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Incompetent Cervix - stitch/cerclage - threatened labour

Ugh I was hurting earlier then finally fell asleep & woke up from bad dreams about something wrong with my cervical length..now cant fall back asleep. I'm not hurting right now either. I hate when I worry before bedtime cause then I sleep horribly & have bad dreams.
 
I was told by doc to drink loads of water like Lizzie says. If you are drinking that much tea you need to make sure it is caffiene free. Specialist said to avoid that. I know they always do and I didn't with my first but she said that you don't want anything speeding anything up in your body and as I am trying to be extra good to keep bubba in there gave it up for all caffeine free.
Felt awful for about a week! But now I don't have all those scary dreams which could be due to this or due to getting more confident as getting further along.
But def get that water in you!!

I have passed my time on bed rest with Internet shopping!! Christmas is pretty much planned for!! Plus disney Pixar films. When I come down and rest if sofa, can't play much with little one and I couldn't stand watching anymore peppa pig or dora!! So some disney films were ordered!!

I am really struggling with back pain from all this lazing about. I was playing tennis till I was 7 months with my first! And decorating. I was finishing painting the skirting boards while having contractions!! I am not used to being so immobile!
Mornings are worse, after a hot shower it loosens a little and use a heat pack but still aches. It feels like its grinding when I move so not nice. Anyone got remedies?!
I told doc, who said every pregnancy different and back pain is normal - yes he is a man!!
 
I was told by doc to drink loads of water like Lizzie says. If you are drinking that much tea you need to make sure it is caffiene free. Specialist said to avoid that. I know they always do and I didn't with my first but she said that you don't want anything speeding anything up in your body and as I am trying to be extra good to keep bubba in there gave it up for all caffeine free.
Felt awful for about a week! But now I don't have all those scary dreams which could be due to this or due to getting more confident as getting further along.
But def get that water in you!!

I have passed my time on bed rest with Internet shopping!! Christmas is pretty much planned for!! Plus disney Pixar films. When I come down and rest if sofa, can't play much with little one and I couldn't stand watching anymore peppa pig or dora!! So some disney films were ordered!!

I am really struggling with back pain from all this lazing about. I was playing tennis till I was 7 months with my first! And decorating. I was finishing painting the skirting boards while having contractions!! I am not used to being so immobile!
Mornings are worse, after a hot shower it loosens a little and use a heat pack but still aches. It feels like its grinding when I move so not nice. Anyone got remedies?!
I told doc, who said every pregnancy different and back pain is normal - yes he is a man!!
After a warm shower a back run by hubby might help. Try different positions( I know, cliche) and stretch. How long were you on bedrest for? It's annoying but I know it's for a good cause. I have a question for everyone though. Did you guys always lay with your legs elevated?? It's driving me nuts. My legs have been up for 2+ weeks now.:wacko:
 
I had my feet up but not elevated above my waist or anything. Just sat up in bed or sat on couch with feet on foot stool x x
 
Really angel? My OB office said to keep my legs up as I can tolerate it. I'm so confused. I'm scared to sit , I only sit in the rest room ( tmi. I know). I am afraid to put any pressure on my cervix.maybe I'll be bolder once I hit the 26 week mark. ( sigh) I'm hoping for an increase in cervical length at my next appointment next Monday. I'm afraid that my drs aren't hopeful because I'm so early so not sure if they give me advice based on that or what :/. So lost! I just don't want guilt.
 
Hi Pen - just had a moment to read back properly through your post and realised that you're actually carrying twins! Sorry hun, I hadn't noticed before.

Funneling with twins is actually fairly common, and much of the time is only because you are carrying two babies (not usual, and our bodies aren't made for it), and not because you have a genuinely incompetent cervix. Also, yours had only begun to funnel at 21wks which means it had actually held out quite well agai st the weight of two (your uterus is carrying the equivalent of a 28wk singleton pregnancy). Although your stitch is an emergent one, the fact that it was placed well before dilation or significant shortening means it stands an excellent chance of working well for you sweet.

If worst came to worst, and your babies were to deliver before 30wks (which is not as likely as you might think), then twins have an advantage over singles in that mother nature matures their major organs faster in anticipation of a premature arrival! They often do better than a singleton of a similar gestation - tho I am still fairly confident that you'll make several more weeks yet honey :)

As regards Evie, her premature arrival was a complete shock after previously carrying my first baby to term. I did have an emergency stitch placed with her, but at 23wks and with a dilated cervix and membranes bulging it unfortunately only bought her an extra week in utero. Though I still wish I could have carried her to atleast 28wks, given her shaky start she is now a happy, healthy 8yr old with the most generous, loving nature. Apart from having a short sighted eye, and some very minor concentration issues (which she might have had anyway), she is fine. The preemie journey is a tough one, but it can have a happy outcome. You're not there yet, but if it does happen, at the end of a long and sometimes arduous road, the rewards are many.

I'd recommend total rest if you can lovely, lots of water (1/2 glasses an hr), and lots of hope :flower: I say this so often, but there are lots of ladies who make it despite having lost all hope and in recent months there have been a few multiple mummies with stitch (and some without) who have had a poor prognosis but have gone on to defy the odds.

My cervix was already weak at 12wks with my third, twin oregnancy and probably open when I was upright. Despite that, I carried big boys to term against all those odds. You can too my sweet, hang in there :hugs:

Thank you, thank you, thank you!!! Everything you wrote here was just what I needed to hear. It's been a rough week after getting such miserable news from the doctor and then just trying to hang out in bed and not get paranoid about every little cramp and twinge. I will read this over and over whenever I get discouraged!!!

As a little update - I actually went in to hospital last night since I was having some signs of preterm labour. The pain was getting worse and worse, which was scary, but after being examined, it turned out they weren't full contractions (phew) and that the stitches were still in place and holding tight and looking good. On-call OB echoed what you said about the cerclages having a great success rate, and he said he felt pretty good about sending me home and just recommending Tylenol for the pain. As we were leaving the nurse said this was actually totally common for twins (again, like you said), and that it probably wouldn't be the last time!! They both said it was always best to come in and get checked out just in case, which put my mind at ease a little.

Starting to feel a little more optimistic that we could actually have a good shot at this!
 
Really angel? My OB office said to keep my legs up as I can tolerate it. I'm so confused. I'm scared to sit , I only sit in the rest room ( tmi. I know). I am afraid to put any pressure on my cervix.maybe I'll be bolder once I hit the 26 week mark. ( sigh) I'm hoping for an increase in cervical length at my next appointment next Monday. I'm afraid that my drs aren't hopeful because I'm so early so not sure if they give me advice based on that or what :/. So lost! I just don't want guilt.

Not sure if this is helpful, but from what I've heard, every doctor thinks differently about bed rest. There isn't much proven either way in terms of hard and fast rules ("do this, don't do this"), so you do tend to get different answers depending on who you speak to (this has certainly been my experience!). What I've basically been told told is to take it as easy as possible - which is super vague. I don't think it's that your doctor's aren't hopeful, I think it's that they can't say for certain what's definitely okay and what definitely isn't.

Try to hang in there as best you can - I know how easy it is to get yourself in a tizzy (I do it almost daily!). I am thinking of you!!!!
 
welcome penuche! i had an elective stitch done at 12 weeks. At 20 weeks my cervix was measuring 2.9 cm and slightly funnelled. howevre it remained stable a week later. I was on bed rest, and still am, but after passing 26 weeks my dr has lifted some restrictions.. do you know your cervical length? emergent cerclages have worked for so many women and i am sure you LO's will be cooking much longer! what are the genders?

lizzie thx for your reply! i am thrilled to have made it to this appointment. lol. at 20 weeks when i scheduled it in the back of my mind i was scared id never be abel to go

Congrats on making it this far!!! At my ultrasound on Monday they noticed the funnelling - when cervix was in the 'closed' position it measured over 3cm, but in the most open position it was only 1.6cm. I was checked last night at the hospital though, and the doc said there was "good length" to my cervix again now that the cerclage is in, which is a good sign. Hoping things continue along this way! Babies are boy/girl - we are excited :)
 
Hi ladies :wave:

Quick question for those who did/are on the opptimum trial. This is gross, but every few days I seem to get a quick thick powdery white discharge coming away! I presume, since I never had this before using the suppositories that they're to blame, just wondering if any of you had the same?
 
Really angel? My OB office said to keep my legs up as I can tolerate it. I'm so confused. I'm scared to sit , I only sit in the rest room ( tmi. I know). I am afraid to put any pressure on my cervix.maybe I'll be bolder once I hit the 26 week mark. ( sigh) I'm hoping for an increase in cervical length at my next appointment next Monday. I'm afraid that my drs aren't hopeful because I'm so early so not sure if they give me advice based on that or what :/. So lost! I just don't want guilt.

Not sure if this is helpful, but from what I've heard, every doctor thinks differently about bed rest. There isn't much proven either way in terms of hard and fast rules ("do this, don't do this"), so you do tend to get different answers depending on who you speak to (this has certainly been my experience!). What I've basically been told told is to take it as easy as possible - which is super vague. I don't think it's that your doctor's aren't hopeful, I think it's that they can't say for certain what's definitely okay and what definitely isn't.

Try to hang in there as best you can - I know how easy it is to get yourself in a tizzy (I do it almost daily!). I am thinking of you!!!!

I 100% agree with this statement x x x x some get told to not do anything but shower and others can carry on as normal. Do what makes you feel more relaxed and happy about the stitch x x x
 
penuche i think you have a great chance at carrying those babies much longer hun!! how exciting to have a boy and girl :happydance: my bed rest instructions were not very strict. this is what my doc told me..

1) I mostly need to stay in a sitting/lying position as much as possible
2) I can of course get up to go to the bathroom, make myself meals, etc.
3) No walking around at like the mall or the grocery store. I can make very short trips like if I need to go to the drug store or something.
4) I can go out to eat occasionally if I go, sit down, eat, then get right back in the car and go home and lie down.
5) No housework - like running the vacuum, etc.. that would keep me standing for long periods of time

babymaybe are you talking about progesterone suppositories?? i got a clump like white discharge with them. they were gross lol!
 
Suppositories notorious for the white, powdery discharge sweet, totally normal :)

Penuche - to give you some perspective, I felt like I was permanently in labour withthe twins from as early as 10wks :( I was convinced it was cervix related because the symptoms mimicked my daughter's preterm birth so closely. A very lovely midwife who I met at 17wks had also had twins years before, and described exactly the same problem. She spent so much time at L&D getting checked convinced she was in early labour - she wasn't and it was just a twin thing. Couple that with the presence of the stitch and you will feel constant tightenings, aches, pains and abject fear! I spent Christmas Eve and New yrs Eve in hospital because of it, but it never amounted to anything.

Ironically, as I got to 34wks this all stopped! Partly I think because I relaxed, but partly because my uterus was so over distended by then that it was tired and failed to contract efficiently. For singleton ladies bh contractions begin in the third trimester - consider that you are pretty much third tri size already and you can understand why the contractions are happening. Xx

Regarding rest and circulation, it can be an issue but I made sure to elevate my legs as often as possible and I didn't have any problems. Keeping up the fluid intake also helps ;)

Firehol - back pain is my constant enemy, especially since carrying the 'monster twins', but ironically I am usually pain free during pregnancy! I find heat to be very effective plus making sure to lie on a firm surface. When pregnant I lay on the sofa which is comfortable but supportive. I tried to lie on my left and kept a hot water bottle on my back as often as possible. Try going down in all fours and dropping your back into a relaxed, arched position and hold it there for a minute or two - helps relax the spine into a more natural position with minimal strain. Hope that helps, back pain is no fun xxx

Bed rest - I have not encountered a Doctor yet who advocates total bed rest (mine included). However, I felt so frightened and grim in the twin pregnancy that I daren't do any other than stay off my feet - 95% of the time. I am a huge believer in rest, especially if there are signs of cervical change but I am sure if I hadnt felt so much pressure and pain on walking I might well have moved around more - maybe its a good thing that I did because it forced me to stay put.

My advice has always been to take almost total rest until 28wks if at all possible, after which point you can begin to move around, go shopping etc but in moderation. Do what feels comfortable, your body usually let's you know if you're overdoing it. For ladies with or without stitch who have funneling or dilation I'd say keep horizontal for the duration on the grounds of why not? I didn't feel comfortable being upright for more than an hr until I reached 37wks, by which point I couldn't have moved even if I'd wanted to!! My bump looked like Mount Everest by then lol xx
 
penuche i think you have a great chance at carrying those babies much longer hun!! how exciting to have a boy and girl :happydance: my bed rest instructions were not very strict. this is what my doc told me..

1) I mostly need to stay in a sitting/lying position as much as possible
2) I can of course get up to go to the bathroom, make myself meals, etc.
3) No walking around at like the mall or the grocery store. I can make very short trips like if I need to go to the drug store or something.
4) I can go out to eat occasionally if I go, sit down, eat, then get right back in the car and go home and lie down.
5) No housework - like running the vacuum, etc.. that would keep me standing for long periods of time

babymaybe are you talking about progesterone suppositories?? i got a clump like white discharge with them. they were gross lol!
Sounds like you got a little more privileges than me. He said I can shower, sit up for meals and go to the rest room. I mean I went from no cervix to 1.2 cm so I don't want to push it. I think maybe after 26 weeks he might give me some more wiggle room.
 
When I was put on bed rest, I was told basically to stay off my feet as much as possible (sitting or lying down; feet didn't have to be up), no sex, no exercise. Up for showers, bathroom, and to get food from the kitchen. My doctor also didn't want me driving, but I didn't have a choice most of the time to get to appointments and such, so she was fine with it when I had to. :thumbup:

Contractions are officially considered "under control" I think. Having a few here and there through the day, but my doctors are very happy. Was told this morning that if things stay calm, I'm good to go home, but I don't know when. It'll probably still be a good 3-5 days before they're comfotrable letting me out, but that's to be expected. I really hope things stay good so I can get home to my own bed and my cats and real food. Being in the hospital is too stressful. :nope:
 
lch - yes, well they could be progesterone! On this study you have a 50% chance of getting actual progesterone or you end up with a placebo! Thank you to you and lizzie for confirming what I thought was to blame for the discussing powdery stuff! Incidentally I thinki may have the real stuff as the past few days my bbs have become sore again and my appetite seems to be disappearing, much like I felt in first tri, minus the sickness part of it. Also, although this might just be the stage if pregnancy I'm at, my hips have been much sorer since I started with them.

Shelby - your doing great hunni, I'm sure it won't be too much longer and they'll let you home. I hate being in hospital too, but hopefully your contractions stay under control and you'll be out of there soon :hugs:

Also while we're on the subject of bed rest, I've never been advised to take strict rest even with the two emergency stitches I had. As for the elective ones, my consultant is happy for me to be 'as normal', although I have been taking it more easy than normal this pregnancy. I'm starting to feel more confident now, I'm only 3 weeks away from 28 :)
 
oh wow ! i took it for low progesterone first tri. i didnt get any symptoms from it tho. i actually had a symptomless first trimester. no ms or anything. was convinced i was going to mc. its odd because with Sophia i was throwing up all day for 13 weeks
 
I had less symptoms this time round, but still felt yuck every evening between 7-10ish weeks. Nowhere near as long or as bad as Ive had it before though. Tbh I probably wouldn't notice these side effects if I was still in first tri and taking them, it's only because these symptoms left me so long ago now that I've noticed them coming back!
 
When I was put on bed rest, I was told basically to stay off my feet as much as possible (sitting or lying down; feet didn't have to be up), no sex, no exercise. Up for showers, bathroom, and to get food from the kitchen. My doctor also didn't want me driving, but I didn't have a choice most of the time to get to appointments and such, so she was fine with it when I had to. :thumbup:

Contractions are officially considered "under control" I think. Having a few here and there through the day, but my doctors are very happy. Was told this morning that if things stay calm, I'm good to go home, but I don't know when. It'll probably still be a good 3-5 days before they're comfotrable letting me out, but that's to be expected. I really hope things stay good so I can get home to my own bed and my cats and real food. Being in the hospital is too stressful. :nope:
Shelby you rock! You can do it!!
 
lch - yes, well they could be progesterone! On this study you have a 50% chance of getting actual progesterone or you end up with a placebo! Thank you to you and lizzie for confirming what I thought was to blame for the discussing powdery stuff! Incidentally I thinki may have the real stuff as the past few days my bbs have become sore again and my appetite seems to be disappearing, much like I felt in first tri, minus the sickness part of it. Also, although this might just be the stage if pregnancy I'm at, my hips have been much sorer since I started with them.

Shelby - your doing great hunni, I'm sure it won't be too much longer and they'll let you home. I hate being in hospital too, but hopefully your contractions stay under control and you'll be out of there soon :hugs:

Also while we're on the subject of bed rest, I've never been advised to take strict rest even with the two emergency stitches I had. As for the elective ones, my consultant is happy for me to be 'as normal', although I have been taking it more easy than normal this pregnancy. I'm starting to feel more confident now, I'm only 3 weeks away from 28 :)

Congrats!!!3 weeks away!!!! Nice. You'll definitely be able to enjoy your holidays!!!
 

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