Incompetent Cervix - stitch/cerclage - threatened labour

[wunderful78]

Darn auto text I meant thanks agi and ich not ago n stitch lol my phone is psycho about stitches lol , anyway

Nup I definitely don't mind , I dunno what type mine is I'd say its a McDonald I only had 23mm of cervix left so I didn't have to many options !

I'm so sorry you lost your baby boy last year I never realised the truth about all this IC stuff until it happened to me though I never lost a baby I spent 14 days in nicu and another 21 days in nursery with my daughter who was 30 weeks ,but my ob took the wait and see approach with this one ! Insert swear word nasty name so here I am on bed rest with an emergency stitch ;(

Steph they say preventative stitches have about 85% success rate I think alot if the 15% go into pre term labor that can't be stopped !

Are you on progesterone shots ? I'm in Australia so I'm just on suppisitoties we don't have shots my doctor has given me 60% chance

 

[stephb1981]

I didnt even know what ic was before it happened! And i had never heard of a cerclege. I am very very lucky in that i have 2 wonderful boys that are 5 and 7. I had LLETZ treatment after my youngest was born in 2008. They never told me that this treatment could cause ic. Had i been told i would have been better prepared.

I am now with a new partner and we would love nothing more than a child of our own. I also had an emergency cerclege done. I went for my first check and it was 42mm and ten days later was only 18mm. We may have the same stitch as from what i have read they only place a mcdonald suture if you have very little cervix or have already started to dilate. Correct me if im wrong anyone lol.

I'm not on any sort of progesterone at all. I did ask the consultant as i had googled this and she said it would not make any difference. I think it all depends on what your caregiver believes is best. I will however get 2 injections to mature babies lungs should i go into labour early. Not sure when but sometime between 24 and 28 weeks. Do you think i should ask again about the progesterone? Did your consultant say what the benefits where?

I can not imagine what having a child in the nicu is like. You are so brave. I have googled images as i want to prepare myself as much as i can and it must have been so upsetting for you. Im happy for you that everything worked out for you. Your daughter is beautiful.

On a lighter note my youngest was born in NZ. So not so far from your side of the world. lol

When is your scan? and you will let us know how it goes wont you? xxx

 

[lizziedripping]

Hi Steph - signs to look for are regular, frequent cramps, bleeding, or additional pressure down below (generally symptoms which are unusual for you). That said, I had pretty much the same symptoms with the twins after stitch as I did with my daughter who came at 24wks! It's very difficult to differentiate except that withher the symptoms increased steadily over several days until there was no disputing that something significant was going on (lots of bleeding, water and contraction pains).

Having an elective stitch is very reassuring, but the side effects of its very presence can mimic ptl and a dilating cervix unfortunately. I had tightenings, occasional cramps, felt lots of pressure, and had the shooting pains you describe some of which was probably due to it being twins too. I was always stunned to see on internal scan that my cervix had remained unchanged, I was convinced it must have opened or torn through the stitch. It never did so please be reassured that even under the weight of two large babies it held up brilliantly xx

Good luck today Wunder xxx

Prayer - personally I would remain on total bed rest if I were in your position. You could risk it, but if your goal is to take home a full term baby then it is really the only way to increase that chance lovely xxxx

 

[baby_maybe]

They don't always only do Mcdonald sutures as emergency ones, all my sutures, either elective or emergency have been those type. I think shrodkir sutures are used more for twins or if you've had a mcdonald one in the past that has failed or some doctors just prefer one type over the other.

Shrodkir sutures are placed higher up and are also secured to the vaginal wall so are stronger, but you can't have them placed once your cervix is short. They are used quite often in twin pregnancies where there is already a known cervical issue and placed early they are very effective even with all the extra weight.

Hope that helps a bit. I'm sure Lizzie can elaborate a little more on the differences between the two even further

AFM - Feeling a bit blah about this extra fluid business. I don't know if it's because I now know how much fluid there is, but I feel more uncomfortable and I'm panicking that the fluid is increasing. Probably my mind playing tricks on me but still. I thought I'd got to the point this time where I wasn't worrying so much about the IC, but now I'm worrying about this instead and the IC as I'm not sure what extra impact the fluid will create on my cervix. Can't wait to see my consultant on weds and please say he will make a plan, because I like to know what I'm doing and what's going on at all times!

 

[DAYDAY24]

Hey ladies I have been having the shooting pains also doc checked manually and said everything feels the same put it is really scary. I have a cervical length check wed. Also I have been itchy down there lol snd yesterday I saw some slight yellow discharge I think I may have another bacterial infection ugh. Just trying to make it through next 6 weeks then maybe Ill calm some especially with the twins its hard.

 

[Prayerfulmom2]

Wunderful breathe easy! You've done all you could. Best wishes xx

 

[stephb1981]

They don't always only do Mcdonald sutures as emergency ones, all my sutures, either elective or emergency have been those type. I think shrodkir sutures are used more for twins or if you've had a mcdonald one in the past that has failed or some doctors just prefer one type over the other.

Shrodkir sutures are placed higher up and are also secured to the vaginal wall so are stronger, but you can't have them placed once your cervix is short. They are used quite often in twin pregnancies where there is already a known cervical issue and placed early they are very effective even with all the extra weight.

Hope that helps a bit. I'm sure Lizzie can elaborate a little more on the differences between the two even further

AFM - Feeling a bit blah about this extra fluid business. I don't know if it's because I now know how much fluid there is, but I feel more uncomfortable and I'm panicking that the fluid is increasing. Probably my mind playing tricks on me but still. I thought I'd got to the point this time where I wasn't worrying so much about the IC, but now I'm worrying about this instead and the IC as I'm not sure what extra impact the fluid will create on my cervix. Can't wait to see my consultant on weds and please say he will make a plan, because I like to know what I'm doing and what's going on at all times!

Thankyou for clearing that up lol. I've only got google to go by he he.

Good luck on wed. Maybe its baby getting bigger is why your feeling even more uncomfortable. The extra fluid plus growing baby will make it seem like the fluid is increasing. Fx for you that the fluid volume has gone down. xxx

 

[stephb1981]

Hey ladies I have been having the shooting pains also doc checked manually and said everything feels the same put it is really scary. I have a cervical length check wed. Also I have been itchy down there lol snd yesterday I saw some slight yellow discharge I think I may have another bacterial infection ugh. Just trying to make it through next 6 weeks then maybe Ill calm some especially with the twins its hard.

I have exactly the same symptoms. I phoned the antenatal unit this morning. The shooting pains are normal for a stitch. Obviously if your worried go to be seen. I know the itching for me was a yeast infection. boo! I have been to the chemist and bought some cream and am no longer itching. Maybe this is the case for you. I have been extra extra careful to keep myself clean as am so paranoid about infection that i have washed away all the good bacteria and given myself thrush!! lol

 

[DAYDAY24]

Thanks steph I saw my ob last week and she said all look good and gave me a ultrasound appt to check this week. Now im waiting for them to open so I can tell them about itching

 

[stephb1981]

Its horrible the worrying isn't it. Having a yeast infection is bad enough but then you worry that its going to affect your stitch. I was really panicking last night. I hope you get sorted soon. xxx

 

[DAYDAY24]

Yea I had a bacterial infection for like month was on antibiotics the whole time finally cleared up 2 weeks ago so idk

 

[stephb1981]

My guess would be that the antibiotics have given you a yeast infection. They get rid of all the bacteria bad and good and this is what can give you thrush. Antis give me thrush every time without fail. Same with my OH. If it doesn't have a smell to it chances are this is what it is. Its easy to treat, no antis just cream as its fungal i think not bacterial. Hope you manage to speak to someone soon xxx

 

[DAYDAY24]

Thanks they open at 9 so waiting

 

[Hope2302]

@ Steph, I live in the uk and my doctor has strong opinions about continuous checking of my cervix. I have had my stitch in for 5 weeks now and not had scan. They are mindful about trying not to interfere with anything going in there. She reckons even if we check and God forbid things aren't as they should be, there is nothing that can be done that we already haven't done And a cervix determining to change can't be stopped.
I myself am an indication of how things are going in there. So if my temperature is good, discharges are normal, no bleeding, no heavy pressure And no leaking of fluid then we should keep Hoping and praying for a positive outcome.
With that explanation, I was able to get that worry of my chest about not knowing how my cervix is doing but we are all different. If you want one done every couple of weeks insist at least for peace of mind. I hope it all works out and results into full term healthy baby for you.

 

[Hope2302]

Hey ladies I have been having the shooting pains also doc checked manually and said everything feels the same put it is really scary. I have a cervical length check wed. Also I have been itchy down there lol snd yesterday I saw some slight yellow discharge I think I may have another bacterial infection ugh. Just trying to make it through next 6 weeks then maybe Ill calm some especially with the twins its hard.

I do have those shooting pains too and was told that is to be expected with a cerclage in. The itchiness would worry me so good you are been proactive about it. I am praying for 6 weeks and more for you and the babies.x

 

[baby_maybe]

@ Steph, I live in the uk and my doctor has strong opinions about continuous checking of my cervix. I have had my stitch in for 5 weeks now and not had scan. They are mindful about trying not to interfere with anything going in there. She reckons even if we check and God forbid things aren't as they should be, there is nothing that can be done that we already haven't done And a cervix determining to change can't be stopped.
I myself am an indication of how things are going in there. So if my temperature is good, discharges are normal, no bleeding, no heavy pressure And no leaking of fluid then we should keep Hoping and praying for a positive outcome.
With that explanation, I was able to get that worry of my chest about not knowing how my cervix is doing but we are all different. If you want one done every couple of weeks insist at least for peace of mind. I hope it all works out and results into full term healthy baby for you.

My consultant is exactly the same hun, so I know where you're coming from

 

[stephb1981]

Thanks ladies. Your replies have made me feel a little better. These things just kept cropping up when i read things and i guess i felt like i was feeling a bit neglected by the good ol' NHS. But knowing i'm not the only one who's consultant says these things make no dif is reassuring that its normal.

Hope can i just ask are you on any kind of progesterone? xxx

 

[DAYDAY24]

Hey ladies doc said yeast. I also might have gestational diabetes got to test wed.

 

[stephb1981]

Hey ladies doc said yeast. I also might have gestational diabetes got to test wed.

I'm glad you got sorted. Hope they gave you something to clear it up. It is most uncomfortable. xxx

 

[Hope2302]

Thanks ladies. Your replies have made me feel a little better. These things just kept cropping up when i read things and i guess i felt like i was feeling a bit neglected by the good ol' NHS. But knowing i'm not the only one who's consultant says these things make no dif is reassuring that its normal.

Hope can i just ask are you on any kind of progesterone? xxx

Yes Steph. I am on cyclogest pessaries. 200mg taken twice a day.