Incompetent Cervix - stitch/cerclage - threatened labour

[laila 44]

Hi sara. I don't think your cervix is terribly short for the stage you re at..yes it could be longer but it's not really short. Anyway, if you can make it to 28 weeks ic stops being a bg issue after that cause you would need to be in active labor for contractions to cause your cervix to dilate so much for your baby to come out. Obviously that doesn't mean you ll be able to jump around after 28 weeks but things get much better after that point. My doctor always told me that they stop checking lc after week 28. Other than bed rest and maybe some progesterone I don't think there is anything you can do about it..drink lots of water, keep your feet up as much as possible to take the weight off, ask your doc about magnesium to minimize contractions and try to relax (I know waaay waaaay easier said than done). Also a dynamic cervix means it can lengthen just as easily so have faith in that!

Hey girl. You're the best btw thank you for all your advice! Question for you, once I hit 28 weeks IC is no longer an issue? How come? Also do u think I need strict rest as I'm doing now after 28 weeks as well or can I start moving a bit more? Dr said he would measure my cervix every 2 weeks from here on out. Does that make sense?

 

[Sarasab2]

Hi Laila
I'm sorry you lost so much length in a week, but u still have a good length for 26 weeks and a safe gestation. I know a lady who had to be induced after her CL was 2cm at 28 weeks. I'm sure u will make it full term with rest
Thanks for the advice, I'm resting as much as I can but I do have to go to work next week and hopefully my next scan shows a stable or longer length

 

[LeahLou]

They checked my cervix until 33 weeks. I was on strict bed rest, progesterone and had a cerclage. Everyone's giving great advice! Relax as much as possible. My cervix showed when I was on my feet too much. It was a long journey, but so worth it in the end!

 

[chistiana]

Sara and Amk I thought that a dynamic cervix means that its length can flunctuate up or down quite abruptly but I might be wrong so excuse me for that. I will go check more on it though n get back to you!!

Laila what I was told and read in here is that after approximately 28 weeks your baby has reached a size that basically it can't just slip/fall out..your cervix would need to significantly dilate for that to happen which means you d need to have labor contractions. With that said I was still on bed rest after 28 weeks and would have remained on it until full term if I hadn't gotten up to get my son's present. I did however move more within the house! My cl was also measured until the end but I think that's because I had a cerclage so they needed to know if my cervix ever shortened down to the stitch!

 

[MrsAmk]

So my doctor sad no when I asked for cervical ultrasounds. He said it wouldn't change our course of action, which I disagree with! I'm not in bedrest now and I would if my cx was shortening. Ugh. They also don't believe bedrest helps.

 

[laila 44]

So my doctor sad no when I asked for cervical ultrasounds. He said it wouldn't change our course of action, which I disagree with! I'm not in bedrest now and I would if my cx was shortening. Ugh. They also don't believe bedrest helps.

Really?? But I saw 2 Drs: a maternal fetal specialist who is a high risk OBGYN and a very cut and dry arrogant type of guy and he insisted on bedrest in order to take weight off cervix. My regular OB who isn't an alarmist either said exactly the same. I don't need to be on absolute strict rest I can move around but limited. Today I showered, washed my hair and blow dried it standin up but then spent the rest of afternoon in a lazy boy feet up. I'd still rest Hun I notice if I'm up more I get bad contractions...

 

[MrsAmk]

So my doctor sad no when I asked for cervical ultrasounds. He said it wouldn't change our course of action, which I disagree with! I'm not in bedrest now and I would if my cx was shortening. Ugh. They also don't believe bedrest helps.

Really?? But I saw 2 Drs: a maternal fetal specialist who is a high risk OBGYN and a very cut and dry arrogant type of guy and he insisted on bedrest in order to take weight off cervix. My regular OB who isn't an alarmist either said exactly the same. I don't need to be on absolute strict rest I can move around but limited. Today I showered, washed my hair and blow dried it standin up but then spent the rest of afternoon in a lazy boy feet up. I'd still rest Hun I notice if I'm up more I get bad contractions...

I totally agree. I work full-time though

 

[Sarasab2]

So at almost 23 weeks length is 2.3 down down from last weeks which was 2.6. Freaking out 😔 waiting to hear my options from on call obgyn

 

[laila 44]

So my doctor sad no when I asked for cervical ultrasounds. He said it wouldn't change our course of action, which I disagree with! I'm not in bedrest now and I would if my cx was shortening. Ugh. They also don't believe bedrest helps.

Really?? But I saw 2 Drs: a maternal fetal specialist who is a high risk OBGYN and a very cut and dry arrogant type of guy and he insisted on bedrest in order to take weight off cervix. My regular OB who isn't an alarmist either said exactly the same. I don't need to be on absolute strict rest I can move around but limited. Today I showered, washed my hair and blow dried it standin up but then spent the rest of afternoon in a lazy boy feet up. I'd still rest Hun I notice if I'm up more I get bad contractions...

I totally agree. I work full-time though

Are you on your feet at work? Can u rest at all?

 

[laila 44]

So at almost 23 weeks length is 2.3 down down from last weeks which was 2.6. Freaking out 😔 waiting to hear my options from on call obgyn

I had 2.1cm as of 25-26 weeks. Only thing u can do now is bedrest and progesterone which I find really really helps! Don't panic xx

 

[Serefina]

So my doctor sad no when I asked for cervical ultrasounds. He said it wouldn't change our course of action, which I disagree with! I'm not in bedrest now and I would if my cx was shortening. Ugh. They also don't believe bedrest helps.

Really?? But I saw 2 Drs: a maternal fetal specialist who is a high risk OBGYN and a very cut and dry arrogant type of guy and he insisted on bedrest in order to take weight off cervix. My regular OB who isn't an alarmist either said exactly the same. I don't need to be on absolute strict rest I can move around but limited. Today I showered, washed my hair and blow dried it standin up but then spent the rest of afternoon in a lazy boy feet up. I'd still rest Hun I notice if I'm up more I get bad contractions...

I totally agree. I work full-time though

Are you on your feet at work? Can u rest at all?

I think some obsgyn/doctors say they don't believe bedrest works, as at one time that was approach with pregnancy complications and one thing noticed was mothers with DVT. So maybe just to cover themselves they say you shouldn't do bedrest.

 

[chistiana]

Sarah I m sorry it shortened a little..do they measure it vaginally or abdominally? I m asking cause with abdominal scans it's not very accurate so maybe it's not much to worry about...

I agree with bed rest although yes some doctors just don't go with it..for me it seems it was what was needed cause the moment I got on my feet for more than just to walk around the house my daughter just came out. Plus I think that by being on bed rest I felt I did as much as I possibly could myself.

 

[Sarasab2]

Hi ladies, thank you for the responses/advices
I did get progesterone suppositories couple days ago and have been resting a lot, I have been told to limit activities and that's all. I do rest 20 hours a day and get up in between for meals, bathroom, and small things here and there. Not too strict, Is that ok?
Also, is the progesterone really going to work? That's all I can put my hopes on, since no cerclage.
Chistiana: I feel the same about resting and my measurements have been done vaginally.

 

[chistiana]

Sarah I think that as long as when you re up you re not doing anything heavy like cleaning or carrying staff around or walking a lot, shuffling around the house should be ok! Progesterone supposedly strengthens the cervix (or is it uterus) but I wouldn't know what it's like without..apart from my first pg I took progesterone with every other pg I ve had and took it from 3 dpo to about 31-34 weeks. I m not sure if it had anything to do with the birth of my first daughter or that was down to pure ic but the day I had her (at night) I had forgotten to take both the progesterone as well as the meds to stop contractions all day.

 

[laila 44]

Hi ladies, thank you for the responses/advices
I did get progesterone suppositories couple days ago and have been resting a lot, I have been told to limit activities and that's all. I do rest 20 hours a day and get up in between for meals, bathroom, and small things here and there. Not too strict, Is that ok?
Also, is the progesterone really going to work? That's all I can put my hopes on, since no cerclage.
Chistiana: I feel the same about resting and my measurements have been done vaginally.

Progesterone has been my saving grace so far! I was loosing clumps of my mucus plug tan coloured and cramping on and off. Since starting the progesterone everything stopped. No more cramping, no more blood tinged mucus. Not sure what it's doing for my cervix length as I'm supposed to go get checked again next week. Hopefully it stayed stable xx

 

[Sarasab2]

Thank you Christiana. I do shuffle around the house but don't do housework or walk for more than 10 mins. I'm getting cramps around stomach area is that normal since I started progestrone?
Laila I'm glad things are looking better for you, and happy you are 27+weeks. Times goes so slow 😔 I wanna hit 24 then 26,28.. Although with 2.3 cervical length I hope I can carry a lot longer

 

[MrsAmk]

Would it help me to use Prometrium even if I am getting progesterone injections weekly?

 

[laila 44]

Thank you Christiana. I do shuffle around the house but don't do housework or walk for more than 10 mins. I'm getting cramps around stomach area is that normal since I started progestrone?
Laila I'm glad things are looking better for you, and happy you are 27+weeks. Times goes so slow 😔 I wanna hit 24 then 26,28.. Although with 2.3 cervical length I hope I can carry a lot longer

I'm sure you will be just fine Hun! Your cervical length isn't that bad. Mine is 2.1 and used to be 3.8 so it shortened a lot in a weeks time. I also shuffle around the house but avoid doing strenuous activity or housework. Just take time to rest xx

 

[chistiana]

Amk sorry don't know what prometrium is. Hope one of the ladies can help.

Laila and Sara what you re doing sounds just about right! You ll have plenty of housework n the rest to do after these babies are born, for now just shuffle n rest!!!
Sara I m not sure what exactly qualifies as stomach cramps but progesterone is not supposed to cause stomach cramps. Could it be BH?

 

[MrsAmk]

Amk sorry don't know what prometrium is. Hope one of the ladies can help.

Laila and Sara what you re doing sounds just about right! You ll have plenty of housework n the rest to do after these babies are born, for now just shuffle n rest!!!
Sara I m not sure what exactly qualifies as stomach cramps but progesterone is not supposed to cause stomach cramps. Could it be BH?

Oh its vaginal progesterone caps