I hope you don't mind my cross-posting, I only got two responses in the NICU & Preemie board, and it's been a couple of weeks.
I had idiopathic PTL at 20w4d. I’d been having BH contractions since week 15 without any cervical change, but on the day I went to the hospital they intensified, and I also had some non-distinct, constant uterine pain (not only during contractions) that built up gradually. I am certain that my dr.'s practice did everything they could to help me; they tried Terbutaline, Procardia, progesterone suppositories, and I was on bed rest with IV the whole hospital stay, but the contractions didn't stop.
At my 2nd trimester U/S, everything looked perfect, including my cervix. Blood tests, placenta analysis, emergency amnio and my son's autopsy came back "normal", and ruled out infection. I already saw a MFM dr, who confirmed everything I knew from my OB, but no specific information as to my chances for a longer/ full-term pregnancy.
After contractions began, my cervical length stayed at 2.5 cm for two days, so IC is unlikely; my water broke 10 minutes before my son was born. Most stories and articles I read are about PROM and IC, but I haven't found much information about PTL that started with contractions in the absence of PROM or IC.
So if your patients, or other women you know have had irritable uterus/ contractions PTL, and had longer subsequent pregnancies, please share some stories of hope. I’m especially interested to know:
• Was it a "naturally" (for lack of a better word) longer/ full-term pregnancy, or due to treatment & bed rest?
• Any subsequent full-term twin pregnancies (or at least further along that the previous preemie)?
I've heard and read great things about herbs that could calm an irritable uterus: Black Haw Root Bark, false unicorn root, Cramp Bark, Lobelia. What is your opinion on these?
Thank you very much.