need help - hospital admission and steroids w 2nd tri bleeding -- is this common/typical??
Did they do a cervical measurement with the ultrasound? It could be nothing to worry about but personally I had something similar and it turned out to be what they like to call 'incompetent cervix' and I had PTL from 26 weeks. Now I need a preventative cerclage with every subsequent pregnancy. And I did get the steroids when I started labor at 26 weeks to boost the baby's lung development and was glad I did. I was on bedrest 20 weeks (didn't have a cerclage the first time) and in the hospital on bedrest for several weeks as well and it was pretty serious stuff. I know this is likely no tthe case with her but it is something to rule out if she is having signs of PTL.
Its kind of like "which came first, the chicken or the egg". Bleeding can cause contractions and contractions can cause bleeding in a number of various circumstances. I was hospitalized for bleeding at 22 weeks and they could not find a reason right away but it turned out that I had a vasa previa which was only detected by a special color flow doppler ultrasound. Starting at 24 weeks I was given steroids as well. Most likely they are being a little overly cautious, but with pregnancy you just never know until you know. Strange things can happen, and everything is usually just fine, but sometimes complications do arise and medical professionals try very hard to figure it out. In my case, I was very glad that I had so much intervention because without it my son would not have survived. On the other hand, I basically had a UC with my next baby and had almost no medical intervention. Every pregnancy is different, thats for sure! Good luck to her!
Yes - steroids are common practice with any bleeding episode after 24 weeks (which is the time of viability for most.)
And yes, two doses is the norm. If she would stabilize and then have another episode of bleeding, or any other complication that might threaten an early delivery prior to 33 weeks, they may even suggest a third "rescue" dose.
I had the color flow doppler done at a level 3 neonatal hospital. I don't think it is something done at most hospitals, but I had a high risk specialist recommend it because of the amount of bleeding I had. It is usually done by a doctor of maternal-fetal medicine or with a doctor in the room so that they can see it and interpret it immediately. I believe it is something that is done only if they have a specific reason - it is expensive and time-consuming. For me, it was only done after my 2nd episode of bleeding because they could not find a reason why. Clearly something was wrong and we had to get to the bottom of it.
Hopefully your SIL will spend a couple of weeks off her feet and and everything will go back to being completely normal. Keeping my fingers crossed for her!!