Diagnosis: Incompetent cervix and PPROM

I went for my anatomy scan at the hospital last week Tuesday at 7:30am. I was 19 weeks and 6 days, they had checked the baby and everything was normal with her measurements and body parts. After checking that everything was fine with the baby, they did a transvaginal ultrasound to check my cervix and found out that it was open and I am 3cm dilated so they immediately asked me to go to L&D and I was admitted in a triage room to be monitored.

I spoke to the high risk Doctor and he said that they will have to give me IV antibiotics and progesterone for the meantime since they do not know when it started opening and if I had contracted any infection. We have to wait 48 to 72 hours to see what happens and until the test results are out. Sadly, I was not a candidate for rescue cerclage anymore since I am already dilated with ruptured membranes and my amniotic sac is already bulging down my cervix.

Unfortunately, after a day at the hospital, my water broke. This is why they said they could not do an emergency cerclage as they were expecting it to happen even if I did the surgery. This broke my heart as I thought everything was going well for my pregnancy as there were no underlying symptoms before my ultrasound that day. Thankfully, my test were normal and I didn't have any infections but they said there are no fluid around the baby so my chances are very slim.

I had a talk with a lot of OBGYN at the hospital I was in and most of them are very discouraging as their first option to suggest is that I should just terminate my pregnancy except for the MFM who told me he will support whatever decision we choose and I advocately chose not to terminate and leave everything to God and pray for a miracle. They told me about the risk of continuing the pregnancy as I am very much prone to getting an infection in the coming days or weeks that I may pass the baby within a day, days, a week, or weeks. The baby can either be healthy or have complcations. We will never know unless we try. The prognosis is not good at all and the chances are extremely low but me and my husband are willing to take a chance even if it's a 1% chance for my baby, we will take it as I know she is fighting and her heartbeat is very strong always ranging around 130bpm to 158bpm every single day. I am taking everything one day at a time and counting each day with my baby as a blessing.

Fast forward to today, it been 10 days since this unexpected journey and I am still at the hospital being monitored daily by the nurses and Doctors as my pregnancy progresses as I am only at 21 weeks and 2 days. They stopped my antibiotics 2 days ago and I am only given progesterone at night. I still am getting hydrated from the IV and drinking lots of water hoping to replenish the lost amniotic fluid and praying my amniotic fluid reseals.

They said I will now be staying at the hospital until I give birth. If I make it to 22 weeks and 5 days, they can give me steroids to help with the development of my baby's lungs so she can have a chance to survive. They will then have to transfer me to another hospital that has a well equipped NICU for an extremely premature baby. I still need to wait until my baby becomes viable which is 24 weeks so they can do something for us as they do not resuscitate earlier than that. I am hoping and praying that I still can get further along with this pregnancy or still make it to full term despite my current situation.

I have a history of a late miscarriage with my first pregnancy that was conceived through IUI, I lost my baby boy last year at 15 weeks 1 day due to the same reason as my water broke early. I have PCOS so I have a hard time getting pregnant. My second baby is conceived through an FET IVF and I am so scared to lose her. Did any of you experienced this or someone you know and what was your outcome? Looking forward to reading your stories.

Please pray for me and my baby. I am really hoping for a miracle so that my pregnancy can progress further and my baby can survive and not have any birth complications.