Incompetent Cervix - stitch/cerclage - threatened labour

Thank you Chris and Lizzie for optimistic and ecouroging replies, I hope you are right :flower:

Chris: I will dance as well, its both snowing and raining here, so Im pleased with that:)

Lizzie: yes, planning my c-section in week 38-39 would make me just shake my head... but I know your story and have to keep faith :)

love,liv
 
Hello ladies I hope you don't mind me popping in here and asking a quick question. I have been concerned about an incompetent cervix and I called my doctors office and spoke with a nurse to get my cervical measurement from my 19 week ultrasound and she told me my cervix measured equal to or greater than 3 sonometers. does anyone have any idea what this means? She didn't know and said I would have to wait and ask my doctor when I go back the 28th but I'm anxious and dont really want to wait that long
 
Hello ladies I hope you don't mind me popping in here and asking a quick question. I have been concerned about an incompetent cervix and I called my doctors office and spoke with a nurse to get my cervical measurement from my 19 week ultrasound and she told me my cervix measured equal to or greater than 3 sonometers. does anyone have any idea what this means? She didn't know and said I would have to wait and ask my doctor when I go back the 28th but I'm anxious and dont really want to wait that long


I'm sure that she mis-read and that it says greater or equal to 3 CENTImeters. Aka 30 mm. Which is a good measurement.
 
Xtina- i agree, she probably meant 30mm/3cm which is good!!call your doc though if you want to make sure!!

Another paranoid question ladies: after taking the progesterone vaginally yesterday i ve been having A LOT of discharge today...i m freaking out, it is thic and yellowing/whitish...i know gross, sorry for tmi, please help!
 
That's the tablet dissolving and all it's associated gunk Christi :) x

Sonometres is sometimes the way medics refer to centimetres Xtina, not entirely sure why!?! 3cms not bad at 19wks, do you know why they're checking your cervical length Hun? Xxx
 
Thank you ladies. I believe it is something they do regularly where I go because when I went to my appointment before the ultrasound I brought up my concerns about an IC due to previous procedures and they said that I shouldnt be concerned but that they check it at the 20 week ultrasound which I had at 19 weeks.
 
Eeeeeekkkkk lizzie, thanks, it s really gross and freaking me out but i guess you know what you're talking about! I ll keep taking it like that as you say it s better but i sure prefered the oral ones!!

Jimmy-any news from today?
 
Christiana-the discharge is gross from progesterone. Don't worry it's completely fine. The tablets are sooo gunky :wacko:
 
Thanks helen, it is indeed gross, i just thought it would come out in one go when i got up in the morning but it s been like this all day long...eeekkk...ow well only 6w3d of more gunky progesterone discharge!
 
Hey Christiana, I only just noticed that you had 2 miscarriages like me last year, and at around the same gestation :( It gives me hope then to know that you went on to conceive again this time with a healthy baby hun. Two or more miscarriages in a row has left me super paranoid! Sorry for your losses sweetie :hugs:

PS - gunk fine, but if it really stresses you out, have a word with your doc and see if you can change back to oral route x
 
How you doing Helen? Glad that you've found a way to switch off to the stresses of work. Hope it's still doing the trick and that you're getting the quality family time you deserve :hugs:

JJ - with you Hun, hope today was ok xxx
 
Hey lizzie dearest, hey i too hadnt noticed you had 2 mcs so close together, i though it was only the july one...sorry i never said anything. I get the super paranoid thing but i guess we ve been unlucky twice in a row, chances are third time is lucky....i m keeping my fxed for both of us!! The doc said if it really freaks me out i can take it orally but since it sounds better to take it vaginally i ll keep trying. Now this might sound extremely odd and gross but i needed to ask you and the other ladies as i really didnt get any sleep yesterday...as i was inserting the progesterone i think i touched my cervix and what felt like the endings of string like threads...could it be the stitch?? I thought it was way up, how can i touch it??
 
Morning everyone,
Thank you again so much for all the advice and support you provided over the last few days :)
I've just come back from a private scan in Leeds and had a consultation with a guy called Mr Gerald C Mason, who is a uni lecturer teaching doctors how to be obstetricians and basically, is old enough to have seen it all and knows damn well what he's talking about! Sounds awful, but I much preferred getting my official information from him than the other OBs I've seen who were 27-35 yrs old. I know they're probably just as good, but there's something so much more reassuring about seeing someone at the later end of their career (c.65-70yrs old!) who teaches other doctors and heads the feto-maternal medicine unit at Leeds General Infirmary!
Basically, today's measurement was 2.9cms (so up 2mm from last week's scan) still no funnelling, even when he pressed down on my bump. He showed me very clearly the cervical canal and where everything was, took his time over explaining every single little thing and backing his info up with facts and figures - all in all very mind-settling for me, as I am one for not just taking someone's word about something, I've got to have the graphs, number, stats etc to evidence their information/advice. Call it OCD or whatever you like - I ain't bothered... Lol.
He did however seem concerned that my current hospital haven't swabbed me yet to ensure there's no risk of infection, as he said (as I'm well aware that you'll all know already!) that the shorter the cervix the less distance there is for any bacteria/infection to travel up the cervical canal and affect the amniotic membrane. He said "I expect you've had swabs performed to rule out and guard against infection?"; Me: "Nope, not one so far, they've not even mentioned it"; Him "Oh... ah, err, oh right.... well!". So at my next NHS appointment I will not be leaving my OBs office without being swabbed. And in the mean time and here-on-in ensure I'm as fresh as a daisy as a matter of course! Of course I do anyway, but especially cleansed (sorry if TMI?!).
My and OH saw our little baby once more, who's measuring at 24 weeks , estimated to weigh 1lb 5oz (598g), was breech, surrounded by normal fluid levels and my placenta was high up on the front so well out of the way of the cervix = very happy!
He said continue to take things easy, but unless it goes down to 1.5cm there's no reason to intervene with a 'rescue stitch' or progesterone or anything - just as you ladies said!

HelenGee - thank you for sharing your experience, it must've been so worrying to be 19weeks at 13mm & with funnelling :( I can't even begin to imagine that level of cervix-related worry, particularly with your school sounding so unsupportive and negative. How are they at the moment? Understanding anything? Supporting more? Don't take anything sitting down, particularly with something so important as pregnancy.
I'm starting to relax a little more now, and try to trust the advice I'm getting, and the fact that Mr Mason today said that the fact that I've got 2 more NHS scans booked over the next 3-4 weeks is "oooooh plenty,... more than enough". So my experience at my local hospital must be fairly ok. I'll trust his opinion.

Lizzie - Wow, you're response was amazingly in depth and so reassuring to read. thank you SO much for taking the time to help me in such detail. It's really appreciated. I didn't filter anything btw, as ALL of it was really helpful and informative :)
I'd not considered the fact that the LLETZ would've shortened the cervix anyway creating a different starting point. This was confirmed today by Mr Mason though on scans you can't tell whether a cervix is strong or not, though by pressing down on my bump and watching the cervix's reaction to that showed that it's giving 'giving in' or weakening due to an extra bit of pressure - so very reassuring! I'm keeping my fingers crossed that the 2.7-3.0cm region is my 'norm' as you said. I'm still taking things as easy as possible and my OH is doing EVERYTHING around the house, just to be on the safe side, as you say the 'prize' is just too valuable not to rest more and lessen any possible risk, no matter how small that may be at this stage.

Kateqpr - of course I remember! Thank you AGAIN for your help and advice :) The private scan today, as was the case with you, was really useful for having peace of mind - well worth the travel to Leeds and the money. Even though it's gone up by 2mm (which according to info on here and the OBs advice this is completely normal for an organ that is so variable in nature anyway) and I'm no immediate danger of ptl (*touch wood*) it's not caught anything but simply allowed me to relax mentally a little more and be a bit less stressed during this pregnancy! 2 weeks between scans does seem like an eternity at times (and even more so for those in worse situations than myself). Alongside the stress of the 1 in 5 Down's risk diagnosis and the amniocentesis experience, and the gestational diabetes scare at 10 weeks it's already been a roller coaster ride of a pregnancy so I reckon this baby will come out as a little stress-head just like his mum! Bloomin' stress hormones - stay away from my LO! Lol.
Thanks for the info re the FFN test. If it shortens any more I'll talk to my OB about getting one of those done. It might be best just to get one done anyway, again if not just for peace of mind.

Thank you SO much again everyone for ALL the amazing advice and support - I can't thank you enough. Thinking of all of you and wishing you all well :) xxx
 
Hi violin, so glad that you had a reassuring appointment in Leeds :) it is usual for them to press down on your uterus in this way, it mimics the weight on your cervix if you were upright and walking around.

As for infection screening, they'll be testing predominantly for BV, a common infection in all women which doesn't commonly have symptoms. It isn't thought to cause a problem unless a cervix is already open, when it can track up into the uterus. No one is sure yet of it is the cause of ptl, or if it causes problems with the pregnancy after labour has already begun - chicken and egg. Main point for you tho Hun is NOT to start over washing. BV is a lack of good bacteria and an overgrowth of bad bacteria. Too many baths or over washing can reduce the amounts of good bacteria which in turn allow the bad stuff in. Avoid douching or excessive washing, just the usual minimal 'sweep' on the outside will do. Good luck, and keep us posted xxx

Christiana - you can feel the stitch and it's associated threads Hun. They leave some thread hanging down so that they can reach it and snip it when the time comes for its removal. nothing to worry about :hugs:
 
Hi all!,

Violinnem - so glad you had the private scan and it gave you plenty of reassurance. Hopefully now you can relax for the remainder of your pregnancy. A little bit of reassurance makes all the difference when you have pregnancy worries, so well done yo being so proactive. You've had a rough ride so far, with the amnio etc, so try and relax now, and start picturing yourself with your baby in your arms, being a mum. Maybe a spot of baby retail therapy is in order as a reward?!

Christiana - i'm too scared to stick my fingers any where near my girl bits! But i have felt the 'thread' of my stitch inside me, particularly when i sit at certain angles, so it's definitely visible, with the excess stitch material (which they leave there so they can remove it easily) hanging down.

I had my high risk clinic today, and my stitch removal is booked for twelve days time!!! Yikes! I'll only be 35+6, which is nearly two weeks earlier than my previous stitch removal, but that's fine by me! My doctor wants me to be free to go into labour on my own from week 37. 35+6 seems a bit early, but to be honest, i just want it out and to feel like a normal pregnant lady for a few weeks. Last time my waters broke a few days after my removal, so hoping it happens that way too this time. Also, baby is fully engaged, which is great. I know it doesn't mean labour is imminent, but at least it means she's unlike to turn and be the wrong way round! All in all, a positive appointment. I really can't believe i'm 34 weeks, in the same way i'm sure all of you can't imagine getting to this point either. It really is quite surreal when it happens - i've spent the last 8 months in denial, and fully prepared for the worst. I still worry about having a loss, or a still birth, which i guess is why i'd rather have my baby a bit early then go over due (and then i really would worry more about those things...)

Oh, and i've had a text from Jimmy and all is okay. I'l leave it to her to update everyone fully herself, but just didn't want any one to be worrying about her ( I know we all do when someone we care about hasn't posted for a day or so!) Hope that's okay JJ!

Right - potatoes here i come!

KXX
 
Hi Gorgeous Ladies,

Sorry I haven't been in touch. Yesterday was really busy with clinics & then I moved rooms (again) & have had three visitors today!!

Liven - I thought you were further along, didn't realise Kate was next up - your turn soon though hon, the weeks are flashing by. Glad your rain dance is working, I took my eye off the ball & the sun shone today ...

Christiana - I find the pessaries aren't half as messy rectally. I shove em up in there & any residue comes out when I pass a bowel movement the next day - saves me worrying about wastage/cervix/infection etc. Just my preferred method. (Christ, if we do ever meet you'll know just so many intimate details about me - we'll virtually all whip our pants off & compare cervixes at this rate!!) it's not as messy as vaginally but then I guess with oral intake there is no mess!

Lovely Kate - OMG you must be so excited & so nervous, when I get out of this hell hole I will come & bring you treats too! I feel very confident things will go well for you now. How are your energy levels gorg? Tantalise me with what dishes you're concocting tonight (I write to the odour of hospital fare served promptly at 5.15) :-(

Violin you sound totes sorted & like you have everything under control, do please keep us posted. Great to have seen such a reassuring specialist. You are on it, girlfriend!

Xtina, I agree with the other ladies about yr cervical length, sounds ok at the moment. Are they going to scan you again? Let us know how you get on.

Dear Lizzie, two mc in a row must've been so hard. But take heed hon. I have just turned 40 &, after 5 years trying & 4 failed cycles of IVF, had a natural conception late last year. (my pg complications aren't related to fertility). If I can have a viable pg at this age/stage surely someone as fertile as you, with 4 beauties under her chastity belt already, has a very good chance. It just takes a bit of time as we get older, eh? And it only takes one good egg ... Hang in there & have faith. And plenty of nookie - that's the key! xx

Helen you Total Trouper, how's this week panning out? I love that Oliver is protective of his sister. God I hope my pg works out, I want babies like yours & the others sooooo much .... You all have such gorgeous kids.

No news from Olga or BF lately? Have I missed posts? Are they both ok?

My news:

Water has increased but not to a level that necessitates an amnio yet - at least not unless it rockets over the next day or two ... Will almost certainly have to have one next week (most likely when Matt & my family are watching my dad get his Knighthood @ Buck Palace knowing my luck) but for now my consultant is happy that we try & wait til next week ... He said I can have a day trip to the Palace but my pa has vetoed me going. It kind of makes sense. I am living in hospital, after all & it would be typical if my waters went in front of Her Madge. That'd make good press.

My cervix is holding up under the extra weight at 18/19mm & FFN was neg (yay). Dr Kumar has said I can pop out for a few hours at the weekend if I'm stable (yay again!) so unless I bloat up & can't breathe (which is always a possibility), I shall go home & have salmon & eggs for brunch, sit in our garden, cuddle my cat (who I miss just soooooo much), watch the rugby with Matt & have a roast. (Please, please don't let levels stop me going home).. Please.

I have been moved from my palatial 'emergency room' with double bed & away from the bustle of the ward, to a standard side room in the thick of things. It's still a private room (with bathroom) so I shouldn't complain, but it is bloody noisy with trolles & phones & people outside & there are about 5 newborns on the ward too (postnatal is full so they bump 'em onto our ward). Not as glam I'm afraid.

I am hanging til Sunday, when I reach 26 weeks, then if I can get through a second amnioreduction unscathed, the 28-week goal could be in sight ... O my God the days just grind by. I am willing it to be early summer.

Screw the Spring, I wish I could Quantam Leapfrog to mid-May & for everything to be okay ...

Am in ok spirits for now. I hope you all are too.

With very much love to my favourite bunch of brave ladies.

Jimmyjam xx
 
Kate- hahaha i d be shared shitless to put anything up there too but it s these damn pessaries i have to insert! But i guess after what you and lizzie said i am a bit more relaxed now, last nigt i was sure my cervix shortened to nothing in just 2 days and all hell was about to break loose!!!yayayayaayyayaay for your up and coming stitch removal, double yayayayayayay for baby already being engaged, you are ticking your worries away one by one!!!xo

Jimmy- hun you just made me laugh sooooo much my hubby came in to see whether i finally started losing it!!!! Two things: i could just imagine all our faces after all these gruesome details we ve shared....priceless!!! And second...i m sorry for laughing about it and i know how much you d like to go but seriously..just picture your waters breaking in front of your madge!! But seriously now, i think your dad did good to vetoe you going, play it safe hun, we re almost to the point of counting down!!!very glad you an fo another week without the amnio and that you can pop out for a while!i am giving them the finger (for greece) for transfering you again to a single room but i think you wont need to be there for too much longer!xo
 
Hi all,
Glad you're all doing well, so great to hear everything's ticking along nicely...

Thanks for asking after me Lizzie and JJ- I'm not a trouper, I actually think I'm slightly unhinged at the mo lol! But, I'm ok, I did waver a little on wed after a day of looney kids, a really unhelpful comment from a boss "you're not eating properly at all, Helen, you need a proper lunch....(at lunch...."oh look your detention kids are here, you can sit with them in my room...") ...kind of makes the no lunch scenario obvious then eh?! Had parent's eve tonight and just got in. Fingers crossed for a happy Friday for us all.

JJ- sorry the fluid is rebuilding, and I second your Dad on the jailbreak, sorry. You really are amazing, despite the hard time you are having, you are incredibly upbeat and so very witty. The hospital hustle and bustle is upsetting, they put me next to newborns when I had my stitch put in...I got very used to sleeping with the tv on as my comfort. Even now, I feel so very reassured by the background noise of the tv, I grew afraid of sleeping in the dark just in case something happened...but then I suppose as a teenager I always used to sneak my Walkman up to bed and listen to it all night long. Must just be an oddball then?!

Violinnem- that's such wonderful, reassuring news. Sometimes a private consult makes all the difference. Thanks for asking, Bella arrived safe and full term over a year ago, I just keep up with the thread when I can. I didn't know I was down to 13mm when I was at school, although I knew my cl was short. I was setting up for my classes and I felt that everything was falling out. I had my scan on the 2nd day back at school and until that point I had no medical advice to officially sign me off school, and they were and still are so haphazard with their health and safety assessments of staff that I knew asking for help would get me nowhere. Then I had my scan and I was immediately signed off until Bella's birth. Take it easy, make sure that your school know you are being monitored for a high risk complication, and call in sick as much as you can get away with! Lol x
 
Wooooohooo Kate- 12 days til stitch removal yayyyyy! That's marvellous! Don't worry about the slightly early stitch removal, your cervix will hold now until bubs is truly ready to make an appearance. I had mine taken out at 35 and 2, we made it to 38 and 3, then a very fast labour followed! So happy for you x

Christiana- that's so sweet of you to say about Oliver. It is possible to have some stitching hanging from the actual cerclage, it's not the cerclage that's low as Lizzie said. It's normal and harmless and please don't worry x
 
Thanks Helen and honestly you must be doing a truly amazing job for your los to be so close...you hear so many horror stories about siblings are just so jealous of each other!
I know you cant but you should tell your boss to have HIS lunch with the detention kids for a change...stupid a#$$! Wishing you a more relaxing friday and a great weekend!
 

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