21/04/2026
My dearest patient initially presented at 1 cm, reactive NST, no contractions, stable, so she was sent home. But after an hour, she called me and I asked her to come back.
This time, 10/10 painscale at 1 cm, clearly out of proportion to findings. On further interview, she mentioned: “May tubig na sumabay sa ihi.”
That alone raised a high index of suspicion.
She was admitted. Antibiotics started. Close monitoring done.
Despite analgesia, IV sedation, and epidural anesthesia, INTENSE PAIN persisted. Then the picture slowly changed…
• Vomiting
• Fever
• Strong contractions
• Baby’s heartbeat rising… 180s… 190s… up to 200 bpm
We initiated resuscitative measures and monitored closely. But when the fetal heart rate remained non-reassuring, we made the call. ➡️ A Cesarean delivery.
And later on, upon follow up check up, it confirmed what we suspected, a CHORIOAMNIONITIS on BIOPSY ‼️
💡 Why do we admit patients with “pumutok na ang panubigan” or ruptured bag of water (RBOW)?
Because once that natural protection is gone, infection can develop quickly. 🔻Early antibiotics + close monitoring = safer outcomes for both mom and baby.
And in the END, what matters most is that both Mommy and Baby are SAFE. 🤍✨
Now recovering well, and already seen on follow-up check up and embracing this new chapter as parents to their little bundle of joy. Sleepless nights, full hearts, and a love like no other. 🥰
Congratulations, Mommy and Daddy.
Thank you for trusting me with your journey. 🤍
🤍 For all moms:
If something feels different, when pain is too intense too early and keeps progressing, pumutok ang panubigan, pumunta agad sa ER. You are never “too early” or “too much.”
👉 Trust your instincts
