Incompetent Cervix - stitch/cerclage - threatened labour

[xMissxZoiex]

Hey girls!, is anyone here TTC with IC??

I'm so nervous about having a cerclage again lol!! More nervous than when I had it with my rainbow baby!.

My last cerclage went so well and didn't have any issues until I delivered early at 31 weeks due to a bad untreated uti. Worried the next one won't go so well.

 

[chistiana]

Missx well I m not ttc but have been in that situation..why would it not go well??... My first cerclage was with my 2nd child (on earth) and it held until 35 weeks. With the next one my doc didn't think we could make it past 36 weeks..we took it out at 38 and dd2 came 9 days later! So it definitely went better than the first! Plus with stitch no 1 I had about 5 utis while with no2 I got none!

 

[MissBoss]

Just wanted to update you all.


After getting the 2nd cerclage put in June 10 2016 at 20 weeks after the rescue cerclage May 13 at 16 weeks came loose...... i noticed crazy amounts of discharge. I felt like my vag had a cold. TMI the discharge was all different colours yellow clear slimy discharge and turned to a tinge of pink. I mentioned it to my doctor at my 22 week cervical scan and the asshole didn't even think to give me a internal. He just said my stitch was holding but my fluid was low. He sent me home and said he would see me in a week. That night i didn't feel right i felt like i was leaking and constantly had to pee so i went to triage and they checked me for amniotic fluid leak. They did the swab and the microscope test for ferning and they said both were negative. I went home and was still feeling uneasy, still having crazy amounts of discharge and a lot of pressure. June 28 at 2:30am i woke up to blood and I passed a clot in the toilet before waking up hubby and getting to the hospital. In triage they said i was contracting, they sent me for a ultrasound where i found that i had no fluid left. I was passing clots and the doctors were saying it may be placenta abruption but they weren't sure. I gave birth to my daughter at 4:30pm June 28 at 22 weeks 5 days weighing 1 lb 1 oz. I can't believe this happened to me again. I don't have any answers and scared to ever try again but i feel empty i feel a void. Has anyone gone through something like this and if so did a preventative cerclage help? i'm scared that if i ever get pregnant again the preventative cerclage might not even be enough. I just don't know anymore i'm so confused. I keep blaming myself saying i should have just got the cerclage when my OB offered it. I am so heartbroken

 

[chistiana]

Missboss I am so deeply sorry for the loss of your daughter...I cannot even imagine what you re going through right now...
Pls don't blame yourself..it doesn't sound like it would make a great load of difference if you had had it 2-3 weeks earlier...I think you might want to consider a TUC as it seems like you have either a true case of IC or the cerclage gives you UTIs. I know this is a lot to process now, take your time to heal physically and mentally. I hope you have a lot of support and can take some comfort in your babies here on earth. We re alway here if you need to talk or anything

 

[MissBoss]

Well that gives me no hope then. if a TAC is the only way i would say i guess i'm not having anymore kids then. I think a preventative would possibly make a difference because when they did my cerclage i was already dilated 1 cm. so basically the damage was already done but guess i'll never know.

 

[chistiana]

Missboss i m so sorry, I didn't mean to make it sound as if that's your only chance, pls don't lose hope, I didn't know your situation, as you say you were already dilated so a preventative stitch would make a huge difference in that case. What does your doc say?? I feel so bad...

 

[MissBoss]

Missboss i m so sorry, I didn't mean to make it sound as if that's your only chance, pls don't lose hope, I didn't know your situation, as you say you were already dilated so a preventative stitch would make a huge difference in that case. What does your doc say?? I feel so bad...

Don't feel bad hun I just know i will not put my body through a TAC if that was the only option, maybe if i didn't have any kids I would go to that extreme but i have 3 healthy children.

My situation is 3 healthy pregnancies all full term 1998, 2002 and 2006. Loss in 2012 pPROM no evidence of IC (not sure if they even checked) loss in 2013 heart stopped, miscarriage in 2014 early miscarriage then in Feb 2016 got pregnant everything was going fine, was offered a preventative stitch by OB at 13 weeks but i declined (stupid me) Only reason i declined is because i didn't know why the water broke in 2012 at 18 weeks. She said she would watch me closely by 16 weeks i was 0.9cm long and 1 cm dilated, mind you the weeks prior to that i was doing too much yard work with it being spring, i was doing out outdoor pond, shovelling dirt lifting heavy rocks, cutting down trees gardening, Stuff that i know now i shouldn't have been doing. i had to get a rescue cerclage that held for a month but by 20 weeks it came loose and i was 1 cm dilated again had to get another one. after the 2nd i had tons of mucous discharge and cramps, i think either i caught an infection or fluid was leaking either due to surgery or infection. I keep thinking in my head if I didn't do all that yard work if it would've made a difference and if i got the preventative cerclage.

I haven't met with my MFM yet as we are waiting for patholgy to come back but i pray he has answers for me.

 

[chistiana]

You ve been through so much...truth is it's easy to blame it odn the yard work, this that or the other but you can't really blame yourself..you have three kids and life continues while you re supposed not to do anything..but is it possible?? I hope your doc has some answers and I hope if you do decide to have another baby a preventative stitch will be the key..
How are you feeling now?? I know you re supposed to act strong for your kiddies but how are you doing?

 

[MissBoss]

You ve been through so much...truth is it's easy to blame it odn the yard work, this that or the other but you can't really blame yourself..you have three kids and life continues while you re supposed not to do anything..but is it possible?? I hope your doc has some answers and I hope if you do decide to have another baby a preventative stitch will be the key..
How are you feeling now?? I know you re supposed to act strong for your kiddies but how are you doing?

I'm doing ok taking it one day at a time. Just waiting for pathology to come back to get some closure hopefully. I know its easy to blame many things but we are human and will always think of the what ifs i think thats what keeps us going.

 

[chistiana]

I hope pathology gives you the answers you need for closure...I know what you mean with the what ifs although for me they drove me crazy..I ve had 3 mmc and with the first 2 I was pretty active when I had been told not to..I still to the day question what if I hadn't even though I now know it was my septum to blame.

 

[Serefina]

darling son is home now

 

[chistiana]

Serefina yaaaaayyy! Finally able to fully enjoy your bundle!! Snuggle away!!

 

[klabro]

Hi ladies, just wanted to rejoin in here. I was on here briefly last year when I lost my twins at 21 weeks. I was NOT offered a stitch in that situation as they don't offer them with multiples. When I went in for a scan at 20 weeks I was completely effaced, but not dilated. 2 weeks prior my cervix was long and fine. I just found out I am pregnant again. I will be doing a preventative cerclage this time and progesterone shots. They can't really say if I have IC or not as it could have just been a "twin thing" I carried my first daughter to 37 weeks. This time I just decided to go all in as I don't want to get to 20 weeks and face the chance of having an emergency cerclage placed. I am SO nervous though. I feel like right now I just have the normal first trimester nerves and then when I'd normally get that little amount of relief at 12 weeks I'm just going to be stepping into another stressful period.

 

[chistiana]

Klabro I remember you from last year..everything had happened pretty fast..
Congratulations on the new pg!! A preventative stitch will hopefully do it's trick along with the progesterone. I have had 2 preventative stitches so far and one held until 35 weeks, the other until 38 (when we took it out). I m guessing you re still going to be closely monitored right? You re doing the best you can for your baby which is all you can do really so try to enjoy this as much as possible..I know it's easier said than done but take it from a worry wart..you want to remember this pg and smile when you hold your little rainbow!

 

[klabro]

Klabro I remember you from last year..everything had happened pretty fast..
Congratulations on the new pg!! A preventative stitch will hopefully do it's trick along with the progesterone. I have had 2 preventative stitches so far and one held until 35 weeks, the other until 38 (when we took it out). I m guessing you re still going to be closely monitored right? You re doing the best you can for your baby which is all you can do really so try to enjoy this as much as possible..I know it's easier said than done but take it from a worry wart..you want to remember this pg and smile when you hold your little rainbow!

Yes, everything happened super fast last time, it was diagnosed and over within 2 weeks. I'm hoping taking the proactive approach this time will work. Just had my first blood work done yesterday, second draw tomorrow and ultrasound in a couple of weeks. Praying for a singleton.

 

[klabro]

Chistiana-have a quick question since you've done this before. What was your take on pelvic rest...I had discussed with my doctor that I would be on pelvic rest after the cerclage, but I am wondering about before. I am all to fine to just tell hubby no BD, but my OB office says that isn't necessary until after the cerclage. What did you do?

 

[chistiana]

I was actually told no dtd before or after so I waited until after the stitch was out and wanted to get things moving! Thing is sex can cause contractions and these can shorten your cervix so I guess I didn't want to risk it!

 

[klabro]

I was actually told no dtd before or after so I waited until after the stitch was out and wanted to get things moving! Thing is sex can cause contractions and these can shorten your cervix so I guess I didn't want to risk it!

Thats kind of what I thought, my doctor is out on her maternity leave so all of this advice is coming from the nurse. I really don't see why I'd just go on like normal until after the ultrasound. Seems like if they already know I'm going to have pelvic rest I might as well just start.

 

[chistiana]

I totally agree. Some might say there's no solid evidence but I say rather safe than sorry

 

[klabro]

Chistiana-How did early pregnancy go for you care wise? My doctor is out until I am 7 weeks on maternity leave so for now her nurse is just scheduling me an ultrasound etc. but the nurse can't refer me to the high risk clinic I will be going to. I'm not sure how all of this is supposed to work and honestly I'm not sure the nurse does either. Did you just have normal early dating scans and then the other stuff came later? I know I'll be having a cerclage at 12 weeks, but right now I'd like to know what the game plan is and I just don't have any answers. The nurse scheduled me for a regular transvaginal ultrasoumd at 7 weeks and so far that's it.