I'm now in the end of the 13th week pregnancy with one baby. This is my second pregnancy while I already have a boy and a girl twins from the first one. I'm 38 yo and rather low weight. I'm basically wanting to find out if my baby's sac indeed has a hole or not as I'm faced with two doctors' varying opinions.. My situation and condition is a little complicated as I right now live in Beijing, China (and don't have many choices of OBs, not to mention that I have no choice of perinatologist/high risk OB) and will try to describe as best as I can below. Many thanks in advance.
About 3 weeks ago (early Wk11) I had amnio fluid (confirmed by test) leakage - no idea how much came out but just by guess maybe 2-5 cups? It continued like 2 hours and it certainly felt too much to lose for the baby's survival. The baby was alive when I was checked right after. I was diagnosed by a Chinese doctor who was available then that I didn't choose. She said I still had enough water in the sac. The sonogram pic also showed that I had hemorrhage in the uterus. I was instructed bedrest since the sac has a hole and I need to retain water while hoping for the self-sealing of that hole.
I was seen only by the same Chinese doctor a couple of times since then and the baby seems doing ok. At the last visit with her (Mar 30), the sonogram pic showed no hemorrhage but a detached membrane in the uterus (which is not adversely affecting where the placenta is attached, thanks god) and some liquid trapped in the space created by this detached membrane and the uterus wall - we just need to monitor the development, she said. She also said that though not huge amount, a test showed that my amnio liquid was still leaking, the sac hasn't sealed, and therefore I continue strict bedrest.
As I was bleeding for the last 5 days or so, I again went to the hospital and was seen by another doctor as the Chinese doctor was off. He is an Australian, reputedly very experienced OB (though not a high risk OB). He didn't send me to the sonogram and based on all the previous pictures, said that this bleeding is a good thing as the liquid trapped in my uterus was most likely the liquefied blood from hemorrhage and the bleeding I'm having is the draining of it. Therefore it is for healing and not to worry. OK good news. I can believe that and I stopped worrying about this bleeding.
However, re. the amnio fluid leakage, this second doctor gave me a completely different opinion and instruction from the first doctor. He said that based on the amount of amnio I have in the sac (which is good and enough amount) and the baby's normal posture/look (which is not the typical one in the low level of amnio water), I didn't have a rupture of membrane of the sac and don't have a hole in the sac. He does not test for the amnio leakage and also CANNOT explain why I had much amnio water leaked three weeks ago, but based on the sono pictures, I don't have to worry about it. No need to continue bedresting, can do normal house chores, although I shouldn't go hiking or anything. The first (Chinese) doctor was also giving me antibiotics to prevent infections (because of the sac hole) but the second (Australian) doctor also said that I can stop that.
I am torn. To take care of my twins (2 yo now) and ease my husband's workload at home, I'm very tempted to listen to this second doctor's advice. But the part that he cannot explain why I had a gush of amnio fluid leaked and yet I should believe I don't have a hole in the sac is worrying to me. If the first doctor is indeed correct and I have a large amount of amnio water leakage again by me not bedresting and end up in affecting the baby, I would blame myself for listening to this second doctor. Of course, if he (the second OB) is correct, then I feel so silly being useless in caring our twins and putting all the house work with my husband... If anyone has experience/insight/info or advice, I'd be grateful.
(Just as extra info, in my first pregnancy (which was in the US) i also had a little complications with the amount of amnio water in both of my babies' sacs; one (top) had too much while the other (bottom) had too little, and the bottom baby was being squeezed and not growing. The doctor did amniocentesis to take out amnio water from the top baby's sac and the situation resolved.)