Week 26 to 27+: Better understanding on (P)PROM

 

Ever since my last post on my situation, I have come to understand more about this medical condition – Premature Rupture of Membranes (PROM) or rightly put – mine should be Pre-term Premature Rupture of Membranes (PPROM).

PROM refers to the premature rupture of membranes after 37 weeks whereas PPROM refers to the premature rupture of membranes any time before 37 weeks. Evidently PPROM posed a higher risk, depending on the gestation age of your baby when it happens. The earlier PPROM occurs in a pregnancy. the greater the risk.

 

A search on the internet will reveal much information on PROM and PPROM. However, this is one of the best websites I’ve found both informative and encouraging – (P)PROM. It is actually a good website providing not just information, but a support group for (P)PROM QUEENS! (don’t you love the name given to us? 🙂 )

 

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From this website, you can also find a facebook page specially set up for (P)PROM Mums and Dads.

 

 

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Both the website and facebook page provided many similar stories on (P)PROM cases and what happened to their babies eventually. I found this extremely useful and encouraging especially for first-time (P)PROM parents-to-be.

 

Loved the way many stories are written – full of hope and anticipation of miracles. 🙂 Read a few for inspiration! 🙂

Week 24 to 25: Random Hospital Stories

We made it! 🙂 Baby and I had since moved on to the obstetric ward after passing the 24th week of gestation. Prior to that I was in the general ward catering to all women’s sickness + pregnancy cases below 24 weeks of gestation.

24th week is the “week of viability” – according to the medical world. Next hurdles are 28th and thereafter 30th, 32nd and 34th week… I am really counting the days, hrs, minutes even! Time do flies (I have been here for 4 weeks already!); but sometimes I feel that it crawls! Especially on days when I am really really bored of reading another book or sleeping!

Anyhow, just wanna share about a “life-in-a-hospital” from my eyes/ears (‘cos I can’t see through my drawn privacy curtains half the time; my ears have been trained to “see” things!). The hospital is a really interesting place…..

Random thoughts/stories

1) Meals: We are served 6 meals a day here. Made up of breakfast, morning tea (only barley water), lunch, afternoon tea, dinner and night snack (always a milo and wheat biscuits). No pictures to share – ‘cos I am so bored of the food (unlike my first stay at TMC). After 3 weeks of Chinese food selection, I decided to change to Muslim food selection for a change of variety. Guessed what.. one of the hospital food assistant who delivers meals kept staring at my name tag and finally couldn’t take it and asked me “ Are you a Muslim convert?” I am so amused.. guessed maybe I am pretty much the only Chinese asking for Muslim meals here or my skin is too dark!

2) Interesting patients:

Patient J: She was my first next-bed neighbour in Ward 43. A 40+ auntie who converse mainly in English. She was touted a “nightmare” to almost all nurses and doctors! On my first day there, the same young doctor who attended to me made some faces to me before entering her “cubicle” (trying to say she is a pain in the neck!). Nurses have also in turn made faces whenever they went to attend to her countless and almost unreasonable requests. J always has something to pick at and something “extra” for the nurses, doctors and attendants to do!

Lo and  behold! She is a self-professing Christian too! After knowing I am one too; she asked me if I know the pastors personally.. I say.. hmm.. yes – maybe some indirectly but not too personally. She lamented that her pastor doesn’t know her “personally”! aiyo.. she is one complain queen! But she became a friend to me; even after I shifted to another room. She came by to tell me stories, bring me the regular newspapers and also informed me when she was going to be discharged!

One week later, my mum saw the same Patient J in Chinatown, wearing a mini-skirt, sexy top, high heels and havoc makeup – going for a Chinese doctor’s appointment. 🙂 Did I mentioned that she was requesting to stay in the hospital longer or be transferred to a community hospital – which she was rejected. 🙂

Patient T: She is my opposite-bed neighbour in the new Ward 32. Suffering the similar predicament as me; she also has premature rupture of membranes (PROM). She has been here 2 weeks earlier than me. I am not a sadist but it is comforting to know that I am not the only “permanent resident” here. 🙂 We have since became friends who don’t talk! ‘cos both of us are confined to our beds; interaction are left to our husbands and mothers! I have been eating more veg food (thanks to her) ‘cos she is a vegetarian (sharing common interest as my mum!). There are many exchanges of food, information and maybe just that comfort that we are in the same situation……

Patient C: A pregnant women with twins from an IVF process became my neighbour for a few days. She came in for monitoring ‘cos one of the twins wasn’t growing well. I played a “counsellor” to her; comforting her and telling her that I have been here for 4 weeks already so she is much better off!

BUT actually, she isn’t worried about her babies. She just didn’t want to stay in the hospital because it frightens her that the next time she leave this place she will be bringing her babies home. She complained that she didn’t have time to put up the nursery properly! That’s why she kept insisting of going home. Hmm… Kim and I have already “resigned” to the fact that we won’t be able to get anything ready for baby to go home.. ‘cos we just need baby to be delivered safely and healthy first…. So I can’t really comprehend how she can just think of the nursery and not her little twins!

Anyway, in the end – she still signed an indemnity form (so that the hospital won’t get into trouble) and got herself out of the hospital…. I actually don’t understand how she might want to jeopardise the safety of her twins by not listening to the drs. Anyhow, she came over to say thanks and bye. All the best, C. 🙂

OK.. enough typing before I over-strained myself. Right now, please continue to pray for the rainbow after the rain. 🙂

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Week 22 to 23+: What Happened??

As probably noticed, I was missing for a while in the blogging space. Many should know by now that I am back to the hospital!!  Yes, this time round I was warded in KKH. Been here since last Tuesday and looks like this time it is going to be a longer “vacation” here.

Wasn’t well enough to make any entries here last week; but stole the laptop from hubby to update the “world” and my friends on what exactly happened. Can’t type tfor oo long ‘cos I am not supposed to sit up for too long. Ok.. stop blabbing.  Here goes:

Basically, I was diagnosed of Premature Rupture of Membranes (PROM) shortly after I seek a second opinion. Most will recalled that I have been in and out of hospital 3 weeks back. Shortly after returning home the 2nd time, the situation didn’t improve and thus I was prompted by friends to see another specialist gynae; which thankful I did! In layman’s terms, the gynae said that my water bag has already burst and I was having contractions and could go into labour any time!!! BUT then I was ONLY 22 weeks into my pregnancy when he dropped this bombshell on us. The gynae recommended that I checked into KKH immediately and thus that’s where I had been for the last 2 weeks.

Over KKH, I went through series of blood tests, IV drips of antibiotics/saline and tons of scans…. to conclude that yes – the amniotic fluid (water bag surrounding baby) has leaked/burst. And that is termed as PROM. Essentially, now the drs and I can only prolong the pregnancy for as long as possible. If an infection sets in, they have to deliver the baby immediately. If I have contractions, labour will come as well. The danger is, I am not even in the safe period for a preterm delivery! In the medical world, a baby is considered “viable”” (having a chance to live in this world) only at 24 weeks of gestation. As such, they painted a very bad picture for us. Kim and I felt totally helpless when we were first presented the “reality”. BUT… we have came a long way to believe that baby will be fine and a miracle will happen! 🙂

Right now, I am having an ultrasound scan 2x a week, injection 1x a week, blood tests 2x a week and many other small and big tests along the way. The good news is that the Aminotic Fluid Index (AFI) has increased slightly since the day I was admitted. The summary is:

1) I have to stop leaking fluid (there is a tear somewhere in the womb) so that the aminotic fluid can be retained in the womb. The fluid is critical for baby’s lungs development at this stage.

2) Baby has to continue to regenerate more aminotic fluid in order to replenish what has been lost. A minimum of 6cm AFI is deemed as the “safe” level of fluid for baby’s lungs development. Currently I am at 1.5cm (a far cry from 0.5cm when I was admitted!). Though we are not anywhere near 6cm, we are praying. 🙂

3) Many people do not know that basically the amintoic fluid is almost 100% made up of baby’s pee! Baby will actually swallow the fluid surrounding him and then pee it out! Interesting info here (Yes, so please pray my baby pee more! haa)

4) Now it is a waiting game too. We are waiting for 23 weeks + 5 days of gestation and dr will give me 2 steroid injections to boost the development of baby’s lungs just in case he arrives early. Thereafter, we continue to pray for as long a gestation towards full term as possible. Though drs are not optimistic that I can reach full term, they are aiming for as long as baby and I can “tong”; i.e. prolonging the pregnancy for a longer period than now.

5) Yes, it looks like the long “vacation” is still going to continue here at KKH. I am not complaining ‘cos we know that a day here is a day gained. Currently, we are riding on the grace of God and the prayers of many friends and family to go through every single day. 🙂

Please continue to pray and pray for us ‘cos we are positive that your prayers are working!!! A BIG Thank you to all who are making a difference in our lives right now (all the magazines/books, the comfort food, prayers and sms and etc that are making things just that bit easier to go through daily). And of course not forgetting my mum and hubby who comes and visit me everyday without fail; taking shifts to keep me company. Love you both! 🙂