Incompetent Cervix - stitch/cerclage - threatened labour

Hi JJE- I would definitely recommend the Lizzie rest plan! It worked for us. Welcome aboard the stitch bus! I have every confidence this will all work out brilliantly. X
 
Happy EAster everyone! (another week to go here in greece!) enjoy your holidays and your bundles of joy wherever they are (in or out!!)xo
 
Happy Easter to all!:bunny:

I've been coming to this board and reading every once in awhile recently and reading a lot of inspiring stories!

My own story begins with having to have two LEEP procedures in the past year - both for severe dysplasia. The first time, the doctor took as little as she thought she possibly could, but unfortunately, it wasn't enough; the dysplasia was either much worse than we knew, or it just completely took off after my first surgery. But I ended up going to a new doctor in a new practice after I found out that the dysplasia was still severe and had a second LEEP in October which was successful and I had a normal follow-up Pap right after I became pregnant!

Of course, now that I am pregnant, my cervical length is being monitored and I have a follow-up plan of every two weeks. My doctor told me that she had to remove a lot of my cervix when she did the LEEP, but that there's an outer os and an inner os and the inner os is the one that we need to be worried about so she tried very hard not to take anything out of the inner os.

Still, when I went for my first cervical length measurement at the beginning of this week, my cervix was only measuring a little over 3cm. I've read that I'm supposed to have at least 3cm of cervix in order to maintain my pregnancy although I've also read that I could have as little as 2.5cm. Either way, the perinatologist said that my cervix is looking good and is an excellent length right now. But I'm worried anyway. My cervix was only 3cm at 16 weeks, so is it likely to become even shorter? Or does that not always happen?:wacko:
 
Hello everyone, thanks for all your kind messages, feeling much better nearly 2 weeks after stitch. Sorry im not on much.. only just seen your replys and thanked you all.

im not doing bedrest, though i did with my daughter but am seeing how it goes, my consultant refuses to scan my cervix as he says i have had the stitch early so no need unless i have any symtoms that means i should, i found this wierd as i was scanned every 2 weeks with my daughter to make sure she was ok?? and the cervix.

any way i think im doing well lol..

can i ask a question, my last pregnancy i had the stitch at 18 weeks due to funelling, also lost my first son due to ic 23w6d... well when i was pregnant with daughter i refrained from sex lol... is this the same this time having it in early with no funelling... i feel embarresed to ask but am scared of doing it and something going wrong so wondered what you all do with sticth and ic lol

xx
 
Hello Ladies!

Hope you have all had a lovely Easter!

Thankyou all so much for all of your helpful advice!

Lizzie..wow, your knowledge is incredible! I have been really good at pretty much resting the whole time, i have to admit i am hoping when i have my CS on Weds that she will hand me back at least a glimmer of life pre stitch! I feel fine, but i need to keep reminding myself that i also felt fine pre stitch too! I am also reassured that you carried HUGE twins with a cerclage, so my fear of it not being able to hold a baby in has reduced hugely!

Kate..Thankyou for your reply, i go back to the hospital Weds! I am actually South West London..we live in Clapham..where abouts are you? It is amazing that so much time is spent trying to keep the babies safely inside, then when they are able to come out..they just hang on in there! I was under the impression that once the stitch is removed, labour would be imminent..i guess not..hopefully your little one will be in your arms soon!

Helen and Christiana..Thankyou also for your helpful replies, it has been a great help to me finding this site and being able to speak to other people who are sharing or have been through the same thing!

I am learning so much from people sharing their stories here, it is really helping me! Unfortunately i can't contribute much to other peoples queries as it is all so new to me..but i am definitely gaining a wealth of info along the way!

xx
 
Hey selina! Firstly i m so glad everything is fine and you re feelung good. I m not 100% sure but i do believe pelvic rest is necessary after the stitch (so that means no sex). I for sure have been forbiden any sexual activity for the whole 9 months (poor hubs is going crazy). I m sure someone in here will give you a more definite answer but i suggest you also do ask your doc. X
 
Hi everyone.

Well i don't know where to start! so I've been sat reading a lot of the posts on here and i'm amazed how supportive all the ladies are towards each other which is just what you need when finding out you have complications its a very lonely and frightening feeling no matter how much support you have from partners/family or friends.

Not sure if i totally belong in this thread but i cant find any that are specially about uterus didelphys with possible shortening of the cervix,

I basically had no idea i had this uterus malformation till i fell pregnant and had a accident at my horses stables which ended with a trip to hospital for an emergency scan due to pain and bleeding at 6 weeks, during the scan i was told had a didelphic uterus with possibly two cervix and a double vagina and its pretty rare? and also why it had taken me and my husband over two years to conceive.

since then i'm now 18 weeks and I've seen a specialist which to his and my relief has confirmed after in internal investigation:blush: that i don't have two cervix and a double vagina which makes what were dealing with a little less complicated :happydance:
but I've been told I'm highly likely to have shortening of my cervix and spontaneous premature labour think the statistics are that about 86% premature births due to uterus didelphys.

So far I've been told that they don't want to put a stitch in as they want to wait and see what happens due it it being my first pregnancy which frightens me being told that they are just going to wait and see and let nature take its course:nope:

I have an appointment this Thursday for another internal to measure my cervix to see where to go from there so fingers crossed it hasn't shortened as I'm pretty frightened about the whole situation:cry:
 
Hi smile! Welcome to the thread hun and congratulations on your pregnancy! Our stories are not so different hun. I have a bicornuate uterus, similar to uterus didelphys only instead of 2 complitely seperate uterus i have one separated in the middle making two smaller ones. I cant tell you your chances of premature labour but i can tell you wih ds i was told i had extremelly high chances of delivering at 5-6 months...i delivered at 38+4! I have now put in a preventative stitch but only because i ve had two early mcs followed by d&c. Even though i have the stitch there is no signs of my cervix shortening (3.7 cm at 28 weeks). So even though the risks are there it doesnt necessarily mean it s going to happen. Is your doc checking your cervix regularly? Do you have any signs it might be shortening? Really hope you have an easy and uneventful pregnancy hun, and stick around this thread is awsome!
 
Hello everyone.

Jimmy - I keep reading your updates with much enthusiasm! Can't wait to read more good news and see a few pix hopefully. :blush:

kcmb0886 - 3cm is a great cervical length. The average cervix is between 2.5-5cm. Doctors will monitor you for IC if you actually have less than 2.5, and many women reach the end with less than 1cm cervix. Don't worry hon, you're cervical length is just fine. Plus, cervices are dynamic: they may gain or lose length throughout your pregnancy depending on pressure, cramps etc. Lizzie will be able to tell you more. Monitoring the cervix at this stage is the right thing to do, and I'd also say, rest as much as you can just in case. Can you avoid house chores? I'd also stay on pelvic rest, just in case.

Selina- while it's true that with elective cerclages it's somewhat easier, I refrained from sex for the whole of the second trimester and then on the third, when I finally saw that I kept measuring 48mm at 27 weeks, I...erm... starting orgasming myself, leaving my vagina well alone.:blush: So I'd suggest you do stay on pelvic rest until you have a clearer idea of your cervical length.

Smile- typical NHS handling.:growlmad: Every time I'd go in, people would ask me 'why do I have a cerclage since it's my first pregnancy'. They didn't like the fact that Greek doctors were overcautious. My - very, very strong- suggestion is to try and monitor your cervix with private TVU scans. Can you afford it? It's really worth cutting from somewhere else. Or else, make a fuss and demand they keep checking you regularly. Many wonderful women here had their hearts broken due to NHS negligence and complacency, and it makes me absolutely mad. I'm not trying to scare you- perhaps it'll all be fine- but why risk it? Go privately. Honestly. Do it.

Lizzie, Helen, Christiana, bookfish, and everyone else- lots and lots of love.:kiss:
 
Hi Everybody,

Just wondered if anybody can help? I am now 18weeks, yesterday and all of today i have been experiencing groin pain, mainly on the right side..has anybody else had this? Could it be in any way connected to the stitch? I would of thought 18weeks is too early to be a symptom from the weight of the baby??

xx
 
Hi Everybody,

Just wondered if anybody can help? I am now 18weeks, yesterday and all of today i have been experiencing groin pain, mainly on the right side..has anybody else had this? Could it be in any way connected to the stitch? I would of thought 18weeks is too early to be a symptom from the weight of the baby??

xx

Sounds like SPD to me, but I'm sure Lizzie can answer your question better. Typical to connect all types of pain etc with the stitch though. I know I did.:dohh:
 
hello ladies,

i am new here. i find this thread being great.
i am 23 wks pregnant with twins and in wk 17th i was diagnosed with ic: my cervix became 1.3 cm and with funneling (at wk 14th was 3.2 cm and was closed). after cerclage, the doctor did not recommended strict bed rest, but i decided myself i should do it. so, i only go to the toilet. in wk 22th, my cervix has 2.9 cm and it showed no funneling. but since one wk, i had some pain in my lower abdomen and i am afraid for my cervix. for a few days, i stopped the vaginally progesterone due to a candidosis and i stared temporary some shots of progesterone. anyway, i associated my pains from the lower abdomene with my lack of vaginally progesterone. i really think the vaginally route of progesterone helps me more than shots.
i ended yesterday my candidosis treatment, but i still feel some itches. so perhaps i should wait few more days before i restart the vaginally progesterone.
my pregnancy was get via an ivf treatment and i have one son borned with angel wings at 24 wks of gestation, in 2010 :(. 1st pregnancy was conceived via ivf as well, as me and my husband have fertility problems.
i really hope this time my pregnancy will be ok and i will have 2 healthy sons.
 
Gggrrrmmmffff i d written a whole paragraph and it just disappeared!
Welcome danielita and c
 
Ok something s wrong here! Welcome danielita and congrats on your pregnancy. I m really sorry for your loss but being proactive this time round i m pretty sure you ll be holding your boys by the end of the 9 months! I think some twinges and pinching or some heaviness is normal at 23 weeks. I have constant heaviness and some painful twinges but doc explained that since my lo is feet down she s pushing with her legs henc the feeling something s going to drop! What kind of pain are you experiencing? And as always i d say why dot you just call your doc for a scan just to put your mind at ease? I really hope everything turns out just fine and normal! Ow and maybe try the progesterone rectally? I use it vaginally but other ladies on here use it rectally and it works just as well!
 
Welcome to new ladies I'm sorry I can't reply to your individual posts but my life is pretty frantic at the moment. You will find this thread so supportive & the ladies on it kind, inclusive & articulate so I hope it helps.

I hope all the girls are ok? Nothing from Olga? Olga if you're lurking plse check in.

Just a quick update from me. Wriggles has a name: Soren (meaning 'Warrior', 'Apart', 'Thunder'). We've had a mixed couple of days, he is now in a cot rather than an incubator but he has had to go back on the cpap (breathing assistance) machine b/c he's been getting tired & when that happens he crahes, stops breathing & his heart rate plummets! It is utterly terrifying although I'm told it's prett ynormal in Premmies (& the lovely Lizzie has helped to allay some of my fears) but every time it happens I want to cry my eyes out. After the initial euphoria of him arriving alive & fairly healthy I am now really feeling the rigours of the NICU. It is exhausting. But I am determined he will come home fit & well.

I would post pics if I knew how to upload them but I can't :-(

LaRock will PM you (& all the others) ma details when I get time. We should defo all have a shindig in London.

Katie-Poo any news? Desperate to know you're ok so will text.

Chrissy, BF, Liven, Helen, Olga, Lizzie & everyone else hope you had a good Easter & take care.

Sorry it's so brief.

Much Love

Jimmyjam xxx
 
Hey jimmy! So glad to hear from you! Soren is a lovely name and it suits your little worrior! Sorry he s back on breathing assistance but you ve got to give your little man some time to rest i m sure he ll pick up very soon, he s done so well till now, he ll be back on track real soon! Plus i m sure lizzie s been through this and knows all too well so trust her when she says it s pretty normal! Anyway, looking forward to another good updat of soren and wishing you re still doing well and being all upbeat and positive! I like the attitude!xo
 
thank you welcoming me :)!
chistiana, the sensation that i have sometimes is a sort of pressure in my lower abdomen. could be from the fact that one of my sons stays quite low, around my ovaries; or this pressure could be a sort of contraction?
i also had some bh contractions, but as long are not regulate and 2-3/day, i guess is normal?
the progesterone that i usually take vaginally i know that could be taken orally and/or vaginally. do you think would be ok to be taken rectally as well?
yes, probably you are right: maybe i should go for a short us scan just to see that everything is ok with my cervix but on the other hand, i just checked it 8 days ago and was fine. about my doctor, i think i will change her (i already setup an app within 3 wks to another gynecologist as the current one seems to not take into serious my fears in general - yes, i do know, maybe i am paranoiac sometimes, but as i've already lost a son plus the fact we can not conceive naturally and the ivf is a lottery, i can not afford to be very relaxed with this pregnancy, especially due my ic condition, emergency cerclage, etc).
 
You dont have to excuse yourself...we dont have to go through losses or complications to be taken seriously...more so since you have had a terrible loss and complications to deal with. I just hate when docs just dismiss our fears...they should be there even if you re utterly paranoid and call every 2 days! Good on you for sticking up for your lo and changing yor doc. Anyway, yes, other ladies told me that progesterone can be taken rectally, i was really nervous about using it vaginally after the stitch but the haemmoroids make it almost impossible for me to use that route!! Bh are also very commor, especially since you re carrying twins and as long as they re not painful or very regular you should be ok. Contractions feel like your tummy goes really hard (but check while lying donw not while standing) and it is accompanied by a radiating pain...for me they started feeling a lot like the mestrual type cramps accompanied by the tightnening but my waters had also gone so i knew! It s normal to always worry and associate every pain with ic so do go check it out but i m pretty sure your cervix is holding up just fine hin, that s what the stitch is in there for!xo
 
Hello everyone!

Sorry i've been quiet lately. Andy's been working lots, and so i've been busy keeping Poppy occupied over her Easter holiday, whilst generally feeling crap, fat, achey and tired.

JJEE - the pain you describe sounds totally normal. I had that through both pregnancies in the second trimester. I always thought it was either a cyst or my appendix (was neither) but turned out to be just normal but very painful pregnancies pains. It would sometimes feel sharp and take my breathe away, or like a dull ache.

Danielita - welcome to the thread! I hope things start to feel better for you, but it sounds like you're doing everything you can in this pregnancy for your babies.

Bookfish - how are you honey? At a great gestation now - i hope you're starting to feel glimmers of home now are on the horizon for you and your family.

Christiana - 30 weeks! Shopping time! I'm sure your goal posts have moved to, hmmm, 32 weeks now, but God 30 weeks is just brilliant and all is quiet on the western front...

Jimmy - so good to hear from you. Have texted you - am still here, waddling and waiting.

Lizzie, Helen, Liven - hope you're all well and enjoyed your Easter breaks (Helen, you must be on a nice long holiday now from school i hope? Recharge those batteries...)

I am still waiting for this baby to come. Spent Friday night in hospital as they were worried i had pre eclampsia ( i knew i didn't have but they have a strict policy of admitting you until they get your bloods back) as i had a bad head ache and blurred vision after a particularly exciting afternoon taking Pops to the fun fair. Cue another night on labour ward listening to babies being born.

I"m a bit worried as baby has changed position - she was starting to lie in a transverse position, plus her back was shifting towards mine. Nooo! My back is really starting to ache, and sleep is getting really scarce, which is really bugging me as i know how little i'll get when baby does arrive. Pregnancy lack of sleep is just cruel! But i'm trying to bounce on my big pink ball and lean forward as much as possible to encourage my little madam to get into position. Seeing GP in the morning so hoping she may have shifted a little by then.

Other than that, hope you're all doing well! Three weeks post stitch and cervix still firmly closed shut - should hopefully give you all a bit of hope with these tricky cervixes of ours.

XX
 
Hey kate! Haha yes 30 weeks feels soooooo much better but 32 will feel even better! Plus i dot dare buy anything yet but i am internet window shopping!! Are you trying the all on four position to let belly hang there...give her some more space?? God these babies will drive us crazy!!i really hope she s shifted a little by tomorrow hun, waiting for an update!xo
 

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