Re: A request for advice: membrane rupture question

[Guest guest]

Another personal story:

My wife Vivian's water broke at 20 weeks in May of 1994--between Janet

's 1st and 2nd talks of the multi-city Ohio tour that resulted in

" Contraception: Why Not " . Vivian was offered three choices: abortion, go

home and let nature take its course, or hospitalization with bed rest at

a negative angle of attack to try to pool amniotic fluid. We chose the

latter. Subsequent US indicated that ph probably had genetic

anomolies that prevented lung development, even if AF pooled.

Vivian and ph's witness to the dignity of all human life ended after

11 weeks when infection prompted CS delivery. As the pediatrician held

him, I baptized him ph. Mom and Dad held him and kissed him as he

slowly expired without breathing a breath or opening an eye. On the Feast

of the Assumption we had a funeral Mass, dug his little grave, and

commended him to the earth--and to his Creator.

We will meet again!

All children are a blessing.

Steve Koob

On Wed, 25 Jul 2007 00:31:33 -0500 Reisinger-NFP

writes:

> My input is more personal than professional. With my third child, my

> membranes ruptured at 25 weeks. By ultrasound, we were able to see a

> small amount of amniotic fluid remaining and it was enough for him

> to

> continue growing. I remained hospitalized and stable for 8 days

> before

> spontaneously going into labor. At no point did anyone suggest

> termination of the pregnancy since I was at the point where survival

> of

> my son was likely. During that week, I was able to learn and prepare

> myself for what was ahead. Many prayers were said. When he was born,

> I

> was better able to cope. My son spent 8 weeks in the NICU before

> coming

> home. He has overcome all health obstacles and is now a happy,

> healthy,

> very stubborn and independent 3 year old. He does not show any

> lasting

> effects of prematurity except that he small for his age. Personally,

> I

> do not think a woman should be forced to make this choice unless it

> is

> detrimental for her physical health. Only in the event of serious

> physical danger should a woman be given the recommendation to

> terminate

> a pregnancy. Let God decide the fate of a child whenever possible.

> It is

> the mother that will carry this burden for the rest of her life.

>

> God bless,

>

>

>

> Anne Marie Manning wrote:

> > Early second trimester SROM is very unlikely to result in a live

> > birth. A situation where the cord has prolapsed into the cervix or

> > beyond is the lest likely to survive any length of time. Even if

> > overwhelming infection does not develop the baby is unlikely to

> > develop functional lung growth in the absence of amniotic fluid.

> That

> > said the mother deserves support and compassion as she continues

> in

> > this very difficult pregnancy and perinatal hospice would be ideal

> if

> > anyone in her area provides this service. All of that being said

> if

> > she develops clears signs of chorioamnionitis she should be

> delivered

> > even though the chances for survival of the baby at this extreme

> > degree of prematurity are about nil. Delaying delivery of the baby

> in

> > the face of overwhelming infection will not increase its chances

> of

> > survival, in fact the intrauterine environment will have become

> > downright hostile, so it makes no sense at that time to further

> risk

> > the mother's life and health.

> > It's an extraordinarily difficult situation for everyone involved.

> My

> > family and I Will be keeping this mother and child along with

> their

> > family and caregivers in our prayers.

> > Anne Marie Manning M.D.

> >

> > */ " , " /* wrote:

> >

> > For a baby likely to die, one of the best options for all is

> > “Neonatal Hospice” to give the Mom and baby as much time

> together

> > as God allows.

> > As Dr Bruchalski, one of our region’s leaders in Neonatal

> > Hospice for doomed pregnancies, has said, “All good mothers

> want

> > to be spend time with their sick children.” Abortion serves no

> one.

> > Of course, this tragedy also gives God the chance to do the

> > miraculous in sight of all: there is a very tiny chance the

> > pregnancy could continue long enough for delivery (likely?

> No.).

> > How many adults were less than 1000 gram premies in 1960? I

> know

> > of several.

> > , MD

> > Front Royal, VA

> >

>

------------------------------------------------------------------------

> > *From:* nfpprofessionals

> > [mailto:nfpprofessionals ] *On Behalf Of

> *

> > *Sent:* Tuesday, July 24, 2007 12:30 AM

> > *To:* nfpprofessionals

> > *Subject:* Re: A request for advice:

> membrane

> > rupture question

> > Ross,

> > Have you received any responses to your inquiry yet? I'm not an

> > OB/GYN (peds only) but, in my experience, when the cord is

> > prolapsed delivery seems imminent though I'm unsure of what the

> > impact may be to the fetus. At four months gestation, however,

> it

> > seems unlikey she would be able to carry the baby to a point of

> > viability. While this does not justify active abortion, the end

> > result may, unfortunately, be the same.

> > Mike

> >

> > * A request for advice:

> membrane

> > rupture question

> > Hi everybody; my name is Ross and I'm a first-year

> radiology

> > resident.

> >

> > I'm a member of the NFPprofessionals listserv but I tend to

> > follow the discussions without posting much myself.

> >

> > I moderate a Yahoo!Groups listserv for NFP-friendly

> > medical/nursing students, residents, physicians, and

> others.

> >

> > Yesterday, one of the listserv members, Fr. Velez, an

> > excellent priest who also happens to be an M.D., sent me a

> > clinical question that I do not feel equipped to answer.

> >

> > Therefore, I would like to pose his question to this

> listserv

> > (in addition to posting it on my listserv) in the hope that

> > some of the wonderful physicians here might be able to give

> > some advice.

> >

> > If you wouldn't mind, I'm sure he would appreciate it if

> you

> > could email your responses directly to him, because I'm not

> > sure if he is a member of the NFPprofessionals list. His

> > address is jrvg98@...

> >

> > The text of his email to me is included below my closing.

> >

> > Thank you all so much for any help you can give,

> > A. Ross Sussmann

> > PGY-2, Diagnostic Radiology

> > NYU Medical Center

> >

> > Dear Ross,

> >

> > I wanted to ask you to send the following question to

> > the group if you think it is appropriate.

> >

> > A thirty year old mother of two is in the 4th month of

> > her third pregancy. She has had small amounts of

> > bleeding for a few months. A few days ago her amniotic

> > membrane tore. Her umbilical cord protrudes through

> > the cervix. She is anemic. She is hospitalized and at

> > bedrest and remains afebrile.

> >

> > The child is alive. The doctors recomend termination

> > of pregnancy. I have told her that this would be

> > wrong. Do you have any general recommendations for her

> > medical care? Do you know what the natural course

> > (time of death of the child) etc. would be?

> >

> > Thank you for your support. Please pray for her and

> > her child.

> > Fr.

> >

> >

> > Rev. R. Velez G.

> > 655 Levering Ave.

> > Los Angeles, Ca 90024 Tel:

> >

>

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