Category Archives: Pre-term labour

Pre-labour Rupture of Membranes

This is an article of great interest to me due to Gabe’s PROM.  I wish I had had this evidence back then.  But then again, I didn’t have the faith in my body to just wait it out, back then, either.  Gee I’ve found lots of great articles today!  Insane! 

Pre-labour Rupture of Membranes: impatience and risk


Most women experience their waters breaking towards the end of labour. However, for a significant minority their waters break before labour begins. The standard approach to this situation is to augment labour by using prostaglandins and/or syntocinon aka pitocin to stimulate contractions. Women who choose to wait are often told their baby is at increased risk of infection and they are encouraged to have IV antibiotics during labour. In my experience most women agree to have their labour augmented rather than wait. I wonder how many of these women would choose a different path if they knew there was no increased risk of infection for their baby? Read the rest of this entry »


Is Induction after the waters break necessary?

This is from a fabulous archived site that has collected a whole heap of midwifery wisdom.  I love this story of a woman whose waters broke at 22 weeks, and the medical response verses her response to this situation. She gave birth at 35 weeks 6 days.  That’s nearly 14 weeks with her waters breaking.
I have only run into this [forestalling preterm labour] one time. Most on the list know the story. A woman with a confirmed rupture at 22 weeks. Initially we referred her out.

The neonatologist wanted to “evacuate her uterus”. Our official back up was willing to let her go home and wait for “the inevitable”. She went home despite the horror stories of the neonatologist. We agreed to a “house arrest” for the duration of the pregnancy. I agreed to see her at her home once a week and she agreed to monitor her own vitals. She worked very hard on her diet and nutrition issues. She did extra [vitamin] C and a variety of herbs to strengthen and tone. There were no vag exams. She had a bout of rhythmic contractions at 28 weeks. She drank a dose of Jagermeister and took a valerian/skullcap/hops combo tincture and meditated

Eventually the contractions stopped. Read the rest of this entry »

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