Incompetent Cervix - stitch/cerclage - threatened labour

[first.mummy]

So im a first tym mum to be, i had a scan at 2owkz and showd i had a incompetant cervix wit just 4mm left and funniling they did a stitch strait away hav had no bleedn at al. .Had a lil discharge. Am nw 22wkz and nticing alot of creamy and clear discharg and my undies r always wet. Is that nrmal. Bub kiks like crazy and it hurts sumtimez. Had a fw painz omn n oe ths morning. Is that nrmal. And cn f3el tha stitch wen inserting the pesseries. Plz help im scared

 

[Sherri81]

So I have to make this quick cuz I'm just on my iPod. I'm not allowed to sit up at the computer.

I am still in the Vancouver area. I'm not allowed to go home.

On Monday they said 13% of my heart function is bad. They said this is excessively high. They are only concerned with the electrical issues right now and will figure out the structural issues later. I have been started on beta blockers. The benefit to me outweighs the risk to the baby apparently. Still having chest pain and arrythmias so I dint know when these will work.

Tuesday they did an ultrasound on the baby. His heart has been cleared. So his heart is healthy and the cyst on his brain is gone.

They did a translabial scan and it showed my cervix is dynamic. It opened and closed in front of their eyes. They said they thought it would be best if I stayed down here.

Saw Team C on Wednesday. They said it wasn't a choice, I have to stay down here as he could be born tomorrow or 8 weeks from now...

I'm at my MILs in White Rock. I have a homecare team of nurses coming to see me twice a day and they call every day to check on me.

I honestly don't know how much longer I will carry. I'm getting ever increasing episodes of cramping and rectal pressure. It usually only starts around 5pm, but it goes on for hours... I mentioned it today and she said she'll report it to the team at BC Womens.

That's about it I guess. I'm trying to keep him in, but it's getting hard. If I get my laptop here next week I will check in better.

 

[Mommy's Angel]

So I have to make this quick cuz I'm just on my iPod. I'm not allowed to sit up at the computer.

I am still in the Vancouver area. I'm not allowed to go home.

On Monday they said 13% of my heart function is bad. They said this is excessively high. They are only concerned with the electrical issues right now and will figure out the structural issues later. I have been started on beta blockers. The benefit to me outweighs the risk to the baby apparently. Still having chest pain and arrythmias so I dint know when these will work.

Tuesday they did an ultrasound on the baby. His heart has been cleared. So his heart is healthy and the cyst on his brain is gone.

They did a translabial scan and it showed my cervix is dynamic. It opened and closed in front of their eyes. They said they thought it would be best if I stayed down here.

Saw Team C on Wednesday. They said it wasn't a choice, I have to stay down here as he could be born tomorrow or 8 weeks from now...

I'm at my MILs in White Rock. I have a homecare team of nurses coming to see me twice a day and they call every day to check on me.

I honestly don't know how much longer I will carry. I'm getting ever increasing episodes of cramping and rectal pressure. It usually only starts around 5pm, but it goes on for hours... I mentioned it today and she said she'll report it to the team at BC Womens.

That's about it I guess. I'm trying to keep him in, but it's getting hard. If I get my laptop here next week I will check in better.

Goodness I'm on pins and needles. Praying for your heart issues and that baby will be safe. Have they started giving you the shots to mature baby's lungs if they aren't sure when he'll come?

Also, I can't remember, are you on 17P injections to calm the uterus??

I've become a bit concerned as I've been feeling lower back cramps. I'm not sure if it's the baby's placement or if it's something I should be alarmed about. I'm feeling pressure or maybe it's bloating. I go in for another scan to measure my cervix and I had one during last weeks illness episode so I'm sure if there's any concern they'll share it with me. I start injections in two weeks.

I pray overall for you and the babys health and well-being. Please keep us posted as you can access us. Your in my thoughts and prayers each day dear friend.

 

[AmyLouise89]

Dr wants us to wait 1-2 years before trying again. He is measuring my cervix in about 20 days to figure out if he needs to put a stitch in through vagina AFTER I get pregnant again or put a permanent stitch through my belly BEFORE I get pregnant again & I'll just have to have c sections every time. But he is determined to help me carry to full term next time. I finally found a good high risk OB specialist & he tried everything he could to save this baby but my infection was too bad.

 

[Mommy's Angel]

So sorry Amy, but I'm glad you have a plan and an excellent healthcare provider to help you with your next pregnancy. Again I'm praying for healing and strength through the grief.

 

[nkbapbt]

Amy - I am so sorry for your loss.

Sherri - Good news about baby. Not good news about you though! I hope things settle. You must be on the nursing care team I am on, from Women's? Maureen, Annoosha (spelling?) and such...they are nice ladies. They've been a good source of support. Are you seeing them twice a day or twice a week?

Hope things work out!

 

[Ashley9603]

Amy I am sorry for your loss,I lost my first at 21 weeks due to an IC.

Update on me~My insurance company approved me for progesterone shots.They initally denied my claim but my doctors appealed it for me,I start on the 21st of this month.

 

[Mommy's Angel]

NKBAPT, just checking to see how things are going from this past week.

Ashley, very good news about the Insurance on the 17pinjections. My office ordered my doseage today and I hope to receive it middle of next week and will take it the following week. No cerclage though unless they see actual issues with cervical lenth.

Which brings me to the next question. Two weeks ago my cervical length was 3.9 and todays measured 3.7. I know it's still a pretty good length but I wondered how often things started like this with each of you. Is this a tell-tale sign of IC or is it normal for the measurements to change like that??

I hate the perinatal office I go to!! Sadly there is no other that is nearby and the one two hours away just agrees with the protocal this office has given. Second time I've had a visit that last 3 hours long with much of it waiting. THEN for the second time I've been disappointed by the fact that the origional Dr. I said I'd allow work with me wasn't there. Instead I got the midwife. She's better than some in that office, but sorry, with the major issues I have, I don't trust her feedback as last pregnancy the nursing staff totally ignored the issue of bacterial vaginosis until it was too late as did they ignore the lost mucus plug.

Would you believe the lady that takes my bloodpressure was a total jerk?? I told her that I needed the small cuff per chart and she told me to "calm down". When she put the origional cuff on it was loose and gave me a bad reading. When asking her to try again she told me to calm down again. I wanted to hit this old bat!! Are you kidding?? I've been waiting for 3 hours out in the waiting room, I also KNOW my body. You only know whats on my chart dear!!!

I'm known by the nurses as a B*#ch. Sadly because I'm trying to be proactive and won't allow any mess ups this go around. I heard them out in the hallway say to each other, "she refuses to have the speculum exam". Pickle pusses!! Of COURSE I refuse it. I'm not giving any reason for my cervix to dialate. If you need a swab test, get your gloves on, part the lips and go on in, but absolutely NO SPECULUM test!!

Anyways, my husband ended up calling in late for the second time and when we got home while my husband was racing to dress for work I had forgotten that I put soda in the freezer for a dinner guest yesterday. Since I don't drink soda I forgot about it. We got home and the whole thing exploaded in our freezing busting the door wide open. What a DAY!!! I'm laughing at the last part because it was honestly funny, though it was really at a time we were in a hurry.

Got a pic of the baby today, heartbeat is great and I'm just praying for the next 26 wks to go buy without a hitch.

 

[lynz85]

just popping in to see how you ladies are doing?

Amy i hope you are taking plenty time to heal x hugs

hope these babies are still cooking sherri, ma and nik.

 

[rensben]

Hello everyone,

A quick question for those of you who have had a modified shirodkar stitch. I'm due to have mine taken out at 37 weeks. I'm just wondering how long after it was removed did it take for labour to start? I have a true incompetent cervix so I'm thinking that labour will be almost immediate. Am I right? Hope everyone is doing well!!

 

[Ashley9603]

Thats great Mommy's Angel that you will be getting the injections.My ultrasound yesterday went well,boys are thriving and weighing in over a pound each,and my cerclage is holding beautifully,so hopefully the boys will stay in as long as possible.

 

[lizziedripping]

Fingers crossed for you Ashley x

 

[lizziedripping]

Hello everyone,

A quick question for those of you who have had a modified shirodkar stitch. I'm due to have mine taken out at 37 weeks. I'm just wondering how long after it was removed did it take for labour to start? I have a true incompetent cervix so I'm thinking that labour will be almost immediate. Am I right? Hope everyone is doing well!!

Hi Ren - glad to see you're still ok

I had my shirodkar removed at section date (38wks), so can't help you on the lbaour issue. However, don't assume you will immediately deliver the baby after removal hun. Even if your cervix were to immediately dilate once the stitch is out, at 37wks you have to go into active labour for it to dilate beyond 3cms. It needs to be dilated beyond that for a 37wk baby to pop out

SOmetimes stitch removal in itself can trigger contractions, but mostly it doesn't, and women find that they go on to their due date and beyond. Since IC isn't a preterm labour issue, and is only a problem when baby is tiny, then there is every chance you will remain pregnant for the duration x

 

[berryblue290]

I had my baby 2 weeks ago, and she was 5 days overdue!! Thanks everyone for the support!xo

 

[Mommy's Angel]

WTG berryblue. Congrats on the little one and so glad you made it to term...even past it. More good stories. It brings me hope and lots of joy!!


How's everyone else doing?? It's been quiet in here lately and I've had you all on my heart. Wondering how everything is going.

AFM: Not a whole lot going on lately. I was in the hospital two weeks ago with a bacterial infection that had me hurling with the trotts and that's finally gone now I have a yeast infection from the flagyl. So I'm taking diflucan to clear that issue up. The 17P is ordered and on it's way where I should have my first injection next friday along with a scan to check cervical length again. I'd LOVE to know whether we're having a boy or girl. Couldn't tell last scan.

Happy Easter to everyone!!

 

[kimbotrav]

hi ladys i had my last cervical scan 2day and my cervix measured 31mm im 18w5d do you think this is ok???? my specilist isnt concerned at all and im not having any other scans just wanted to see what u thought thank you hugs to you all xxxx

 

[nkbapbt]

Hi ladies...sorry I haven't been around, I have a terrible stomach flu! I am just curious if anyone knows what it might mean for me (the dr is closed now) if my cervix that was closed before this ultrasound is suddenly open all the way to the stitch? The tech said "the baby is only being held in by the stitch".

Im sort of worried...any insight?

I will post more later..and answer all the recent posts! Sorry for asking this and running but Im still feeling really low!

 

[lizziedripping]

HI nk - sorry about the flu, it really is yuck! My oldest has just had it and I have honestly never seen him so poorly

Are you saying that your last ultrasound showed your cervix to be closed, but now it is open to the stitch? Or are you talking hypothetically?

If baby is being held in by the the stitch, then that is potentially fine hun, and certainly has been til now - 29wks. The stitch is placed for precisely that purpose, when it is assumed that the cervix will open. It is effectively doing the job of a weak cervix - it isn't placed on the basis that the cervix will stay closed anyway, otherwise it would be redundant. For your cervix to tear thru the stitch it has to contract - of course that is always a possibility, but in term of IC it has done its job. As for whether you will go into labour, that is unpredictable, but not a foregone conclusion - particularly since you have already made it this far.

I think you have done brilliantly darlin - I only wish I couls have "rescued" my second pregnancy in the same way Just keep resting, get the weight off that stitch, and take every week from now as a bonus hun xxx

 

[nkbapbt]

Thanks Lizzie, yes on my second to last ultrasound my cervix was closed above the stitch. At my ultrasound yesterday the tech said it was open all the way to the stitch (above only)...but now the report today says it's closed, Im so utterly confused. I flat out asked the tech "is there funneling" the tech shook her head yes and made a face like I was crazy for even asking and said "yes all the way to the stitch". I tried to say it had been closed before. She did say what you are saying about the stitch doing it's job and it was ok for it to funnel. But from what I have learned a lot of women who had a rescue stitch on a closed cervix, that remained closed for most of the pregnancy then it just opened to the stitch, have had issues. I have been contracting for weeks. And still continue too.

Is your little man feeling better now?

How is everyone?

Sherri?

MA?

 

[rensben]

Hi there ladies,

I received some similar news to nkbapbit today. My cervix was closed three weeks ago and now it is open to the stitch or just about. I have contractions all day long and even lying down doesn't stop them. I had ptl with my son and gave birth at 30 weeks. I had an emergency stitch put in at 20 weeks with him. I know ptl is unrelated to IC but I feel like I'm headed down the same road. I have IC and an irritible uterus with can cause the ptl. They are checking me next week and I have to go to the hospital with a suitcase because if my cervix has shortened again they will give me steriods for my baby's lungs. I'm only 24 weeks and really worried. I'm going to try and do the bed rest but it's so hard with a 13 month old and an absent husband (afganistan)