Incompetent Cervix - stitch/cerclage - threatened labour

[lch28]

ChovieGirl i noticed the clumps today.. i checked inside sorry tmi to see if i even got any in because someone told me if i did there would be clumps and ew.. its really so gross lol.. i should probably try to put it in farther next time. i guess it should be as far as it can go?

 

[Alisa F]

ChovieGirl - thanks. I'm really anxious now awaiting my next appointment next week because I'm on Clexane (low molecular Heparin) and I was told that I can't have any epidural/spinal or general anesthesia while on it. I'm sure I'm not the first person in this situation, but just waiting to have it clarified is drivingme nuts....

Alisa, I am on Clexane as well (since November 2011) and when I had the cerclage I had general anesthesia (intra venous). I stopped Clexane 24 hours before cerclage and then, 24 hours later (after the cerclage), I started it again. Was not a problem at all. I do not know why you've been told if you are under LMWH you can not have an anesthesia. You only have to stop Clexane one day before intervention.

Danielita - thanks i feel so much better now

 

[lizziedripping]

Okay so probably tmi, but i was in the bath and for whatever reason I decided to feel below as its been a bit uncomfortable this afternoon. Just on the inside of my vagina at the top feels like a rounded tip, could this be my cervix? I'm sure its not normally there, just feels like Its taking up all the space, should I be concerned or am I overcomplicating things? sorry for the tmi! but hoping someone may know.

Hi hun, what you are feeling could be your cervix which might be lower because you are pregnant and have a mild prolapse - very common and completely harmless. It could also be your vaginal walls bulging inwards under the pressure of you bladder or bowel, again completely harmless and as a result of your pelvic organs being displaced by your growing uterus. All these sensations are normal in pregnancy and nothing to worry about. I'd strongly advise you not to put your fingers inside too often tho hun, tho minimal there is a risk of introducing infection every time you do xx

 

[lizziedripping]

Hi Danielita, glad to see all is going well for you Hun

 

[lch28]

well i have my date for cerclage, august 2nd.. i will be 12 weeks exactly. my doctor told me to expect some bleeding and i really freaked out. how long will i bleed?

 

[JJEE]

Hello Ladies,

I hope everybody is well?

Ich, I bled for just under a week, it wasn't constant, mainly after I went to the toilet, all completely normal!

Lizzie, how are you lovely? I wanted your opinion on my stitch removal, I have been told it will be removed on 1st Aug, I will only be 34+3. I wondered if you had any ideas on this, my doc said on average people go into labour 2wks later making me almost full term, but I am wondering why they wouldn't prefer to remove it at 37wks. Could it be due to PPROM with my daughter (no.2)

I am fast approaching 28weeks...super excited by this, we start growth scans Mon as they are now saying my daughter (no.2) could have had IUGR as she was only 2lb 11oz at 31weeks, and apparently was the size of a 28wk baby, I don't whole heartedly agree with this theory as she is just a very petite little girl. I am looking forward to getting to see baby again, and cannot fault my doctors attention to detail!!

Lots of love. xxx

 

[JJEE]

Lizzie

What have I done wrong with my ticker? It has just come out as a load of print!

xxx

 

[lizziedripping]

Hi JJE lol Is this the first time you've tried to do a ticker? It looks as though you've put in the wrong code. Did you want me to get it and paste it for you? pM your lilypie password etc and I'll pm back the code you need to insert.

Ok, stitch removal at 34wks. Usual protocol is removal at 34wks for twins and 36wks for singles on the basis that twin labour generally starts earlier than a singleton labour. It sounds as though your doc believes there is a reasonable chance this Lo could come earlier than average and so is removing the stitch to avoid complications if you were to go into labour.

I personally would challenge this hun. Because I ended up having a scheduled ceasarean with the twins, my stitch wasn't removed until section day at 38wks! My consultant told me that I'd just have to get to hospital quickly if I felt anything like labour so that it could be removed before doing any potential cervical damage. I am so glad they didn't remove it now, because the surgery might have caused me to labour earlier.

Most of the time stitch removal doesn't cause labour, and in fact most women go on for several more weeks afterwards, even when their cervixes immediately dilate after removal. Even at 3/4cms at 34wks, your cervix will only dilate further under the influence of strong, regular contractions. Baby will not just fall out at that gestation, so if they insist on early removal, it is unlikely to cause sudden labour.

I'd ask if they can leave it in longer, it is your right to do so. I'd atleast want to know the reasoning behind removing it early. Your baby is petite, but as you say this is more likely a genetically small frame than any growth restriction, especially if she has always been on a smaller growth curve. Hope that helps xxx

 

[Skyy82]

Thank you Lizzie, definately won't be touching again, just felt uncomfortable and then worried as couldn't work out what was normal arghh so hard sometimes to work out what things are right and wrong first time lol thank god for the internet forums!

 

[DMJ]

Hi ladies ..

Another quick question from me .. Discharge?
Basically when wiping this morning I had a small blob of like snotty green discharge on the tp .. Has only happend the once and it was after a bm.
Does this sound normal..ish?

Xx

 

[lizziedripping]

Hi dmj, how many weeks are you again Hun? X

 

[lch28]

dmj - when i had that it was my mucus plug. how far are you

 

[DMJ]

I'm 20 weeks today ..

It's only happend the once and have had nothing since not even really any discharge, urine is nice and clear.
Do u think I need to be worried or watch out for anything else?
I though the mucus plug would be slightly bloody?

Xx

 

[JJEE]

Thankyou so much, I am thrilled! Love it! I am hoping I get the remaining 12weeks use from my ticker! :

xxx

 

[lch28]

honey do you have a cerclage in? sorry i forgot..
i don't want to scare you i just wish someone would have told me this.. my mucus plug was not bloody at all and i called my doctors about it (i didn't know it was a mucus plug until 2 weeks after i lost Sophia and did some research) and they brushed me off and said cervical mucus changes all the time in pregnancy. but it was deff my mucus plug and a week later i went into labor. i would call your doc asap. it could very well just be normal cm , mine was a big amount also almost every-time i wiped for a few days. i don't want to scare you sweetie i just want to make you aware

 

[DMJ]

Hi hun

Yes I do have a cerclage it was placed when I was 13 weeks.
I havnt had any more today so I'm hoping that it was because i had to push slghtly during my bowel movement.
I will defiantly call my doctor in the morning if I have any more discharge that I'm not happy with. Thankyou for your reply

Xx

 

[lch28]

your welcome, if it is your mucus plug it would continue to show up. keep me posted please. are you on bed rest?

 

[DMJ]

I will do hun ..

I'm not meant to be on bed rest according to my consultant but iv put myself on modified bed rest, I just get up for toilet breaks and showers and occasionally a short drive in the car for some fresh air. I keep walking about to a minimum and if I do have to go out I wear my pelvic support belt. Xx

 

[lizziedripping]

Hi dmj - ich is right that the mucus plug is like a glob of snot, and that you should be 'aware', but I suspect it isn't the plug in your case hun. In rare cases the plug can come away early, but most of the time it is harmless discharge normal in pregnancy. The colour might indicate infection more than anything, and the mucus plug is more typically brown streaked or bloody.

With the stitch in place discharge is often even more pronounced, and is the body's way of reacting to its presence, much like any other foreign body. If you notice any unusual cramps, tightenings, bleeding or lots more snotty discharge then don't hesitate in getting it checked sweet.

When I delivered Evie early the only sign I had was increased milky discharge and a lower back ache. They told me that discharge to that degree was abnormal, but then in my first pregnancy with a full term baby I had so much discharge that it ran like water down my legs every morning from 24wks - clearly tho it meant nothing in that instance.

This is probably fine in the absence of any other symptoms, but as Ich says don't take any chances, if you're still worried then it never hurts to be checked out xx

 

[lizziedripping]

No worries JJEE x