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Amniotic membrane ruptured (23wks)
My amniotic membranes ruptured two weeks ago, 23 weeks into my pregnancy. What are the chances of my baby surviving or even going to term? Also, what complications should I expect?
The risks involve infection for you and for the baby. The chances of this occurring are about 15 to 25%. Now bacteria have an entrance into the uterus, which is why nothing can be introduced into the vagina, except during a pelvic examination and intercourse.
Prematurity is another risk. If the rupture occurs prior to 26 weeks, research shows that approximately half of mothers will go into labour within one week. (It looks as if you have already beaten those odds).
Lack of oxygen to the baby or hypoxia (asphyxia) can be another risk, owing to the compression or prolapse of the umbilical cord. This could lead to a stillbirth.
Foetal malformations can also occur due to the lack of fluid, which restricts the baby's movements. Due to the compression, there is a slightly increased risk (three per cent) of some foetal face, limb and lung defects.
In many cases the leak may seal over, amniotic fluid will continue to be produced and the pregnancy will progress without any more problems. In any event, you continue to produce a cup of fluid every hour for the baby, so don't be afraid that he is in a dry environment.
Talk to your doctor and midwife, who will be able to give you the best information for your case.
I wish you the very best.
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