Hi. I am 24w pregnant for #3.
My last pregnancy, I had bleeding at ~25w, contractions everyday afterward, was put to rest at home and I had PROM at 29 weeks after one day I had some more bleeding and contractions right after being examined in L&D. I was 1cm since 25w with a long cervix then (also evaluated by ultrasound before). I got betametasone injection and medication to stop labor with antibiotics of course. I delivered 8 days after. I never understood exactly why I had PROM and got into premature labor because I don't have an incompetent cervix. Doctors don't know either. We thought my chances of having the same issues would be quite low. (My first was born at 37w).
Unfortunately, it is all the contrary. I have cramps since one week after conception! And got follow ups with a high risk doctor right away and found out there was two bb with great heart beats at 5w. At 7w, only one was growing with heart beat. The cramps diminished for at least 3 weeks, to start again afterward. I started noticing that it was contractions at 13w, increasing every week. I had spotting at 17w, then 22w. I am in home rest since 17w. I have menstrual type cramps, pelvic pressure and/or contractions as soon as I get out of the house or start picking up things on the floor or if I have a full bladder, if I walk too much (more than 5 min), if I forget to drink a lot, when I get stressed out with the care/homeworks and fighting with my older girls (6 and 7) etc. so I do as less as I can. I lie down all day and when I start contracting, I do the trick of drinking 3 glasses of water, emptying bladder, then trying to sleep. This happened a couple of times at 22w. I did a week of antibiotics last week because they found a small bacterial infection that might be causing spotting and other symptoms. I am not so bad this week but still have contractions (no more spotting and much less pelvic pressure and cramps). I am being checked every week or 2 by vaginal ultrasound and my cervix is still long and closed. I was thinking of staying quiet a couple more weeks and if I didn't dilate and was still long, I would try to go back to work and take it easy there.
But 2 days ago, my doctor told me she wanted to give me the corticosteroid injection next week (at 24w5 days) as a prevention, with the second injection the following day. I realized she should really believe that my condition is real and that I am in really high risk of delivering early or soon! The thing is that I read online that betametasone was really effective from day 2 to 7 after the first injection. In the case of PROM, it is crutial to have it right away but I didn't rupture (yet), I am not even dilated... Although I did rupture at 1cm only and really long cervix before. My doctor acknowledged that my contractions were real. Did I mention they were getting really uncompfortable together with my cramps? I also started to have low and high back ache. I am being examined every week and I will go to L&D if I go into labor and bleed. Wouldn't it be more wise to give the corticosteroids only then? Am I too confident that they would be able to stop labor? Or that I would last more than two days after PROM if it happens?
Wouldn't we increase the risks of pulmonary trouble later on if we accelerate lung maturation by forcing production of surfactant this early? Especially that it is not imperative yet. I really believe that betametasone can save a lot of babies and it is super important. I am worried to give it only as a preventive measure though. Did someone read also about it's none efficiency if received too early before birth. For example, if I receive the injection at 24w and deliver at 29? Will the effect of the drug still be present? If I start labor at 28 for example or PROM there, wouldn't it be better to receive the injection at that moment rather than have received it at 24w?
My doc just said there was no risk for the bb to receive it now. But I am still worried and I will get the injection by the nurse first thing at my appointment and won't have time to discuss or think then.
Please, did someone experienced similar before? receiving preventive corticosteroids this early and delivered much later?