Incompetent Cervix - stitch/cerclage - threatened labour

[visionofmine]

I measured 3.9 with the internal scan at 24 weeks.

 

[Laney26]

Another fab length xxx

 

[Mommastork]

Hey ladies! Sorry to jump in on this thread, but just wanted to get some info! I am currently 20w1 day. Exactly one week ago I had my anatomy u/s, where they discovered my cervix was measuring 2.1 cm. no funneling that they mentioned. I was just told to take if easy over the weekend. I met with mfm doc Monday and he didn't seem too concerned? Nonchalantly told me this puts me at increased risk for ptl. Booked another scan for April 1. The thing that concerns me is that, I have read so many other ladies being put on br or having cerclage for lengths even slightly higher than mine! This is my second baby and first preg was a breeze. No issues whatsoever besides that he came at 37 wks. So now just trying to take it day by day. Still working (nurse in an endoscopy suite, so on my feet for 8 hrs a day). I would love to hear if any of you have any advice for me. Totally wasn't expecting this pregnancy to be so complicated.

 

[honeyprayer]

I had my cerclage at 20w and my cervix length was 1.5cm but I also had some funneling. I was on bed rest until my daughter was born.

2.1cm seems to be ok, especially if there were no previous issues. It's good there's ankther scan booked for April 1. If it goes shorter, they will probably alter their care plan for you.

Try not to worry!

 

[Laney26]

Hi there I think anything below 2.5 they consider a stitch. Getting a scan the 1st of April is good but if u have any change in discharge or pressure get checked out ASAP. The fact you've had 1 normal pregnancy u may just have a naturally short cervix but it is short so defo needs a close eye xxx

 

[Radiance]

I'm 15 weeks tomorrow and dilated one. I've known this for a few days. Two weeks ago my cervix was high, hard to find, and "a little opened"

They won't consider a cerclage until 16 weeks. It is so close by but it feels so far away. It literally feel like there is a brick sitting on my chest right now.

April 10th is my big day. Ultrasound to measure cervix, measure my two SCHs, start injections, and hopefully get a set date for cerclage.

Advice? Good outcomes? I'm having a hard time being positive right now.

 

[Laney26]

Hey Radience why won't they do a cerclage before 16 wks u less theres a reason that's crazy. The earlier a stitch is placed the better I had mine at 13 weeks no wonder u r terrified xxx

 

[Laney26]

You wanted some stories of hope I had my 1 St stitch at 25 wks and 2nd at 16 wks both times they were a success and we made it full term xxx

 

[chistiana]

Hey, I too don't understand why they don't do it earlier...anyway my first one was done at 17 weeks due to very heavy bleeding before that and my second one at 15 weeks again due to bleeding before hand plus we were waiting for DNA testing. 16 weeks is not late bug it makes no sense. Don't worry though, your baby is not that heavy yet. Just keep your feet up until then.

 

[Radiance]

Because how big my two SCHs are. They were (and still are) worried about doing more harm. They think it could put me into full labor- doing the stitch with the large SCH near the cervix.

 

[Radiance]

I've always heard of stitches being down before 14 weeks unless done as an emergency later on.

 

[Radiance]

I'm not worried about the cerclage but the fact my cervix is changing. I've been getting severe vaginal pain with red blood which normally means my cervix is changing more. I've been on bed rest for over a month and on progesterone since 3.5 weeks...
I just feel neither are helping much at this point and 13 days seem so far away. I just want it done now.

 

[Laney26]

Is SCh sub chorionic haemotoma? I had a very low placenta and they were nervous of doing the stitch with it I know it's a bit different. Maybe they can put the stitch a little lower down the cervix so it's less likely to interrupt the SCH xxx

 

[chistiana]

Ai ok now it makes some sense. Do you have the choice of being on strict bed rest up side down maybe? At least for these 10 days or so?

 

[Septie]

I've also got a cervix question. I had two normal pregnancies ending at 39+ weeks with planned cesarians, then last year a D&E for a missed miscarriage (first trimester), and am currently 20 weeks pregnant. Cervix got measured transabdominally at my ultrasound a few days ago, and there were multiple measurements of 3.2 cm and 1 at 2.95. This is a university clinic, and they did NOT follow up with a TVUS, nor did the doc mention any problems whatsoever, just mentioned it might be my last ultrasound this pregnancy (and OH didn't tell me the measurements until after the visit - I couldn't see them on the screen). Compared to my second pregnancy, where it was measured transvaginally at 21 weeks at 3.9 cm, this seems really short.
It looks like I am at the low end of normal, and I am also worried that it's significantly shorter than last time. Could that one D&E have weakened my cervix?

 

[Laney26]

Hi Septie yes it is possible that it cud have damaged your cervix but hopefully not. Drs don't tend to worry till it gets to 2.5 or less but that can happen quite quickly I wud be asking for another scan 2 weeks from your last one just to be safe. Even if it's short your cervix can still be strong xxx

 

[chistiana]

Septie your measurements are not that short but yes, a d&c can weaken the cervix. I doubt they d do a cerclage at this point and with these measurements (also abdominal cl check is really not that good..your cervix might be much longer in reality) but if you feel you need to ask for more monitoring do so for your peace of mind. I ve learned it's better to go by your gut feeling than not to.

 

[xMissxZoiex]

Just letting you ladies know I've had my baby!.

Stitch was holding perfectly but an untreated and misdiagnosed urine infection caused me to go into early labor. They tried to stop it because he was breach but after 10 hours of slowed down contractions they were getting stronger and more frequent. They scanned me again and get was still breach but now gad the cord in between his feet so within 15 mins I was in theatre having a spinal ready for my c-section!.

He is healthy and weighed 4lbs half an ounce at 31+5 weeks!.

The stitch did it's job and I'm so great full I now gave a beautiful little boy x

 

[chistiana]

Congratulations misszoi!! Hope your boy is doing well and he s home soon!! How are you feeling??

 

[Laney26]

Wow congrats on your arrival and that's a great gestation hope little one has a short healthy stay in hospital xxx