Incompetent Cervix - stitch/cerclage - threatened labour

[baby_maybe]

I'm good thanks Kim, more worried about you though! I agree with hopeful about going back to be monitored. When I went in at 32 weeks with my daughter they wouldn't let me out because they wanted to monitor me. I ended up having her later that week and I'd been to 3 hospitals in that time because they had to find somewhere with a neonatal bed available. I'm on the opptimum trial now too, just started on Tuesday

 

[kimbotrav]

Kim, go back and demand to be monitored. Thats all I can say. Dont take no for an answer. I hope all is ok.


Ich-Thinking of u and hope u have power! x

thankyou think i will go back tomoro ... i expect they will say where i am having not alot more bleeding and only the occassional pain just wish i could see my consultant sooner then tuesday xxx

 

[kimbotrav]

I'm good thanks Kim, more worried about you though! I agree with hopeful about going back to be monitored. When I went in at 32 weeks with my daughter they wouldn't let me out because they wanted to monitor me. I ended up having her later that week and I'd been to 3 hospitals in that time because they had to find somewhere with a neonatal bed available. I'm on the opptimum trial now too, just started on Tuesday

yeah its realy strange al the doc did was an internal which usually she says its closed but she didnt say that last night which is concerning and just where there is no more blood she was happy for me to go home i expect if my consultant knew i wouldnt have been going home just want tuesday to be here its all so worrying...did u experience plug loss/bloody show? do you think if i have had bloody show i could posibly go into labour every pain im getting in my cervix now is worrying me lol im thinking over time just horrile when doctors ARE rubish....glad alls good with you thats fab ure on the optimum hope u have progesterone i alsways wonder what mine is xx

 

[baby_maybe]

I did once I was in established labour, but they'd already confined my cervix was opening with the suture in place still! Shortly after that they took it out and let me labour and go on to deliver. I think you should request a call to your consultant and tell them you'll be satisfied once she has reviewed your notes again. Also that you're not happy to wait until Tuesday.

 

[JustinsMama]

hi ladys im still having issues....lost more plug 2 days ago a kind of pink brown and clear jelly bits and pieces and then yesterday i had what i think must be my bloddy show as it was bright red/and dark red jelly and abit of blood a few clots had a few increasd painful contractions last night so went up to hospial where the doctor checked me and said my cervix still looks the same she couldnt see any fresh blood and i could go home if i wanted and come back if pains increase ext she also did a blood test o check for infection.....im just really worried as if this is my plug and bloody show which i think it is as i had it last time i was pregnant before i went into labour surely they should be mo nitoring me more as labour could be soon?? maybe ?? what do you ladys think? also my swab showed i have ecoli which wil need treating when im in labour but am concerned where i have lost my plug so confused right now sorry to ramble on hope ure all ok xxx

Can you request to be monitored before Tuesday? Trust your gut! If you think labor is imminent, make sure someone hears you and listens to your concerns.

 

[lizziedripping]

Hi prayerful and welcome The other ladies have said it all really but just to add that I had awful pressure in my back passage from as early as 8wks with the twins, from 20wks that eased only to be replaced by a tampon-like sensation at the front end. It was scary and I permanently felt like I had something sitting low down inside. You have had bulging membranes, quite invasive vaginal surgery and now have a reasonably thick piece of tape holding your cervix closed - I would be more surprised if you felt nothing down below

All I can say is that I was plagued by sensations, aches and pains which all mimicked the preterm delivery of my second child, but which amounted to nothing last time around. Much of these symptoms are present, but largely overlooked by women without cervical issues and 'normal' pregnancies, but because you are aware, and have lots going on cervix/uterus/vaginal wise, you are bound not only to feel more, but to micro manage every twinge - and understandably so honey. Take care xxx

Kim - bleeding/loss of plug alone doesn't mean labour is around the corner and if your cervix looked closed then that's a good sign sweet. That said, you are anxious, there is a theoretical risk (especially given your experiences last time), so like the other ladies have said, keep pestering them to check again. Something is clearly going on cervix-wise for there to be a 'show', and it could well be that there are changes above the stitch, not detectable with a manual exam alone. I'd ask for a TVU to see exactly what's happening above and below the stitch. At the moment your contractions don't sound strong or regular enough to be causing cervical changes, or damage for that matter, but that could change if you are showing early signs of labour.

Good luck and keep us posted xx

Chovie - good luck for tomorrow, look forward to hearing your baby news. Try not to worry about the induction, lots of ladies are induced and the labour can sometimes stretch out but lots avoid a section

JM Yey for a well behaved cervix lol xx

 

[JustinsMama]

I am scheduled to be induced tomorrow at 4am as my little man decided to stay put after having stitches placed and 4 months of bed rest. I am so excited but, getting very nervous as I never thought that I would be induced and I have heard that it ups your risk for having an emergency c-section. Please say a prayer for me that baby is healthy and all goes well delivering.

I hope all you ladies are doing well!

Ich - I have been thinking about you and am sorry that you had to deal with that terrible storm and car accident. I hope things improve very soon.

Big hugs to all!!!

Good luck!!!!!

 

[angel229]

Good luck for today chovie x x x thinking of you x x

 

[kimbotrav]

Hi prayerful and welcome The other ladies have said it all really but just to add that I had awful pressure in my back passage from as early as 8wks with the twins, from 20wks that eased only to be replaced by a tampon-like sensation at the front end. It was scary and I permanently felt like I had something sitting low down inside. You have had bulging membranes, quite invasive vaginal surgery and now have a reasonably thick piece of tape holding your cervix closed - I would be more surprised if you felt nothing down below

All I can say is that I was plagued by sensations, aches and pains which all mimicked the preterm delivery of my second child, but which amounted to nothing last time around. Much of these symptoms are present, but largely overlooked by women without cervical issues and 'normal' pregnancies, but because you are aware, and have lots going on cervix/uterus/vaginal wise, you are bound not only to feel more, but to micro manage every twinge - and understandably so honey. Take care xxx

Kim - bleeding/loss of plug alone doesn't mean labour is around the corner and if your cervix looked closed then that's a good sign sweet. That said, you are anxious, there is a theoretical risk (especially given your experiences last time), so like the other ladies have said, keep pestering them to check again. Something is clearly going on cervix-wise for there to be a 'show', and it could well be that there are changes above the stitch, not detectable with a manual exam alone. I'd ask for a TVU to see exactly what's happening above and below the stitch. At the moment your contractions don't sound strong or regular enough to be causing cervical changes, or damage for that matter, but that could change if you are showing early signs of labour.

Good luck and keep us posted xx

Chovie - good luck for tomorrow, look forward to hearing your baby news. Try not to worry about the induction, lots of ladies are induced and the labour can sometimes stretch out but lots avoid a section

JM Yey for a well behaved cervix lol xx

thnakyou lissie i wil ring them today and keep you all updated...its so frustrating when your not listened to they just leave everything down to my consultant but i only get to see her on a tuesday and phone cals to her are non exsistent but i will put my foot down....its also concerning me that usualy the doctor who i seen says my cervix is tightly closed where as this time she took longer to look and didn say it was closed wish i had asked he for more details but always tink after like you do lol its just all so confusing hope your ok xxxxxx

 

[baby_maybe]

Have you checked to see what she wrote in your notes Kim? I only ask because I always go through my notes when I've been to triage to make sure I've fully understood what they've told me. if I'm not sure I ring them when I get home and check with them again

 

[Prayerfulmom2]

So a friend said I should start my registry to keep me busy. I'm 18/1 with a rescue cerclage placed a week ago today. Hmmm what do you think? Anyone have a rescue cerclage with a great outcome?

 

[lch28]

Thinking of u today chovIe

 

[DAYDAY24]

Cerclage scheduled for dec 13 very nervous because of this bv and i dont get a scan before.

 

[ShelbyLC]

Cerclage scheduled for dec 13 very nervous because of this bv and i dont get a scan before.

You're only ~2 months, right? You should be absolutely fine. At this point, your babies don't weight enough to do much damage. December 13 is only a little over a month away and at that point you'll be, what, 12-14 weeks? I haven't ever heard of a doctor doing a cerclage before that (except the pre-pregnancy ones) so I really wouldn't worry. Besides, your doctor wouldn't do anything she didn't feel safe with.

That being said, if anything doesn't feel right or you just need some reassurance, don't hesitate to call your doctor/nurse/hospital/etc.

Not sure how to help about the BV though. Maybe the medication they want to give you isn't something that should get to the babies during first tri.

Anyway,

 

[DAYDAY24]

Thanks shelby im really not nervous about cerclage but the bv causing problems with it

 

[ShelbyLC]

Oh. Right. You said that, too. I blame pregnancy brain!

 

[lizziedripping]

Hi DD - BV isn't a huge problem in pregnancy sweet so try not to worry. I was screened for it and tested positive at around 20wks with the twins but it caused no problems with the stitch despite me not being treated for it until several weeks after the test!

Think of it like this - if every pregnant woman were screened a huge percentage of them would be BV positive. It's a common bacteria and is a part of the usual vaginal 'flora and fauna', essentially harmless.

What isn't known for definite is how much of a part this pathogen plays in ptl, and no one is sure if it causes it or becomes a problem only after ptl has set in for other reasons. Once the cervix is open, it can travel 'north' through the open cervix and into the uterus - it has been found in the uterus of some women after premature delivery. The current thinking is that it is only a potential issue after ptl and cervical dilation, but does not cause it - chicken and egg. if your cervix is closed (even in part), and the plug is intact it is near impossible for this bug to go anywhere beyond the vagina, and the uterus remains essentially sterile.

When they do your surgery they will likely give you IV antibiotics anyway which will serve to eradicate this and any other bugs honey. In the meantime, it isn't a threat and in fact is only treated routinely these days in women who have previously had preterm births in order to 'cover all bases'. I had it, was treated (eventually), but it's possible it returned within weeks anyway. I wasn't screened again so was oblivious to it. In the UK women in the prem prevention clinic are generally screened once only, at 20wks, and treated accordingly - almost to rule everything out as a possible cause of ptl. There was no sense of urgency however, and I was treated as a precaution. In the weeks I had it I was unaware and it caused no ill effects. Hope that helps sweet xx

 

[Firehol]

Hope all goes well tomorrow chovie.

I met the doctor today and he is happy!! Seemed quite positive. My cervix has shrunk only 1mm and he said that it will start to shrink anyway at this stage. Considering it has shrunk 15mm over 6 weeks previous I'm quite happy it only shrunk 1mm over the last 4. I guess progesterone and rest does help!!
No more cervical scans for me now though but I did insist I get the fibronectin test instead on my next visits to put my mind at ease. Although if it comes back positive will do the opposite!!
So 12 weeks to go I hope. 4 weeks ago I had my bags packed and was expecting to be in the maternity ward at any minute!!

 

[DAYDAY24]

Thank you so much lizzie it made me feel so much better

 

[lch28]

well i have lots of reading to do on this thread but i am happy to announce that after 12days of hell my power is back! woohoo!!

and.. i am soo exicted to be 26 weeks today!