Hi JJ
Clinical stuff out of the way first. PROM does carry a risk of infection, but when it happens, you have a few hours if not days in which to get baby out before infection poses a risk for either you or them. Infection is usually a risk when the cervix opens up unawares and there are several days without protection to the uterus. I absolutely agree with your decision to remain at home - your waters breaking are an obvious thing, it is like someone has turned on a tap and there is no mistaking it. There will be plenty of time to get to hospital. My waters went 2 days before Evie was finally born, and my cervix had been open prior to that for maybe a week. There was still no sign of infection in my uterus or placenta, and she was fine in that respect.
I did have PPH after my first and the twins. It was down to uterine over-distension in my case, my uterus was completely atonal at delivery and would just not contract back down. I was probably about the size you are now from 28wks on, and had another 10wks of stretching left in my uterus. The only difference is, is that it is the water which is causing your stretching, and so is more of a solid mass - whereas mine was a combination of babies and water, more malleable and not giving me that sensation of taught ness you describe until the last 6wks or so.
Whilst you are at increased risk of PPH, I doubt at this early stage your uterus is the size mine was, and even if it were maternal death or hysterectomy are absolute worst case scenarios hun. I had a 3/4 pint blood loss with the twins, but managed to scrape by without even a blood transfusion - just severe anaemia afterwards. PPH is dependent on many factors, uterine atony being just one of them. Some women can birth massive babies, have had 6 previous pregnancies, prolonged labour and have rubbish clotting factors and still get away with it. Others can bleed only because their uterus is tired from contracting, and need umpteen transfusions.
Your polyhydramnios alone is a risk factor, but probably no more than if you were carrying a large baby. If you have a good hb before delivery, are otherwise healthy, have had no prior deliveries and don't have a protracted labour then it is your only risk factor and unlikely to cause PpH. If it did, then there is no reason it should be a huge blood loss and require hysterectomy. That only comes if transfusions fail, and the bleeding can't be stopped - extremely rare. They inject several medicines into you at delivery if bleeding continues, which in my case helped to stop the bleeding eventually - that plus some manual contractions of my knackered uterus lol. PPH is actually surprisingly common in some women, but maternal deaths are rare.
Despite me having had two previous PPHs, twins and large babies - my consultant still said my risk of another is unlikely even in a fourth pregnancy (lots of pregnancies also increases risk) I'm not so sure I agree, but I know how manageable PpH is, so would be prepared to take the risk.
You are over thinking things hun - something we have ALL done whilst on bed rest. You are also dealing with a rare pregnancy complication, which in itself makes you utterly paranoid and open to the reality that bad things can and do happen - so why not to you? Been there with bells on! Your concerns are understandable, and not entirely unfounded. However, with care and caution, they are unlikely to happen and if they do can be managed relatively easily
I'm hoping they do the amnio tomorrow to ease your discomfort, and hopefully that will work ate last in the short term. I found an interesting article at the weekend you might like to read, but wanted to check with you first. It's about anomalies in cases of polyhydramnios. Let me know, and I'll post the link. Have you booked to see Nicolaides at Hrley street? He is a world leading expert and it might be worth getting his thoughts on your case - I'd feel very reassured by his opinion xxx
PS - I really don't want to talk too much about your ability to have more children in the future, since I am not convinced that this pregnancy is doomed hun, BUT one thing I can say regardless of the outcome is that pregnancy definitely makes you more fertile, even for women who have spent years trying to get pregnant. One of my dear friends over in the twins section had, like you spent several yrs and failed attempts at conception. After the third IUI with fertility drugs on board, she concevied twins. When they were a year old she decided to try once more naturally - just as he turned 40. First month trying, without any treatment they conceived a second set of twins!!! Thye are now 7/8mths old.
Unbelievable, but true, and a scenario I have seen so many times in women after they have had one succesful conception after yrs of nothing. Pregnancy seems to kick start fertility. I have seen this in myself this past yr. I went several yrs after having Evie before ttc again, and myfertility was affected. The twins took 18mths of on/off trying, but after them we have conceived pretty much each month of trying - 3 times in 7mths despite me being older and not far from 40! (Of course they now won't bloody stick, but nontheless..........). I hope that at this moment in time this isn't inappropriate for me to bring up, but I feel for you hun, understand how bleak things must feel, but that there is still hope for you and dh in the future - all is definitely not lost
Christiana, this sounds like a bug to me Hun. Plenty of water ( even small sips). It won't affect baby or stitch, so don't worry about that
LR - it totally fair enough that you should want to deliver lo whilst awake. I'd be asking for clarification re the clexane injections. If your original blood tests were normal, then ask if you can stop the mess now. You are so close now that it will be impossible to predict the onset of labour xxx