Question: If someone is pregnant 20 weeks, and water is coming from the vagina but very little. as I can read it is PPROM. What are the available alternatives to save the baby? Can surgery help to stitch to stop the leakage? What if the pregnancy is left while leaking continued what are the effects? M. (UK)
Answer: Rupture of membranes at such an early stage of pregnancy is a very serious complication. The prospects for the baby are usually bleak but not hopeless. However, in this particular case, the immediate issue is to confirm whether this is indeed a case of ruptured membranes. There are many cases of increased watery vaginal discharge which, on first glance, can be misconstrued as ruptured membranes. Since you are saying there is “very little” water coming out, there is a real possibility that this is not a case of ruptured membranes. Concerns that arise when membranes rupture, especially at such an early stage is that contractions will ensue and at around 20 weeks, the baby will almost certainly be lost. Were this not to happen, the next concern is that of infection which, in turn, lead to loss of the baby. Any woman with confirmed preterm membrane rupture is given antibiotics to try to prevent this and to increase the chances of the pregnancy continuing to, at least, a viable stage for the baby. Another quite formidable problem associated with lack of fluid in the womb at such an early stage is that there is poor development of the fetal lungs. This can make fetal survival outside the womb difficult even if, somehow, the pregnancy was to continue to an advanced gestation. Surgery has no role to play in this pregnancy complication.
Question: Hello....i missed my periods 2 times and my pregnancy test showed negative-both blood test and urine test. I would like 2 know what’s the actual reason for this. I never missed my periods before like this and i have been treated before marriage for periods coming too earlier and 2 times a month but now i don’t have any problem and my hormonal test shows perfect and balance. S. (Bahrain)
Answer: I cannot of course say whether you are having another miscarriage as I do not know. However, you need to get this checked out straight away since that would be regarded as a threatened miscarriage. Your doctor should be able to arrange an emergency scan with your local hospital’s early pregnancy assessment unit and, hopefully, be able to reassure you.
Question: HI! I'm 26 years old, single and lately i discovered that i also have ovarian
endometriotic cysts. My question is it is possible for me to have a baby? How many
percent? or if this happens (pregnant), will the cysts disappear? Thank you. K.R.
Answer: Gemifloxacin belongs to a group of antibiotics known as ‘fluoroquinolones’. Like with pregnancy, the advice is to avoid using Gemifloxacin if breast feeding. There is credible scientific animal studies evidence that this antibiotic could do harm to the baby. An alternative antibiotic should therefore be sought.
Answer: Your details are not very clear so it is rather difficult to give a specific advice here. If you have suddenly started experiencing pain during sex that you never used to have in the past, it may be that you have pelvic inflammation. It is important that you get this looked at promptly because, if my guess here is right, pelvic inflammatory disease has a potential of affecting your fertility. It is therefore crucial that this is verified quickly and if necessary treatment given. Contact your GP or your local GUM clinic as a matter of priority.