{"id":1110659,"date":"2022-12-30T02:00:00","date_gmt":"2022-12-30T07:00:00","guid":{"rendered":"https:\/\/nortonhealthcare.com\/news\/"},"modified":"2023-02-13T11:36:00","modified_gmt":"2023-02-13T16:36:00","slug":"she-went-into-preterm-labor-at-20-weeks-but-a-risky-procedure-saved-the-babys-life","status":"publish","type":"post","link":"https:\/\/nortonhealthcare.com\/news\/she-went-into-preterm-labor-at-20-weeks-but-a-risky-procedure-saved-the-babys-life","title":{"rendered":"She went into preterm labor at 20 weeks, but a risky procedure saved the baby\u2019s life"},"content":{"rendered":"\n

What started as an exciting moment turned into panic for first-time parents Faith and Jake Pugh. The couple couldn\u2019t wait for their baby\u2019s gender reveal at their 20-week ultrasound, but once their appointment started, they quickly learned that something was very wrong.<\/p>\n\n\n\n

\u201cWe found out I was in preterm labor,” Faith said. The OB\/GYN \u201cgave me a more thorough exam. Her face dropped when she saw how dilated I was. She said, you need to go to Norton [Hospital] right now.\u201d<\/p>\n\n\n\n

Faith was diagnosed with cervical insufficiency, which means the cervix is not strong enough to retain a pregnancy during the second trimester. This condition is considered an emergency and often results in premature birth and pregnancy loss before 24 weeks\u2019 gestation \u2014 the point in time when babies are considered viable.<\/p>\n\n\n\n

In a matter of moments, the Pughs went from finding out they were having a baby boy to thinking they were about to lose him. At just 20 weeks, their baby would not survive if delivered early.

Helen Y. How, M.D.<\/a>, an OB\/GYN and maternal-fetal medicine specialist with Norton Children\u2019s Maternal-Fetal Medicine, presented another option: rescue cervical cerclage, a surgical procedure where a synthetic suture or tape is used to reinforce the cervix. It can be a risky procedure.<\/p>\n\n\n

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Norton Children\u2019s Maternal-Fetal Medicine<\/h2>\n\n\n\n

Our specialists are committed to providing quality, compassionate, evidence-based care to women with high-risk pregnancies and their babies.<\/p>\n\n\n\n

Learn more<\/a><\/p>\n\n\n\t<\/div>\n<\/div>\n\n\n


\u201cThe goal when we do the emergency cerclage is to delay delivery to viability at 23 to 24 weeks\u2019 gestation and beyond, but there\u2019s no guarantee,” Dr. How said. \u201cThe national statistics for rescue cerclage is a 50\/50 chance to get a viable baby.\u201d

Faith had advanced cervical dilation, which increases the risks for mother and baby. The procedure carries a high risk for rupturing the membrane, according to Dr. How, which can lead to intrauterine infection and subsequent maternal and fetal infection that results in preterm delivery. If the procedure can delay delivery long enough to reach viability, and the baby survives a premature delivery as early as 24 to 27 weeks\u2019 gestation, it increases the potential for serious, long-term neurodevelopmental disabilities.

After discussing the risks, the Pughs chose to proceed \u2014 and the outcome was a best-case scenario, even more successful than anyone could have imagined.<\/p>\n\n\n\n

\u201cI got to 39 [weeks] and 3 days,\u201d said Faith, who delivered a healthy, 8-pound baby boy named Samuel David.<\/p>\n\n\n\n

\u201cWhen I am up in the middle of the night feeding him, I remind myself and pray and thank the Lord. He is a miracle. I don\u2019t want to take him for granted. We are so, so thrilled. So thankful,\u201d Faith said. \u201cIt\u2019s amazing that Faith had a healthy, full-term baby,\u201d Dr. How said. \u201cThere is a lot to be thankful for.\u201d<\/p>\n\n\n \n

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