Mariahs Mom
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Hello,
This is my first post on this thread, just a brief history had a healthy first pregnancy and went into labour at 38+3 and ended up with an EMCS due to undiagnosed breach.
Lost our 2nd child at 20+2 unfortunately the definite cause wasn't pinpointed but placental issues were present and chronioamnionitis (sp?). Basically don't know whether the infection was primary or secondly to the miscarriage, baby was prefect though.
Plan for this pregnancy was to have cervical monitoring @ 14, 16 and 20 weeks as a precaution. Measurement @14 weeks was 63mm, measurement today @ 16 weeks was 25mm. In shock to say the least, quite a drop. Unfortunately I didn't get to see my consultant after the scan, we saw another Dr who said 25mm is the cut-off and that we should come back in 2 weeks for a repeat scan and take it from there, and she would recommend a stitch if it's drops below 25mm. She also said because the sonographer was different that could account for the difference in measurement.
After much discussion she agreed to have me come in again in a week for a repeat scan as I was anxious to wait 2 weeks since my cervix has decreased so much in size (there was also funnelling), she is also going to talk to my consultant tomorrow and get his opinion. She also said if I wanted to have the stitch now I could have it but she scared me a bit with the risk of miscarriage and infection and also said it would only prolong a pregnancy for a few weeks!!! I am pretty sure that that is not correct.
What would you do? would you push for a stitch now or hold off for a week until the next scan?
My own consultant also mentioned the possibility of giving hormones when we discussed it @ the 14 week appointment although obviously at that stage he wasn't worried. This Dr we saw today didn't talk about it even when it was brought up by us and said the options are a stitch now or wait and see for a week.
Any advice or insights would be great. So worried right now....
xxxx
Hello...your situation is almost identical to mine. I lost my first at 22wks due to an infection of the placenta plus I had a short cervix...With my current MFM Dr. he wanted to take no chances and I got a preventative cerclage at 14wks. I was already down to 2cm (the normal range is 3-4cm). So mine wasn't great but it wasn't bad. It was the cut off so I glad he did it at 14wks and we didn't wait. Now, my doc explained the risks to us and it almost made me change my mind. So I asked him how common are these risk. He advised me they are rare and the risk decrease the early you get the cerclage. Plus my cousin had a cerclage with 2/3 of her children and they were successful births.
So my advice, don't wait. My Dr. told us not to wait and see what happens because once u hit a certain point in your preg, they can no longer perform the cerclage. I know it sounds scary but ask yourself "Does the risk outweigh the chance to save the baby?" Unfortunately, there are risk either way; there's risk if u don't get the cerclage and there's risk if you do get it. It's ultimately up to u. Fx'd and good luck