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Incompetent Cervix - stitch/cerclage - threatened labour

Day - my stitch took me all the way to my scheduled section at 38+2 with mild funneling to the stitch from around 25wks. An elective stitch can absolutely take you all the way, even with twins xx

Ich - steroids have a limited life in that once given their positive effects for a baby on the outside are good for a week or two. This doesn't mean they are useless and have no effect beyond a week or two, but clinically they are proven to help with lung development and function once baby is born for up to a week or so after administration. Steroids are very potent but short acting. Evie had to have a 5 day course of steroids to support her in weaning off the ventilator at 6wks old. They reduce inflammation around the body and so enabled her lungs to function better for long enough to breath other own (without them her lungs just weren't coping every time they switched off the vent). Over that 5 day period they slowly weaned the vent u til she was breathing air alone. The ventilator keeps babies alive, but causes inflammation and damage which in turn weakened her lungs so she just couldn't make the transition without the help of the medication. Steroids only act for as long as they're in your body, so after they were stopped Evie was 'on her own' as it were. By that point she had however 'learnt' to manage without the ventilator and her lungs were strong enough not to need it because of the support given by that short course of steroids.

It's similar for a baby in utero. The steroids give a blast of support in which they temporarily mature the lungs for long enough that the baby can breath and function better for themselves in that initial period on the outside. Once that has happened and the effects have worn off, the baby takes over with an, 'at core' stronger respiratory system than would otherwise have been. A 30wk baby for example might not need breathing support anyway, but the steroids increase their chances of breathing air immediately, and continuing to do so once the steroids have cleared their system.

The best case scenario is to give two shots atleast 24hrs before delivery and with 24hrs between doses. It is why timing is crucial because giving them unnecessarily and repeatedly isn't that good for you or baby, but giving them just before a delivery is excellent for baby. Your docs will likely give them if there is an obvious sign that delivery is about to happen (within a week). If not then they're kind of pointless because the benefits to baby genuinely do wain after a week or so - it is like your baby hasn't had them if he is born over a week after they're given. I've waffled but hope that explains it? xx

Prayer, glad all is looking ok. I had several visits like that to delivery suite convinced labour was about to happen, it's bloody terrifying, but if it helps, my weird aches and pains never amounted to anything xxx
 
thanks lizzie, ill see how everything goes today, im just scared that ill go into labor quickly and wont have had time for them =[ im so nervous for my ultrasound, i could hardly sleep last night..

i made it to 30 weeks!!!!!
 
hey lizzie! im feeling well, i have my TVU tomorrow, so we will see what happens.. my dr said if my membranes bulge more, if my cervix shortens or if im funneled past the stitch he is going to admit me to the hospital. I am going to ask for the steroids tomorrow.. however im confused and have been getting mixed info on them. some have told me they only work for 1 week (if you dont deliver within 7 days of getting them you need them again) and then ive heard they work for the remainder of pregnancy. do you know anything about this?

Ich when I got mine they said they are good for 4 weeks which is why they don't give them after 32 weeks as baby is not deemed premature at 36 weeks.
Of course it may be different in US! I had to have one shot in my thigh and then go back for a second one 24 hours later.
I don't know if they give you a second shot 4 weeks after should the baby not come and you are still not 32 weeks. I'm there now so never got round to asking!
 
I haven't been on in so long. I got bumped to scheduled resting and enjoyed spending quality time with Alexis for the last couple weeks. I tried to get everything ready for Christmas in case baby tries to arrive early, lol. I've been having fun just being a normal pregnant woman!

Went for my 34 week appt yesterday and I am fully effaced and thin, cervix is probably only under the stitch (which comes out in 10 days). And baby's head is apparently in a "getting ready to exit" position. So much so that I am back on MBR until 12/17 cerclage removal.

Boo hiss.
 
hello ladies!!

my cervix is exactly the same as it was 2 weeks ago!! :happydance: and, i found out that i stupidly thought my membranes were bulging, but they are just resting on the stitch. i am soooo happy i cried lol. its the exact same length and everything. dr says he has no doubt that ill make it to stitch removal! hope hes right!!
 
Hello ladies!!

I'm fairly new on the forum, I thought I'd share my story with you ladies. I've been keeping track of this forum for a few weeks now, and been able to admire how close of a family you girls are and how supportive you are with each other in these times of uncertainty.

I haven't been diagnosed with IC officially since my doctors say that they only diagnose it once you've had one or two second trimester losses. However, for the last 5 weeks or so my cervix has been going downhill somewhat. I've been in a constant worry, reading your stories have given me hope.

Any who, a little insight on my pregnancy. I'll be 23 weeks tomorrow :happydance:, but I must admit its been somewhat of a rough journey so far. I was very fortunate to never have had any morning sickness, but from the 9 week point on its been a bit troubling for me. From about 9 weeks until about 17 weeks I experienced spotting on and off. At 13 weeks, it was determined that I had partial placenta previa and was what was causing my spotting, but that then migrated by my 17 week scan. However, during that US they noticed that my cervix was opening and shortening a bit when pressure was applied from the inside, so I was put on bedrest for a week and had a scan a week later only to show my cervix was no longer opening or shortening, at that time it measured 3.13 and 2.76 at its shortest.

I've been having some sharp shooting pains in what feels like my cervix for a few weeks now, doctors have said its normal. For two weeks now I've been having a mucusey discharge on and off which doctor said it was "normal pregnancy secretions." Today, I went in because I'd noticed a watery discharge for about a week now and was beginning to get concerned. I was sent for another scan, which showed my amniotic fluid to be good and amniotic sac to be in tact. I asked the US tech to measure my cervix as I've been concerned ever since than scan 5 weeks ago when it showed signs of giving way to pressure. When she measured it, it had gone down to 1.5 -1.3 since 4 weeks ago when it was last measured.

The US tech immediately called the perinatal doctor who asked to speak with me. She basically said that I was at risk of delivering prematurely, but didn't see why I couldn't make it to 28, 30 weeks or even further. She didn't recommend a cerclage at this point, being that it might be worse to do it at this point than to let it be as it is now. I asked about the steroids, she explained those are good for 2 weeks, so they'll only administer them if delivery is imminent (pretty much what Lizzie said in her previous post). I have my next OB appt on Dec 12th, so I guess I'll wait and see what he tells me. I still work full time at this point, on reduced hours so I don't work a full day, but do have to work every Sat. so I can have at least 36 hours. Dr. said that should be fine for now, just not to stand or walk too long.

Sorry for making this super long, just wanted to give you ladies some background info lol. I'm really worried that ill go into PTL at any point, I want my baby girl to remain inside for as long as possible.
 
Stalled at 2cm! Back home. More show n cramps. Kim where are u?!

hopefull oh my goodness so sorry i havent been able to get on my lap top for a while as my little one year old broke them :( they are now fixed tough at last :) have been desperate to see how you are and update you all on how i am. how are things wiht you now hopeful??? i have had my wonderful little bundle of joy :) :happydance::happydance::happydance: he is beautiful and perfect born last friday so officially a week old at 9pm its was all crazy and super quick xx
 
Hi all. Just wanted to pop in with an update, as it's been a very eventful past few days.

I started having what felt like contractions early on Wednesday, but there wasn't much of a pattern to them and I had a scheduled checkup with my OB that morning anyway, and he didn't seem too concerned. We went home, and the contractions were getting worse, so we waited a bit to see what would happen, only to have things calm down again! Finally decided to call the hospital around 6pm when they told us to come in just in case, even though we were pretty much convinced we were just wasting our time and money on parking!

Turned out we were way off - the on-call OB was pretty sure I was on the verge of labour. Since my hospital doesn't accommodate babies born before 32 weeks, they had to transfer me to another hospital, and by the time I got there I was having really intense contractions only a few minutes apart. Cervix had dilated to about 2cm (though the cerclage is still keeping everything closed officially), but membranes had bulged through and were right on the brink of rupture. The L&D team managed to get everything stopped after a few hours thank goodness, and the next day I was transferred to the high-risk obstetrics unit where I am on strict hospital bed rest (no bathroom privileges even!!!) probably until I deliver or reach 32 weeks and can be transferred back.

Still super early (will be 25 weeks on Sunday), so we had a lot of scary conversations about viability and resuscitation and complications that have been very hard. Right now, they say our odds are about 50/50. Since I still have intact membranes, we are hoping we can buy ourselves some more time, as every day really counts. At last check, babies were measuring 1lb 8oz and 1 lb 11 ounces.

Being in hospital unable to get out of bed has been rough, and I'm trying to walk the fine line of trying to be optimistic for these babies while also keeping a realistic perspective on our situation. Sad that this is all happening, but I guess our only choice is to keep taking things one day at a time.

Hopefully I'll have some happier updates to share as we pass our weekly milestones! As always, I am thinking of all you ladies as well, and hoping things are going well!!!!
 
***IVE HAD MY BABY :) ***
Hi ladys finally got my computer back up and working so have popped in to see how you all are and to announce the birth of my beautiful baby boy born last friday 30/11/12 at 9pm weighing 6pound his name is lincoln he is sooo perfect :) :) :) and he managed so well born 4 weeks early and stayed away from nicu :) ......my story.....cant belive my emergant stitch held untill 34 weeks where they had to take it out early as i was in awful pain and was bleeding. i then felt better for a week i felt relieved pains stopped for a while. i then started getting a few signs things may be happeneing like back pain cramps tightenings but nothing that lasted or any pattern so thought i may last up untill my sceduled csection at 39 weeks but last thursday i started having a few more pains through the day lots of pressure was cleaning lots lol woke during night with same old back ache also woke with runny nose all not to strange apart from nose as i have been having pains on and off alot of pregnancy. in the morning (friday) i had lost alot of my plug wiht blood in in the morning, then by 1pm started getting contractions what i thought were bh, they then got closer together and i refused to belibve i was in labour lol it was crazy i was in pain but not agony like i thought i would be thats why i kept refusing to belive this may be it!!!!!. got to the hospital at 7pm and i was 5cm dilated already so got rushed down for a emergency c section as this was my 3rd baby they said things could go real quick as it already had it was mad and rushed.cant believe my precious little boy is here and i managed to get to just over 36 weeks so pleased where as my last baby was born at 29 weeks wihtout sitich and he manged to stay out of nicu he did amazingly well one very proud happy mummy and am evidence of how super brilliant cerclages are :) thnakyou to all of you ladys for your support and advice couldnt have got through wihtout u and this site and thnakyou lissie :) xxxxxxx
 
Kim - Congratulations! Love his name! :hugs:

Penuche - I'm so sorry you're having to deal with this. I know how hard it is to be in the hospital for long periods of time! I also know that things sometimes manage to change for the better and there's always the chance that you may get to go home on strict bed rest at some point. Just try to stay positive, as hard as it is. :hugs:
 
There you go my darlin Ich - what did I tell you? :happydance: Tbh, from what you said I never thought your membranes had bulged through the stitch, I had got the impression they were sitting on your stitch and had pushed into the funnel above it. That's why I wasn't too worried :) Now go chill out, and watch those weeks pass you by lovely lady :hugs:

Penuche - so sorry to hear about your traumatic few days :nope: This is classic IC and absolutely terrifying. I've been there and it's sooo worrying, BUT ladies in your position do hang on and get surprisingly further regardless. You're absolutely right to get off your feet completely now sweet - don't leave anything to chance. Bed rest (especially in hospital) is tough, but the days and weeks will pass and it'll allbe worth it :hugs: You sound like such a brave, dignified lady hun, you will get though this :hugs:
 
Wow Kim, great birth story - huge congratulations to you all honey!! Lincoln sounds gorgeous :) xxx
 
Hi Tink, and welcome to the thread :flower: Though your cervix is short, to have gotten to 23wks without funneling or dilation is actually a positive sign hun. Though you're not out of the woods yet, there is still a good chance you could make atleast 30wks on a short cervix with plenty of rest and close observation. Your cervix could actually remain short but tightly closed for the duration - the reason it's important to be cautious however is that a shortening cervix usually (not always) precedes funneling if there is a genuine weakness there.

It's so tough to call because lots of women, if scanned would have shorter/shortening cervixes, but not all of them deliver early as a result. Best thing to do is to look out for any unusual or worsening symptoms like extra pressure, bleeding, cramps etc and to really take things easy. When are they next checking you? Any chance you could get signed off work, atleast for a few weeks until you have a clearer picture cervix-wise? Lots of love xxx
 
Hi Tink, and welcome to the thread :flower: Though your cervix is short, to have gotten to 23wks without funneling or dilation is actually a positive sign hun. Though you're not out of the woods yet, there is still a good chance you could make atleast 30wks on a short cervix with plenty of rest and close observation. Your cervix could actually remain short but tightly closed for the duration - the reason it's important to be cautious however is that a shortening cervix usually (not always) precedes funneling if there is a genuine weakness there.

It's so tough to call because lots of women, if scanned would have shorter/shortening cervixes, but not all of them deliver early as a result. Best thing to do is to look out for any unusual or worsening symptoms like extra pressure, bleeding, cramps etc and to really take things easy. When are they next checking you? Any chance you could get signed off work, atleast for a few weeks until you have a clearer picture cervix-wise? Lots of love xxx

Im trying to be as optimistic as possible throughout this whole journey. Im happy that I've made it this far and do have faith to make it much further. I'm shooting for at least 30 weeks and hopefully I'm able to pass 30 weeks without a problem. I've been researching IC a lot for the past month and I'm aware that it can be unpredictable. I am worried about the mucusy discharge I've been having lately. I don't know if thats my mucus plug which is what worries me. My next OB appt is on Wednesday the 12th, and as far as they let me know they will not be having me go for scans weekly or regularly unless my OB says so. I am very paranoid about any changes or strange symptoms being that this is my first pregnancy, so I go to the OB just about every week to get checked out. I would like to be monitored from this point forward at least weekly so that if there are any further changes they can be caught in time. I am planning to ask my dr next week if he can give the order.

As far as being signed off work, they might probably put me back on bed rest next week depending on what the doctor determines. I have been drinking lots of water to keep myself hydrated and don't do much once I get home, I typically lay in bed.
 
congrats kim!

aww thanks lizzie, that is exactly what my membranes are doing lol, thats seriously the exact way the dr described it!

tink if it helps ever since 12 weeks i get this mucous discharge. i have been to the dr at least 4 times thinking its my plug and its not. he says its just normal!
 

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