Incompetent Cervix - stitch/cerclage - threatened labour

[DAYDAY24]

thanks ladies my lil men where 2 at 26 weeks exact im trying to increase protein so they can gain. My said twins are usually smaller since sharing but it seems mine are the same as singletons

 

[DAYDAY24]

going home this week since im not having any contractions they are not my checking cervix anymore but through abdominal ultrasound which it was 1.4 or something.

 

[Agiboma]

@tlm glad to hear all is well with the cervix, booo about the gd test, with diet modification all will be ok
@day glad to hear you are going home
@prayerful sorry about the setback, are they looking at reflux, we used the slow flow nipples for what seemed like forever, but eventually he got the hang of it and we where able to upgrade to faster flow.
As for me had my ob appointment today, will be going back again on thursday for another bp check and also to do my pre csection blood work.

 

[lizziedripping]

Hi Day - here's a brilliant twin weight tracker I referred to in my pregnancy hun. According to it your boys are right on track https://www.twinstuff.com/twinweights.htm

In general twins and singletons follow the same growth curve up to 30wks after which twin weight gain slows down due to lack of space compared to a singleton (someone should have told mine that lol). From what I remember my twins were about 3 and 4Ibs at 28wks.

Great news is that twins tend to have a more rapid organ development before 30wks - mother nature anticipates premature delivery with twins and so equips them better to deal with life outside the womb IF they do come early.

Wunder, can't believe you're getting grief for pointing out 28wk/IC trend on other boards. As you said, it isn't that an IC stops being vulnerable after 26wks, (it can still open 'silently), but because an IC tends only to open without contractions to 3/4cms at most, it needs strong regular contractions to open further than this. At that point the baby is in general too large to simply deliver through a 3/4cm gap, the cervix needs to be dilated further. Whilst IC isn't a threat directly, there is still a chance that by dilating to 3/4 ptl could be triggered as a seperate but not strictly unrelated issue. Maybe this is what other boards are driving at?

Ptl due to a dilating cervix can happen at any gestation but since an incompetent cervix tends to dilate early on (around 20wks), the chances are if it were going to cause the associated ptl it would have done so by 26wks.

So in brief, a truly incompetent cervix without a stitch is usually signifcantly dilated well before 28wks. A cervix which holds and dilates past this point is usually dilated for a reason other than IC and probably because of ptl due to other pregnancy complications. The two conditions are not mutually exclusive, and are often related but ptl (if it arises as a result of IC) typically happens well before 28wks. At 28wks the IC threat (as a purely mechanical, cervix open 'baby comes out' condition) has essentially passed. Ptl triggered by it is also less likely if the cervix has remained stable to that point, but is still a possibility - that possibility decreasing as each week past 24 passes by.

A cervix can dilate without contractions at any point, but is less of a problem and less likely IC-related the further along you are. Ptl on the other hand is a risk throughout, a risk as a direct result of IC only between weeks 16 and 24. If your issue is purely IC, and your cervix is looking stable at 25wks then the condition itself poses less of a threat after that point. If it has held up reasonably well by a certain point then it likely will continue to do so - IC is a condition which definitely shows itself sooner rather than later.

Sorry for the waffle, hard to explain in writing - hope it made some sense xxx

 

[wunderful78]

Makes heaps of sense , I believe this is what happened in my first pregnancy as I was silently dilated for who knows how long to a 4cm then ptl set in from infection and my waters broke at 30 weeks

Day that's great news you are going home

 

[DAYDAY24]

This gd is getting on my nerves I ate the exact same thing for dinner two nights in a row one night its high next low

 

[Mommy's Angel]

Just stopped by to see how everyone is doing. So happy for those of you who've hit term. YAY!

I found the topic of O'ing during sleep very interesting. Never had it with my last pregnancy. I'll have to keep an eye at the next whenever that is.

Still on TWW here. Not really sure as the symptoms are meshing together. I overstimmed so I've been feeling like 750lbs. As of today, starting to feel better and I get nausea. I'm taking progesterone suppositories which is all new to me after PIUI. I'm wondering if that's what's causing the sickness as I was on 17P with last pregnancy and nauseated a lot. Progesterone is what usually gives that feeling of MS.

LOVED the pics of the twins. Beautiful!

Continue the good work ladies!

 

[Agiboma]

@ma yep, progesterone does cause nausea in some women GL, fingers crossed for you.

 

[chocolatecat]

@ma crossing my fingers for you. When are you testing?
Are you on a gel or a p17 for the PG? I was reading up on them and sounds like the gel is slightly better for IC ( so might be worth staying on it all the way through like I have!) Coz obviously this is going to work for you!!!

In other news - V day!!!!
Unfortunately my best friend is going in for a hysterectomy today
And it's 8 weeks since my dad died.
Weird day.

 

[Agiboma]

congrats on vday chocolate

 

[Twinkle 3]

Well done to making it to v day choco cat I can't wait to make it, still got 4weeks to go

Iv got a question for everyone,
Do you lose your mucus plug with the cerclage ? Or does it keep it In?
I havnt lost mine.. I really hope I don't until full term but I was just wondering how it works.


Also would you only use it when you dialate?

I'm a bit confused aswel about the stitch, can you dialate with it on or is that unlikely?

 

[xGracex]

So much goes on in this thread! I am so terrible at keeping up!

I have a question for you all... I could just be worrying for no reason but I would like your opinions. I have been getting like an achy pain in my vagina area. It feels more like on the outside then on the inside but I'm not sure. It only happens occasionally but will usually last for about 5ish minutes when I do feel it. I don't have the stitch and I don't have any more doctors appointments until the 8th of April. Is this something to call my doctor over or just something that happens normally.
I remember having this slight pain with my last pregnancy but I don't remember it happening till later on(around 16 weeks plus?) and I never figured out what it was

 

[DAYDAY24]

Congrats chocolate

 

[lizziedripping]

Yey Choco xxx

Twinkle - you can dilate with the stitch in, and in fact many IC ladies do. The difference is that with a stitch they typically only dilate to the stitch (funnel), but remain closed below. It is possible to dilate right through the stitch and for it to be the only thing keeping baby in. However, dilation this significant would usually be accompanied by regular contractions, bleeding and LOTS of symptoms hard to ignore. I have had this happen after my emergency stitch and trust me honey, there was no doubting it - I was pretty much in full blown labour with copious amounts of green discharge, bleeding and my waters finally went.

The plug can dislodge and come away even with the stitch intact, but again this would be as part of ptl and it's unlikely it would come away so long as you have some remaining closed cervix, no matter how short xx

 

[lizziedripping]

Grace - achey vaginal pains are usually symptomatic of an expanding uterus (happening rapidly at 13wks) and nothing sinister, especially at this early stage hun. Pregnancy carries with it so many aches and pains which are essentially harmless but which take on a new and sinister meaning for us IC ladies xx

 

[Twinkle 3]

So much goes on in this thread! I am so terrible at keeping up!

I have a question for you all... I could just be worrying for no reason but I would like your opinions. I have been getting like an achy pain in my vagina area. It feels more like on the outside then on the inside but I'm not sure. It only happens occasionally but will usually last for about 5ish minutes when I do feel it. I don't have the stitch and I don't have any more doctors appointments until the 8th of April. Is this something to call my doctor over or just something that happens normally.
I remember having this slight pain with my last pregnancy but I don't remember it happening till later on(around 16 weeks plus?) and I never figured out what it was

Hi grace I'm the queen of aches and pains at the moment lol, every day I have an ache or a pain and everyday I accumulate a new one. I have had the achey pain you describe and it was nothing to worry about. I have been to the hospital to get checked nearly every week, sometimes twice a week as I was so convinced that something wasn't right but so far so good so try not to worry. If you are worried though its always best to check for your own peace of mind. Sometimes I worry about my aches that bad that I think I make them worse. Sort of like, if you think your toe hurts, you can convince yourself your toe hurts (I don't mean it like your making this pain up by the way!) just with me personally worrying emphasises the pain if that makes sense

I am going through so much pain in my back stomach between my thighs, in my lady region at the minute and it started two weeks ago. I have an appointment on Thursday to check if everything is ok so I'll let you know if all is well I just know that I'm prone to aches and pains during pregnancy

 

[Twinkle 3]

thanks lizzie. your brilliant with the knowledge you have. IC is so confusing i have a new question each day lol. im just thinking about the pain im having and wondering if i could be starting to funnel. my little boy is kicking so low he feels like hes going to poke his foot straight through my stitches.. then it got me thibking wether i would dialate and bust through the stitch or if i am infact funneling wouldnt i have lost my mucus plug.. so confusing

 

[xGracex]

Well I had a really nice reply on here and then I accidentally hit the back button. Oops... I guess I will try again.

Thanks you guys what you both said makes sense. I will probably call my doctor if it keeps worrying me but for now I'm pretty worry free after reading what you guys said. Twinkle I completely understand what you mean by when you worry it can make things seem worse. I have been doing that to myself all the time this pregnancy. I really need to pick up a new hobby or something to keep my mind off of the worry. I don't work but I take online classes. So now that I don't have any classes at the moment I have way too much time to think about things!

 

[Twinkle 3]

thats exactly my problem grace, i hardly do anything and my mind wonders off into panic. i find myself searching google for reassurance only to find all bad experiences so i worry evern more... or if i do find good experiences and one bad i focus on that one persons bad experience and cant get it out of my head. my OH made alot of sense last night. he told me to stop worrying as you could sit and worry about everything. he used the example of this roof on the house could just collapse on top of us now (bit of an extreame example i know lol) he said its very unlikely but its possible and then he said but you dont wprry about that daily. He also said the hospital are telling me rhings could go wrong but its u likely so its the same as the roof scenario and told me not to worry as worrying wont change the outcome either

i really need to occupy my mind and have heaps of books but i need something more excoting to do so im fully occupied. my mind tends to wonder when im reading then before i know it iv read 2pages of the book and not took any notice of what its said lol

so i do sympathise with you on the worry front. hopefully we will make it to term and laugh at ourselves after for all the worrying we did

also i apologise for all the spelling mistakes. my phone is so hard to type on without making a miatake

 

[lizziedripping]

Twinkle, the pressure could indicate funneling and not much more. If you were dilating rit through the stitch you'd probably be feeling something in the way of contractions and/or bleeding so try not to worry xx