OK back to this again. One of these must have been the cause of my PTL. I was surfing oh yet again and came across the following which I found interesting.
http://emedicine.medscape.com/article/260998-overview
"Obstetric trauma may be underestimated as a risk for midtrimester loss or preterm birth. While women may relate a history of cervical laceration, often they are unaware of the injury and the obstetric records of the previous delivery may be misleading as to the extent of the cervical injury. Therefore, visual inspection of the cervix is important to assess the degree of injury and risk. Defects that involve more than 50% of the cervical length may indicate a higher risk for midtrimester loss. The accuracy of transvaginal ultrasonic measurements to determine risk of cervical incompetence, specifically in the presence of a history of cervical trauma, has yet to be determined."
I don't know which of the 3 options I would be better with. IC I can say it's not my fault. There are things that can be done in a sub pregnancy. Heck I would have a trans abdominal cerclage...no problem! I have to deliver by c-section anyways. (Isn't that ironic?!?!) Percentiles are pretty good to have a full term pregnancy with a cerclage and even better with a TAC.
Infection....I would always blame myself. I must have done something to get an infection. Maybe ate something bad? Maybe when I had that cold and thought I was peeing myself with every sneeze my waters were actually leaking and I should have sought help at that time. But with an infection at least the chances of repeat are not that great.
Abruption...maybe my fault was I lifting B too much, not taking care of myself, not paying attention to that tenderness I had? or was it that baby implanted anterior and low lying over my prior c-section scar. Chances of placenta previa are pretty high after a c-section, heck I had it with Brennan too before any c-section. My babies like to implant low and there isn't anything anyone can do about that.
Another long week before my appointment. Lots more time for me to speculate, wonder, and generally just frustrate myself.
1 comment:
I can imagine that it's just about impossible not to think about the why's of what happened. Still, I really hope that whatever the doctors say, you won't blame yourself. This is something bad that happened to you, dh, Brennan, and Gavin, not something that you did.
Hugs.
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