe acute chorioamnionitis with fetal inflammatory response (maternal stage 3, fetal stage 2–3), consistent with an ascending infection of some duration. It also showed a fresh and organized marginal/retroplacental hematoma. The pathologist concluded that the combination was probably responsible for the extremely preterm birth. My question is: Looking back at the rising CRP, chills/feverish episodes, contractions, bleeding and sludge in the amniotic fluid (strangely some doctor made a funny comment of these sludge), could chorioamnionitis reasonably have been suspected before my waters ruptured? Does a negative vaginal bacterial test rule out infection inside the uterus? And could further investigation or different treatment at that point potentially have changed the outcome? I’m not looking to blame anyone. I’m trying to understand whether there were warning signs that could realistically have been recognized before it was too late. submitted by /u/LoarcaLuna [link] [comments]
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