Lizzie,
I tried to get your attention in another thread because from what I've read in some of your posts, you went through the sane situation that my wife is currently in with our twins. She is 22 weeks and when we had our 20 week exam we were told the twins were developing perfectly which brought us very short-lived joy because the last thing we were told was that her cervix was thinned to .5cm. We were admitted right away and left with a tough decision. She had a stitch placed a week ago which increased her cervix size to 2.1 cm. Here we are now a week later hoping to have her on bedrest at home as long as today's US looked good. She is now down to .6 cm and thinning is now occurring on each side of stitch which is not good to hear. So obviously she isn't leaving the hospital. We have been given several scenarios but they all involve time, which seems like we dont have much. From your own experience what was your situation like compared to ours and is there any hope. Positive feedback from anyone is greatly appreciated.
Hi Clint - I am so sorry to hear about your current struggles

We have all been there and understand fully the fear and helplessness induced by the sudden and unexpected news of a shortening cervix and complicated pregnancy. Hopefully I can help.
I just need to clarify a few things. By thinning out I'm assuming you mean that your wife's cervix is shortening above and below the stitch? Essentially it is still closed but short, and there is no funneling *(dilation at the top near her uterus) as far as you're aware? Has she been having any contractions, painless or otherwise, since the surgery? Did she ever have any aches, pains cramps or bleeding before or after the stitch placement?
As the other ladies have mentioned, a short cervix (even one this short) can still take a pregnancy safely to term if there is a stitch preventing complete dilation. If the problem here is purely a weak cervix opening under the additional strain of two babies, then as a mechanical issue, it can be helped with stitching. It is usual, not the exception, for women with IC to have very little cervix left. Your wife has had the stitch precisely because further shortening was anticipated, and although the stitch can strengthen a weak cervix and add length, it isn't unusual for it to shorten once more - and sometimes even swing back and forth on a daily basis!*
In an ideal world a stitch is best placed early before any cervical changes. Failing that, emergency stitches still work well in the majority of cases, and with bed rest and close monitoring it is still possible to make it several more weeks so please don't lose hope.*
Twins are a whole different ball game to singletons. Often the accompanying IC is 'twin specific' in that the same lady can go on to carry a singleton just fine and her cervix was only weak due to the additional strain of two babies. She doesnt have genuine IC. This is a common scenario with multiples but sadly one which is often overlooked by medics. Although not ideal, your wife is absolutely doing the right thing now in staying alert, being monitored and taking complete rest.
Hope that helps, but I realise you might have some specific questions for me too so please feel free to PM me (click on my name and the option pops up). In the meantime I wish you both all the best. With some remaining closed cervix there is still a great deal of hope for you all. It could be that surgery or earlier cervical changes have tipped some balance which could have triggered complicating issues, but on paper this isn't yet a catastrophic situation so focus on that for now. Take care and if you're able, please clarify those earlier questions when you have a moment xx