Incompetent Cervix - stitch/cerclage - threatened labour

Millie and Sunkiss, I am so pleased to hear from you both and SK despite how traumatic and scary the last 6wks have been you've made it past the worst honey :happydance: I presented at 23wks with Evie, but by then my cervix had already dilated with membranes bulging - we were a few days too late :( You have defied the odds in keeping that little girl in place - inspirational! Don't lose faith now sweet, keep resting and before you know it the end will be in sight lovely lady :hugs:

Millie, thanks for checking in and sharing. Things might have been more stable for you relatively speaking (bloomin terrifying all the same ;)), but your story is so reassuring to the ladies just embarking on the second trimester and looking for hope. I remember only ever wanting to read about success stories against the odds when I was in the '20s', and it's such a relief that you and SK have positive news to share with everyone. Take care chick xx

Ich - put down the progesterone and step away from your bits lol. You don't need more suppositories honey. Your doc is right, they act locally not systemically so make no difference to your blood hormone levels - sorry, should have said that yesterday when you were fretting. Two suppositories will do no more good than one, so stick to the plan xx

Lindy, relieved to hear your stitch is in darlin and urge you now to rest up as much as possible. The pain after surgery can be quite bad. I was in agony for a few weeks and it felt as tho my bladder was tearing every time I emptied it. Never seemed to impact the stitch or my cervix tho.

Kate had her baby at around 41wks I think. She wasn't funneled but had shortened significantly quite early on. She was plagued with bleeding throughout her pregnancy and lived in fear for weeks - the outcome was brilliant for her tho.

Just to reassure you, there have been lots of ladies with funneled cervixes who haven't had a stitch and made it to term or thereabouts.

Remember that funneling is the very beginning of a change to the cervix and is purely a 'giving way' of the top part due to uterine stretching. Imagine a balloon being inflated. As it expands, the neck of the ballon gets shorter and funnels out and becomes a part of the 'balloon body' itself as it fills with air. This is pretty much what is happening to the cervix when it's incompetent. This process is relatively slow, and if the neck were to be stitched tightly closed whilst still fairly long, then the changes are stopped in their tracks and the cervix made safe. With almost 2mms of closed cervix remaining, the odds are good that the stitch will work. It is only at a point of no return (usually when full dilation has happened), that emergency stitching is less successful. Many other bodily processes are triggered when this happens, and ptl is an additional risk.

Keep in touch, and if you need anything over the weekend pm me any time xxx
 
thanks lizzie.. i am feeling a bit better. wish i could get my cerclage in sooner.
 
millieboo glad you are home and baby is well hun.

lizzie i called my dr again (i am the patient from hell) and asked if he could please up my progesterone dosage to twice a day. lol. he said no and that since i am taking it vaginally it goes straight to my uterus and won't show up in my blood at all anyway which is why he was very pleased that it went from 10-12.5 by itself... buuttt i am still thinking of doing it against his orders anyway.. :blush:

Hey Ich!
I am on that Crinone progesterone and once a day really works. When I started using it, my cervix measure 2.8cm, then the check up before last was 3.7cm and as of yesterdays appointment my cervix measured 4.7cm (2.2 above my cerclage and 2.5 below). This stuff is icky and irritating, but I am starting to be convinced that this stuff is good. It is going directly to your cervix where you need it. I read that it increased your chance of a full term birth by 45%. So with a cerclage (which is 80 - 90% effective) and the progesterone plus taking it easy all should be well. I am hoping that my cervix stays put.

I think I have been mostly worried about infection from the cerclage, but my doctor doesn't seem to be too worried. I have been having lots of aches, pains and pressure, but sono turned out really good. Doctor seems to think that it is just all the stretching going on or baby laying a certain way. Baby is 14oz...almost a pound! He is also a little wiggle worm. I can feel him move often now, especially when I eat something sweet. :)
 
Hello there ladies,

Sorry I havnt posted for a while now. Just slogging through the last weeks. Theres been ups and downs but feeling we are mainly up now and on the home straight at 28+3 :happydance:

I am also getting used to this resting lark and glad my hubby is able to be with me 24/7 to wait on me hand and foot while I watch tv and internet shop :winkwink:

I have been out of hospital now for 2 weeks after a 6 week stay!!!

My cervix seems to have stabilised at 2cm for the last 4 weeks so thats great and baby is growing perfectly.

My plan is to stay resting/housebound until 34 weeks and then get out a little bit more. i havnt had a chance to get a pram yet or show off my bump to the world :flower: i feel safe now and the fear has lifted and i can now enjoy being preggers!!

well done to all you ladies, you are doing so well. i dipped in and out and stalked a little and no ive missed out on births and such so congratulations to all of you and thank you. :hugs: Has anyone heard from Sunkiss?

Truly inspiring! I love hearing the positive outcomes as well. I cannot wait until I hit the 28 mark. Will be able to be able to breathe a little more. So glad things are looking up. Show off that belly! ;)
 
Well done ich so happy for you :-)

Choviegirl - I have a support belt it helps when I'm up and walking about but havnt noticed a great deal of difference to be honest.

Little man seems to be kicking real low down today and I can really feel him on my cervix at least that's what I think it feels like .. Hope that makes sense.
His kicking low down wont affect the cervix / stitch in anyway will itt?

Xx

I think my little man has changed positions too and is kicking in lower spots. It feels so weird and hard to explain to my husband, but it is so exciting. I told my doctor about some pressure or even bouts of discomfort/slight pain, but she thinks it is just how the baby is positioned, gas and the stretching going on. Apparently our baby's are growing a little faster at this point.

I have had a lot of gas pressure out of no where. I noticed that when I take stool softeners I seem to have more gas pressure. It's either pressure from constipation or pressure from the stool softener. Lol guess it is something to get used to. :wacko:
Aren't you about 22 weeks?
 
aww chovie so glad your cervix is looking well.. right now i am taking progesterone because my numbers are low but ill be taking it all my pregnancy for the cervix also. its amazing to feel the baby move isn't it? i used to just lay down and put my hands on my belly and feel Sophia kick. Whenever my fiancee touched my belly she went crazy! if i ate anything like a bagel or pasta (starchy) she would fall asleep
 
i have a stupid question :blush: do they do a transvaginal ultrasound to check cervical length? does this mean you see baby everytime they do that?
 
i have a stupid question :blush: do they do a transvaginal ultrasound to check cervical length? does this mean you see baby everytime they do that?

I was just wondering about that too. All of my ultrasounds have been transvaginal with the exception of two. The one I had yesterday was not transvaginal and they had checked my cervix length and baby, so I am assuming they can check it either way. I was wondering how accurate the stomach ultrasound vs transvaginal were for measuring the cervix.

When I was early on in the pregnancy, I could see the baby with the transvaginal one. Now the only time they show me the baby is when they do the stomach ultrasound. I have probably had 6 or more transvaginal ultrasounds and all of them but the 1st couple were to check my cervix only.

Lizzie - Do you know if both types of ultrasounds can give accurate cervix measurements?
 
How fast can your cervix change in length (shorten)? Can it happen in a day or is it something that happens over a few days?
 
so the transvaginal u/s in 2nd trimester does not show the babe?
 
so the transvaginal u/s in 2nd trimester does not show the babe?

I don't know for sure. They never said they couldn't see the baby that way, but I have not seen the baby that way since being in the 2nd trimester. I wonder if it is because they are so concerned about my cervix?

I just found this website about ultrasounds...it might have something.
https://www.sound-medical-imaging.com/ultrasound/?ultrasound=prenatal2
 
Lizzie - I am pretty sure I had a shirodkar stitch. This is good isn't it? I suppose they do whatever is right for your cervix at that point.

Sunkiss I'm so pleased for you and Millieboo. It's brilliant to hear from you! It was just exactly what I needed to read this morning. Thank you.

The pain is better this morning but it's still painful to pee and I'm dreading a number 2! I'm going to eat loads of all bran and drink tonnes of water.

Every time I have had a transvaginal ultrasound to check the length of the cervix they have done an normal abdominal one first and spent quite a while taking measurements. I don't know whether that is just the procedure at this hospital in Peterborough. It's a nice little treat I suppose. The sonographer has always let us have lots of photos too when every one else has to pay for them.
 
Is sitting in bed ok or do you have to be lying down? I have read that cervixes have lengthened and funnelling changed with bed rest. What's the best position?
 
Thank you ladies, if i hadnt had read this thread about bedrest I dont know where we'd be. The drs didnt know what to do with me after my cervix shortened to 10mm after my stich was put in. They shrugged and said there is nothing more we can do for you :cry: because of this thread I knew the only thing was bedrest and i asked to be admitted. I knew i couldnt behave at home. The best thing I ever did.

Ich and Chovie girl- TVU is the most accurate way of measuring the cervix. after 20 wks I could see babys hand or foot or bum or head at the opening. At my hospital they will only measure baby every 2 weeks so sometimes I would only get a TVU and I could get that anytime my consultant requested.

My consultant wouldnt do TVU on another lady with IC i know because her waters seemed to have gone and didnt want to risk infection. But she was happy to do them on me as she deemed it safe and she is known for being the best and taking no risks at all.

My cervix seemed to lengthen and shorten overnight. Infact im sure i could feel it. One day in hospital i got really depressed and angry and went for a walk. I started contracting and i just knew i had done damage. sure enough the next scan i measured 6mm and funneled to the stitch. I felt so guilty!!

We prayed a lot the coming days and was back on very strict bedrest (mum almost got the bed pans out :nope:) and again i felt pain but funnily enough the next scan my cervix had grown to 26mm so it goes to show dont fret if you feel pains it could be growing!!:thumbup:


Another point I dont know if lizzie will agree but from experience just to keep my mind at rest I asked the lead sonographer if he thought that doing the TVU in a different way could offer different results. He said there is no research to suggest so, but to him it makes sense that it would. What I mean is that some sonographers used this pillow under my butt to do the TVU and some didnt. I was always sceptical when they did because alot didnt so i didnt trust their measurements. Now I would definitley request them not to use the cushion.

LindyB- I had the macdonald stitch and was quite uncomfortable for a while. I too was scared to poo. But i was told it would be ok but is important for us not to get constipated. If I could go back I would completely rest after my stitch. I wasnt advised to so I went for some walks and to the trafford centre for 5 hour shopping trips for maternity wear which i never got to wear cos i ended up in hospital :dohh:

Its a rollercoaster but going to be so worth it in the end!!

I met another lady in hospital whos had a miracle she lost her waters at 20 weeks (her due date is 16th sept and mine is 18th) We have become really good friends and our husbands get on well too and while we bitch about our men they bitch about us lol.....Anyway they told her the chances of carrying further than a week after her waters broke were very slim. This is her first pregnancy too :cry: But I told her that regardless what the drs say get on strict bedrest its the only thing to do...She did and now shes 29 weeks tomorrow and her waters have replaced so she has a full tank of 6.5!!!!! Its as if she never lost any!! Amazing!! I also found out only from discussing IC and why I was there that she had had a LEEPZ procedure years ago but they never asked about it when she saw the midwives first time.

There is lots to be done to help us women who have IC before we have to lose our first all it can take is a few right questions. Glad ive got you guys xxx
 
Ellie- i rarely have the time to reply to posts lately hun but just wanted to tell you your story is really inspiring and that i m very very happy for you! When you go hone in two weeks please make sure you continue resting as much as possible. Around week 33-34 (cant remember) my doc said i could go out a little bit more...at 35+3 it was my son's b day so i went out and shopped and did the house and inflated about 100 baloons and picked up my son... That night i gave birth to my daughter! What i mean to say to everyone here is to still put your feet up even when you re home and safe! Yes you can do more, and yes you can enjoy your pg more but always put your feet up when you can!!I m confident all you ladies will have your bundles safe n sound, your faith is trully amazing!
 
Thank you so much Christiana, very wise words. So good to hear from you and im suprised you got a second to post so thank you!! love the new pic of your gorgeous bundles xx

Ive been home two weeks and had no change in cervix length for 4 weeks. Even with this news I am still aware I need to put my feet up. I do keep reminding myself that I am not home and dry yet. I will feel comfortable doing a bit more at 34 weeks. but ideally i want to go to term at least 36 weeks.

A good friend of mine who was admitted the same day as me was 26 weeks when her waters broke, she carried for another 5 weeks. Her son was born 31+ weeks at 3lbs 3oz and he is still in scbu putting on weight hes now 4lbs but hes having issues with his tummy. She keeps urging me to stay rested and keep my feet up because she tells me how heart breaking it is to see her son in there and not to have him home!!

I shall take heed of your wise words and go and watch the tennis on the couch :winkwink:
 
Hi ladies, a TVU sometimes picks up the baby in the very early stages, but is not great for baby scanning as you progress and the uterus moves up and away from the pelvis. If your lucky you'll see feet but not much more from about 15wks. As for cl checks, abdominal scanning can see the cervix is closed and give a rough length sometimes, but it is known not to be accurate.

The tvu is by far the most accurate means of checking cl. Your bladder must be empty tho because a full bladder can alter length and make the cervix appear closed when it isn't. Some sonographer's are more conservative with measurements than others, but in general readings shouldn't vary by more than .5 over a few days between sonographers.

To answer the question about length changes and how quickly they happen, in general cl changes over a few weeks, but theoretically it can shorten more quickly over a few days or even hrs if too much strain is put on it. By the same token, you can regain cervical length just as quickly with rest.

There is so much that isn't known about why one women with IC can go weeks on 1mm whilst another goes into ptl with more remaining cervix. Just keep in mind tho that the majority with stitch do make it, and that because this is a mechanical problem it can be fixed most of the time.

Lindy - the shirodkar is brilliant, placed high up (which means your cervix can't have been severely funneled because they couldn't have done it), and sewn through the vaginal walls to give it good anchorage. I had it, and tho it was uncomfortable and left me feeling grotty afterwards, it held in 17Ibs of baby xxx
 
Oups sorry my mistake, thought you d go home in 2 weeks! Anyhow, yes take your friend's advice...natalia came home with us so we didnt have the nicu bit extended but still, being a premmy makes things like bfing and colic a little more difficult! Go sit your pregnant bumm down!
 
christiana how far were you when Natalia was born? beautiful name honey.
 

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