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Incompetent Cervix - stitch/cerclage - threatened labour

I've been trying to find information about IC and maybe people here can help? I had a LEEP (may have been a cone biopsy, I'm not sure) for CIN 3 in 2005. The OB mentioned they need to watch my cervical length but they haven't checked it yet and I went to for a detailed 11 week scan (I'm 36) and they didn't look at it at all. When is it normal to start measuring cervical length? I'm 12 weeks along now. Thanks for the help!!!!
 
I've been trying to find information about IC and maybe people here can help? I had a LEEP (may have been a cone biopsy, I'm not sure) for CIN 3 in 2005. The OB mentioned they need to watch my cervical length but they haven't checked it yet and I went to for a detailed 11 week scan (I'm 36) and they didn't look at it at all. When is it normal to start measuring cervical length? I'm 12 weeks along now. Thanks for the help!!!!

I was checked for the first time at 18 weeks. I think it's pretty unusual to be checked before 15 weeks - not enough weight from the baby before then to do much. :thumbup:
 
Lizzie and friends, i went to my peri today. I went from 1.2cm to .5cm and funneling. I'm devastated. He started me on nifedipine, azithromax and Ibuprofen . Last week when I wasn't feeling well he said it could have been contractions. He's not sure. I'm to remain on strict bedrest . I'm crying and can't seem to stop. I'm so close and I'm very scared. I has a weird looking discharge when I got home after the tvu. It was like a little brown flake ( sorry for being gross). I'm a mess right now. He didn't admit me so I think that's good because if it was horrific he would send me in. He didn't mention the steroids so maybe he's hopeful I'll make it to 26 weeks. I live 45 minutes from the hospital, my husband works Monday to Friday and I have a daughter in elementary school. My biggest fear is that I am so far from my OB and hospital. Pray for me guys. I'm so sad. And so so scared. Little one was sucking her finger today and weighs 1 pound 2 ounces. She's a beauty and I want her to live... :cry:

:hugs:

FX for you and your little one.
 
Basically my cervix is going very quickly. They measured it again today and its 12 mm, 3 days ago it apparently was 17 mm or something like that.

Dr. did a pelvic exam in the morning and was about 1 cm dilated; however, the TVU showed that im not funneling and still have 1 cm closed within, so they cannot see my membranes (good!!)

The specialist I saw today was very helpful and gave me a good prognosis. I think they might check me again on Friday when I go for my ffn test.

I just picked up my progesterone suppositories, he prescribed them vaginally. I really didn't want them in that way, would've preferred them rectal, but whatever works at this point. I am planning on getting an applicator so I can avoid sticking my finger in there (TMI sorry) don't need to introduce any new bacteria to the mix at this time.

Prayerful - I feel for you so much, just pray that everything will turn out great. Keep a positive mind set, just think you have less than 2 weeks before v day and that's one of the first milestones. I am keeping a positive attitude despite the day I've had which is a bit similar to yours. Remember we all have each other to come to for support and advice.
 
Eek ladies, I'm gone for half a day and so much has changed :( Sorry Prayer and Tink that your news wasn't positive today :hugs:

Prayer - so sorry to hear that you're funneling sweetie, and totally understand how anxious you must be feeling. Please remember tho honey that by your stage I was 3cms dilated with membranes bulging, and tho not ideal your situation is far from bleak. It is still possible with total rest to reverse these changes or atleast to remain the same for several more weeks - I have truly seen women with much less cervix go all the way, please don't give up hope just yet my lovely :hugs: Remind me prayer, why didn't they stitch? Is there any plan to now? (Sorry I can't remember, there are so many ladies here now with a million slghtly different situations it's hard to keep track exactly) xxx

Tink - did they discover the external dilation via a manual exam? Did it still look dilated on tvu? To be closed by over 1 at the internal os is actually ok for now hun, and at nearly 24wks your cervix, if incompetent, seems to be holding out quite well - of course you probably don't feel like it is and are living in fear, but clinically the picture is not bad at all.

Progesterone is proven to firm up a weak cervix, and so with it there is a very good chance it can prevent ny further changes to get you safely to 27wks and beyond. Once you make the third trimester the threat posed by a weak cervix is essentially over since it will never 'silently dilate' past 3cms without regular contractions. At 3cms a 27wk baby is no longer small enough to pass through the cervix - hope that makes sense and helps reassure you (you too prayer ;))

Rooting for you my lovelies :hugs:

Penuche - how're you doing? Twin pregnancy plus IC is a double whammy of terror, I know only too well. Thinking of you every moment sweet :hugs:

Shelby - I'm good thanks honey, and lovely of you to ask :) Busy here preparing for Christmas, with 4 kids there is never a dull moment lol. How're your little cherubs, how's their Mom? :hugs:
 
Welcome MrsJP - do you know the length of your cervix pre-pregnancy? It isn't usual to scan the cervix before 18ish wks, but it is useful to know its starting length if at all possible. That way they have a baseline to compare it with later in pregnancy as the baby grows and puts pressure on it. Sometime Leep can leave a cervix short but this doesn't mean it is weak. Lots of ladies can have short but very strong cervixes - just less to play with as it naturally shortens as pregnancy progressses.

It will be difficult to get a measurement before your anomaly scan, but it's always worth asking for one on the off chance. Many doctors operate a 'wait and see' approach with IC and will only act after cervical changes have been confirmed. If your doc thought that there was a genuine risk of IC then by rights you should be scanned sooner rather than later. Please be assured however that many more women have IC for no known reason than Leep-related.

Good luck xx
 
Lizzie and friends, i went to my peri today. I went from 1.2cm to .5cm and funneling. I'm devastated. He started me on nifedipine, azithromax and Ibuprofen . Last week when I wasn't feeling well he said it could have been contractions. He's not sure. I'm to remain on strict bedrest . I'm crying and can't seem to stop. I'm so close and I'm very scared. I has a weird looking discharge when I got home after the tvu. It was like a little brown flake ( sorry for being gross). I'm a mess right now. He didn't admit me so I think that's good because if it was horrific he would send me in. He didn't mention the steroids so maybe he's hopeful I'll make it to 26 weeks. I live 45 minutes from the hospital, my husband works Monday to Friday and I have a daughter in elementary school. My biggest fear is that I am so far from my OB and hospital. Pray for me guys. I'm so sad. And so so scared. Little one was sucking her finger today and weighs 1 pound 2 ounces. She's a beauty and I want her to live... :cry:

Thinking of you prayerful. Take it easy and do NOTHING. Make your OH do everything for you. I lasted 14 Weeks on .7cm (altho with a stitch). Just put your feet up and watch Christmas films x x
 
Lizzie, and friends... I have a cerclage . I was an emergency done due to NO cervix and funneling. I've been on bedrest since then... I'm 22 and 4 days now
 
Baby Sapphire born todat at 7.03pm at 37+4. VBAC success. 7lbs 8oz. Will do birth story when home xx
 
congrats hopeful! YAY FOR VBAC!!!

prayerful thinking of you hun, take it as easy as possible, when did u get cerclage?
 
Lizzie - the girls and I are doing very well, thanks. :flower: Both girls are now on full feeds with no more IV nutrition! :happydance: T is still on the nasal cannula and B is being tried off of CPAP and on room air again. When I was at the NICU earlier today, she'd already gone 24 hours with no problems so FX things stay this way. They're beginning to gain well - Tegan is past her birth weight and I think Britton is, too; the night nurse didn't write B's weight on her weight card last night, and her day nurse was on lunch when I was there, so I didn't get to find out. But she was 0.4oz below her birth weight two days ago, so I'm fairly confident that she's back up as well. :thumbup:

A couple of pictures from today :cloud9:

Britton and then Tegan

https://i873.photobucket.com/albums/ab294/shelabama/B4small.jpg

https://i873.photobucket.com/albums/ab294/shelabama/T5small-1.jpg
 
Congrats on the new arrival Hopeful !!

Shelby, both girls are looking great.. Its amazing how much theyve changed in 2 weeks.. Theyre adorable :)
 
Massive congrats Hopeful :happydance: Fab weight as well for 37ish wks, you did so well. Make sure to take care of yourself too now that the whole pregnancy journey is over, its so easy to forget yourself once bubs has arrived :hugs:

Shelby, the girls are such poppets :) Tegan is really looking like her Momma, though you probably can't see it yourself. Beautiful girls, thanks for posting xxx

Prayer - with a stitch that's a whole different ball game. It would have been surprising if you hadn't funneled to the stitch sweetie given your history and that this was an emergency cerclage. Ich is experiencing a similar pattern to you, albeit later on in her pregnancy. Please try not to panic hun. This isn't an ideal scenario, but funneling and shortening is to be expected with IC and doesn't usually mean imminent stitch failure.

Your real enemy now is less the 'silent' funneling, but more any contractions you might be having. It is possible that this whole process has caused irritability and contractions to creep in, but unless you're feeling fairly regular, painful tightenings/crampings then the stitch will hold and its unlikely any further significant changes will occur before you've reached a decent gestation.

With Evie I had pretty painful contractions for several days, accompanied by lots of bleeding until she was eventually born less than 10 days after stitch placement. It was progressive and there was no doubting that I was in ptl almost immediately after the emergency stitch had gone in.

With the twins I had lots of irregular, painless tightenings, didn't feel 'right' at all from 10 thru 28wks and was plagued by dodgy aches and pains which felt like the early stages of a failing and weak cervix. Symptoms definitely do not correlate with cervical status in my experience, so it's impossible to know how every IC pregnancy will progress on that alone. So too funneling and length rarely determine how long a pregnancy will last - there seem to be no hard and fast rules. Upshot is, I can't offer guarantees that everything will be ok for you my darlin', but neither is this 'game over' either - and there have been dozens more women in your position make it than don't. Particularly encouraging is that you are already 5wks post stitch - emergency stitch failure typically occurring sooner rather than later as it did with me.

I have typed out this exact same message hundreds of times before to women like yourself, fearful and convinced its over. Thankfully, time and time again they have been wrong (I have been one of those women too ;)) Try to rest, remain positive and don't lose hope. It's scary and unpredictable, but there is every chance this will all come good. Thoughts and prayers with you tonight :hugs:

Ps - hope all that made sense, I get a bit 'blah' late at night lol ;) xxx
 
Massive congrats Hopeful :happydance: Fab weight as well for 37ish wks, you did so well. Make sure to take care of yourself too now that the whole pregnancy journey is over, its so easy to forget yourself once bubs has arrived :hugs:

Shelby, the girls are such poppets :) Tegan is really looking like her Momma, though you probably can't see it yourself. Beautiful girls, thanks for posting xxx

Prayer - with a stitch that's a whole different ball game. It would have been surprising if you hadn't funneled to the stitch sweetie given your history and that this was an emergency cerclage. Ich is experiencing a similar pattern to you, albeit later on in her pregnancy. Please try not to panic hun. This isn't an ideal scenario, but funneling and shortening is to be expected with IC and doesn't usually mean imminent stitch failure.

Your real enemy now is less the 'silent' funneling, but more any contractions you might be having. It is possible that this whole process has caused irritability and contractions to creep in, but unless you're feeling fairly regular, painful tightenings/crampings then the stitch will hold and its unlikely any further significant changes will occur before you've reached a decent gestation.

With Evie I had pretty painful contractions for several days, accompanied by lots of bleeding until she was eventually born less than 10 days after stitch placement. It was progressive and there was no doubting that I was in ptl almost immediately after the emergency stitch had gone in.

With the twins I had lots of irregular, painless tightenings, didn't feel 'right' at all from 10 thru 28wks and was plagued by dodgy aches and pains which felt like the early stages of a failing and weak cervix. Symptoms definitely do not correlate with cervical status in my experience, so it's impossible to know how every IC pregnancy will progress on that alone. So too funneling and length rarely determine how long a pregnancy will last - there seem to be no hard and fast rules. Upshot is, I can't offer guarantees that everything will be ok for you my darlin', but neither is this 'game over' either - and there have been dozens more women in your position make it than don't. Particularly encouraging is that you are already 5wks post stitch - emergency stitch failure typically occurring sooner rather than later as it did with me.

I have typed out this exact same message hundreds of times before to women like yourself, fearful and convinced its over. Thankfully, time and time again they have been wrong (I have been one of those women too ;)) Try to rest, remain positive and don't lose hope. It's scary and unpredictable, but there is every chance this will all come good. Thoughts and prayers with you tonight :hugs:

Ps - hope all that made sense, I get a bit 'blah' late at night lol ;) xxx

Thanks so so much Lizzie. It made perfect sense!:) my peri is very aggressive. He started me on antibiotics which he said would help with any infections if there is one undetected which could cause some irritability, ibuprofen around the clock for two days to relax my lovely 6 cm fibroid that may be irritating my uterus, and nifedipine 10 mg every 6 hours to relieve any contractions.... Along with the vaginal suppository progesterone , weekly progesterone injections, and my regular prenatal vitamins. I can honestly say he has done all he can and all else is up to God. Glad to see that evie is doing well given she was born at 24.. How was she in the nicu, how is she now? God bless her and YOU!
 
I get admitted in hospital at 8am tomorrow & cerclage at noon. Dr said everything "felt" great at appt today when he checked to make sure I wasn't dilated. I do have a bad sinus infection so started antibiotics so it don't turn into pneumonia Dr said. Ill update after cerclage tomorrow! :)
 
aww prayerful, i totally understand the fear you are feeling right now hun, good news is you have a cerclage and your dr sounds like he is totally on top of things!!

good luck tomorrow amy
 
Prayerful - I was on nifedipine from 21 weeks to 28 weeks. I honestly don't think I could have gotten as far as I did without it. :thumbup:
 
Good luck with your cerclage Amy :hugs:

Hopeful - congratulations on the birth of your daughter and very well done on achieving a successful vbac :happydance:
 

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