Pprom vs preterm labor


10 Posts
Reply Posted on: Jan 26, 2016 at 3:13pm
Hello Dr Braverman,

I want to know if there is a difference between preterm labor (when ur cervix thins out and your go into labor) and PProm (where your membranes rupture prematurely but cervix remains intact). Specifically, are there different reasons why these two happen or do they come from the general same causes? I have had both of these occur, however, the reasons remain unknown (no infection, no previously shortened cervix, etc). I have recently gone through your testing and have found out that I had endometriosis and several autoimmune haplotypes, a Th1 bias, kir aa haplotypes with husband having more Hla c2. My gyno doc suggest if I get pregnant again that I get a cervical cerclage. I want to do any and every thing if I get pregnant again but I know that cerclage have risks of their own. Additionally I have never been found to have shortened cervix prior to the above events. Is it possible that my pre term labor and PProm could have been caused by those immune issues solely? Or is a cerclage warranted in any cases of prior preterm labor or PProm?

Separately, I want to sincerely thank for giving hope and helping me to bring closure to the horrible pregnancy outcomes that I have endured. If I don't ever get the chance to conceive again, I have peace in this. Thank you and may God bless you.

Dr. Braverman

2026 Posts
RE: Pprom vs preterm labor Posted on: Jan 27, 2016 at 9:31am
Yes it is possible these are purely immune issues. However I do feel that a cerclage is protective with little risk in case there is a component of incompetant cervix which can never be complelely ruled out.
Braverman Medical Team
Braverman Reproductive Immunology P.C.