Incompetent Cervix - stitch/cerclage - threatened labour

WHAT A CLIFFHANGER!!!!!

So good to hear from you, sounding so positive (even if its cautiously so!)

Am awaiting your next instalment with baited breathe....

XX
 
JJ...honestly that's scary!!!! What was that popped out in loo?

The whole story has scared me. Somehow.

I will tell why. Yesterday there was a story in a Dubai newspaper about a couple who who had twins last November at 25 weeks. The babies have been in nicu since then; they are thankfully fine- but the hospital bill is a whopping 1m Dirhams (170,000 GBP) excluding medicines etc. they aren't letting them take the babies from the nicu because the couple are unable to pay up.

But JJ, am sure your son will be fine. Give him all our love.
 
Wonderful to hear from you JJ :hugs: Congratulations on the birth of 'Wriggles' and so pleased he appears to be doing so well, atleast for now. Wow, your birth story so far doesn't sound too dissimilar from mine with Evie! Aren't some midwives so rubbish - the times I was told I wasn't in labour.....................I so was.

Anyhow honey, please update and give us the full story - feel like I've just watched a particularly exciting episode of Neighbours, only to be left in limbo as the deceptively cheery theme tune cuts in! Keep that bm flowing btw, it's what helped Evie come through the NICU relatively unscathed I think :) xxx

Bf - don't worry (impossible I know) about the pink discharge and stabbing sensation in your cervix. I didn't have bleeding after 13wks, but there are hundreds of IC ladies who have and it rarely sinister. Your cervix is very vascular and sensitive to the presence of the stitch, this NOt the same as it is failing hun.

Please discourage them from doing internals too - they don't really confirm anything, other than to establish that your cervix is closed below the stitch. If it weren't you would have had contractions, and lots of bleeding by now - you would definitely be in no doubt that things were happening without the need for an internal. I wouldn't allow them to do anything additional that might introduce infection - rare as that is.

The next few weeks will be very frightening for you sweet, I remember how scary :( So far the stitch has held up well and there is no reason why it shouldn't continue to do so xxx
 
Hello this is my first message on this forum. I have spent a while reading everyone's post and hope everyone is well, especially JJ and her little boy.

I have two little boys. My first is almost four and he was born at 34 weeks after PROM. It was suspected that I had a shortened cervix after having LLetz treatment for abnormal cells about 12 years ago. I had a stitch placed at 16 weeks for my second pregnancy and everything went well - no complications at all. My waters broke the day before my stitch was due to be taken out at 36 + 6 weeks. My stitch was removed a few hours later while I was having tightenings but I didn't go into full labour until about 10 hours later when my second little boy was born. Our second little boy is now 2 and has special needs ( he was born deaf and has a development delay). This was a complete shock to us because all my blood test and scans were fine and I was healthy etc all the way through. The doctors/consultants have done countless tests and have never been able to give us a reason. The consultants think the reason is a genetic one but haven't been able to give us a diagnosis as yet.

Anyway after lots of genetic counselling and thinking things through I am now 7 weeks pregnant with our 3rd and we are delighted. I will see the same consultant as last time at 12 weeks. I just wanted to know if anyone knows how successful stitches are the second time round? I am now also worried that maybe my cervix was damaged further when the stitch was removed.

Thank you :flower:
 
Hi Lindy,

Welcome aboard, and congratulations on your pregnancy!

I'm currently on my second stitch, and am 38 weeks tomorrow, so in my experience, a second stitch was a successful as the first. I guess the only thing i would do differently is to have my stitch electively as early as possible. In both my pregnancy, they did a 'wait and see' approach (i'd have two big LLETZ procedures too) but with each my cervix suddenly shortened at 18 weeks when my cervix went to around 1cm. If i had my time again, i'd insist on the stitch around the 13 week mark, mainly for peace of mind, plus i think it might have meant i wouldn't have had to have such a long period of bed rest (which is so not ideal when you have other little ones to look after!)

Keep us posted with how things go for you, and good luck!!

X
 
JJ-wowowowow so so happy to hear from you!and so super exciting for little man to be doing so well and cuddling up with mummy and all!!i just couldnt believe you didnt finish that story, my mouth had dropped and you just stopped...cruel!!!hihihi just joking, it sound like you re doing an amazing job expressing that milk hun, keep it up and we ll be anxiously waiting for more happy updates!!!

Lindy- this is my first cerclage so dont know about second time ones but just wanted to congratulate you on your pg and wish you a happy and healthy 9 months!
 
Nhood- i ll be thinking of you tomorrow even though i m very very certain that your docs appointment will go perfectly smoothly! Waiting for your news!
 
JJ- oh what story.....firstly, for the love of God what runs through some midwives minds??? I will never understand the utterly useless reassurances some of them give, I remember going to triage before my stitch, and the midwife couldn't find Bella's heartbeat, so she called for a doc to do an abdominal ultra sound on a portable machine. The midwife didn't know how to work the ultrasound so I ended up plugging it in and switching it on for her....DH was in hysterics in the corner, I felt totally grim about it.....did I really trust her to check me over?

Anyway, I am over the moon that little "Wriggles" cutie chappie is such a little trooper, just like his Mummy, and that you sound so very happy and optimistic. Birth can be a little violent for a lot of babies, full term or not, things like ventouses and forceps can cause a little temporary surface damage, which very quickly heals. Sending him hugs and lots of love.

Lizzie- yay, another Neighbours fan! It's the only soap I can handle in my current soft, don't want to watch violence and need something cheery state. Sorry to any 'Enders here, I just find it all too much to take.

Lindy- I've only had he stitch so I can't comment on the stitch second time around. I do know there are ladies are here who have had more than one sticth and carried successfully to term, in fact, the scar tissue from the stitch can provide further tension in the cervix, actually strengthening it, as opposed to weakening it.

Hey Kate, hope you're well xxx


Nhood- it sounds like all is fine, but as Lizzie said, I would discourage the manual exams as much as possible, just to try to keep infection-free. Good luck, and try to stay calm :hugs:
 
Hi Lindy and welcome :)

As Helen already said, it is often the case that the scar tissue left over from a previous stitch can make the cervix slow to contract and dilate in labour, thus stronger when it needs to be (at around 20-24wks). You should be fine hun, so long as you get it placed early before any possible cervical changes have occurred. Good luck xxx

Helen - I used to love Neighbours, then in the summer of 2007 stopped watching when it was interrupted by Wimbledon for 2wks :( I never got back into it and now I don't recognise half the cast! Such a shame...........Karl and Susan were my favourites ;) Eastenders is way too depressing, I've never been a fan x
 
Hi All, tnx for messages you lovely bunch. Lindy, thank you, you will find loads of support here. Bf - don't worry, nothing about my pg has been normal, you shouldn't expect such drama .. And Lizzie, God I thought of your story with Evie during the course of that night!!!!!!

*Anyway ...

I'm sitting on a bed screaming & Grace the Junior Midwife is trying to calm me down for the baby's sake & so she puts a monitor on me & I hear the heartbeat & start to breathe & try & calm down for Wriggle's sake. Finally a registrar shows up & announces that my membranes have bulged through the stitch & have created a balloon btw my legs which is collecting water. I mean, Jesus Christ! What more's a girl to go through? She tries to find my stitch despite me telling her the anaethetist who's put it in told me it's a shirodkar, up behind my bladder,& needs to come out under a spinal & despite me Yelling in pain, before the senior consultant rocks up & orders me into theatre announcing she's going to perform a caesar.

The fab midwife has rung Matt & he arrives just as I'm being wheeled in & an amazing crack team of anaethetists get on the case. The senior registrar asks me what Dr Kumar's plans for my delivery had been as the baby is head down & engaged & I told her I'd been advised it would depend on Wriggle's position. She then has a conflab with the anaethetist b/c I'd had a dvt-busting blood thinner injection at 10pm & the rules dictate a 12-hour interval btw that & a spinal or there's a risk of paralysis if he hits a blood vessel. But he was competent & confident & elected to bend the rules & give me one anyway so they could remove the stitch & give me a c- section if necessary. Phew. Cue enormous south african assistant rolling me over onto my side while Grace holds one leg in the air to stop me squashing my own membrane balloon, into the fetal position & a jab in the spine hy presto numb from the waist down ... I was chatting to Matt & one of the ace team of paedatricians on hand to revive Wriggles if he came when the registrar turned to me & said 'okay, the stitch is out & your membranes have gone' ... & I hadn't felt a thing ...

Back on the labour ward I'm hooked up to a monitor, having regular contractions & spinal top-us as the contractions come and by god was I relieved when it hit 0800 & I knew the hospital would come to life with decent consultants again. First up a lady who was very nice but instinct told me she wasn't right for me, Wriggles' heartbeat would drop every time I had a contraction & she was dithering about what to do & muttering about caesars and waiting & stuff. Politely I told her no disrespect but I wanted to see Dr Kumar & was informed he was in a meeting. Well, as soon as she left the room I told Matt to go & find Dr Kumar & not to come back without him (!) & bless him, he's not the pushy type but 'our baby's life depends on it' gave him the shove he needed & most brilliantly he arrived with the Big Man at his side within about ten minutes. Good work that man!!! Dr Kumar made some swift decisions & concluded it was probably best not to wait but to bring labour on, so they administered an intravenous hormone to move me along and things began to hot up.

It got even better when the marvellous Mr McCarthy, my modest, dry Irish Consultant took over from the lady consultant & started doing his rounds. He's pretty aloof & told me he'd only come & see me if it was an emergency during the course of the day & when I asked who would deliver said 'a midwife most likely' before departing. Cue the arrival of the most fabulous, eccentric Irish Midwife (who I think he sent in) who started looking at my obs & decided things weren't really alright, the baby's heartbeat was fluctuating violently & that Mr McCarthy should be called back in. Well, blow me down, the big man himself arrived & announced he was going to deliver (!) which is apparently very rare & he really was just totally brilliant. I hadn't taken any antenatal classes, didn't dare, didn't know what to expect but I have to say that the delivery was probably one of the most straightforward parts of my pregnancy. Mr McCarthy told me afterwards that he had been concerned about the baby's heartbeat a couple of times & that he had considered using forceps as I was to far gone for a caesar, but we did it eventually, Matt was amazing & I still can't believe that that little mite Matt was holding today slid effortlessly out of me & into the arms of the waiting paediatric team for revival. I just can't believe I have a son!!

We had a chat with The Consultant in Nicu today who again questioned Wriggle's gestational age, commenting that both his size & behaviour were ahead. It wasn't the milkman, I promise, we had 4 scans in the first trimester that were absolutely consistent with the date we thought we conceived & also a sizing scan which backed this up. Maybe our son is just a Genius ... But he is rather large for his age.*

Consultant did advise caution though, telling us not to look at it through 'rosy glasses' - it might look like he's doing well now but premmies in care can provide a 'rollercoaster' ride ... Bugger. And I just had a fleeting glimpse of positive :-(

I know it'll be a tough journey.*

Anyway.*

Off to milk myself for the umpteenth time today & then my much-needed bed.*

Thanks for your lovely messages. Zzzzzzz
 
Ps sorry about multiple asterixs now idea what that was about

Pps - anyone thinking of Sailesh Kumar or Andrew McCarthy at Queen Charlottes as ob i could not recommend more highly, those men are fantastic, exceptional & talented & I am indebted to both of them ...
 
Jimmy!!

Such a great post. You have a bit of a twinkle back in your eyes, I can tell. ( even though you must be exhausted and hormonal...). And I love the fact your baby was delivered by Andrew McCarthy. One of my weird 80s crushes.

Looking forward to meeting your little man soon. Now go lactate, lady !!

Xx
 
Hey ladies! I used to pop in quite a bit while expecting my son.

Just wanted to encourage all of the new ladies with stitches, and suffering from IC. Its a rough road, but well worth it in the end!

For those that are still here from when I used to post, I just wanted to say hi, and sorry for not getting on anymore. I rarely turn on the computer anymore; there just isn't time. I managed to create the biggest troublemaker in the world, when I created Colby!! :) If there is something he can get into; he does.... Not even walking yet, but already he's tried climbing out of his crib on a few occassions...

Around this time last year, I was so depressed because I wasn't allowed to get up, and had to spend 24 hours a day on a couch. Now, I am begging to be allowed to sit for just 5 minutes at a time! Big change from last year! Lol.

So hang in there ladies. I never thought I would want to sit on a couch again after being on bed rest for so long, but now, there are days when I do nothing but chase a 9 month old all over, since he thinks the word 'no' means to go faster.
 
Hi Sherrie, good to hear from you. :hugs:

JJ - wow, what a birth story! NICU can be a roller coaster ride, and they do prepare you for that, but at 28wks and doing so well the chances of something going catastrophically wrong are small especially given lo was a good size. Obviously He is more vulnerable than a full term baby, but I have seen lots of preemies confound medical opinion, breeze thru intensive care and never have another ill day in their lives (my daughter included). He could just be ok Hun, and with each week that passes, that is more and more likely.

As for his size, you ought to mention to the 'doubters' that you know a lady who had a twin who would have been 3/4Ibs at 28wks, and he was perfectly healthy just genetically big. So it does happen, even with a twin! Get in touch any time chick xxxx

Hi to everyone else, everybody ok? Xxxx
 
Hi ladies
Have had strict instructions to rest and I've been allowed 5mins to sit up and have some laptop time lol.
Would like to thank you all for your positive comments.
I had the stitch yesterday and was a success however it was mentioned that my cervix had already started opening. It was only a finger width and the stitch has now closed it up again.
Being new to IC I've no idea of good or bad. I noticed on my notes that it was written that my cervix is only 3cm long. I only noticed it after i got home so haven't got anybody to ask what this means. Is it good or bad?
Cervix is now closed which is good enough for me right now. Bleeding has nearly stopped and the only discomfort I have at the moment is from where the spinal needle went in.
Thank you so much as any information I can get can only benefit.
Sorry I dont have much time on here to reply to any as individuals.
Hope to chat again soon.
Thanks
xxx
 
Hi all,

I just wanted to say hi..i have been popping onto this site often over the past few weeks, while trying to find out as much as possible about ladies who have also had a cerclage!

I am 17 weeks pregnant and had mine placed last Thurs, i had been monitored closely this pregnancy as my daughter (child no:2) was born at 31 weeks, i had no idea as to why as my son was born full term weighing a healthy 8lb 1oz! I just shrugged this off as one of those things..until 4 yrs later (now) after deciding to have a 3rd baby, they discovered that my cervix was measuring 2.3cm..so the very next day i had my cerclage!

This is all totally new to me, and i have no idea as to what to expect for the remainder of the pregnancy..i had no idea about CI until last week when i have become obsessed with pouring over the internet trying to find out as much as possibe! I also have no idea if that is indeed what i have..i haven't had an actual diagnosis..i am just assuming this is the case!

Anyway..i am now on 2 weeks bedrest..possibly more if my cervix continues to shorten..i go back next Weds for my CS..and really wanted to join, you all seem very knowledgeable, and it is so nice to find people that are going or have gone through the same thing!!

Any advice would be greatly appreciated!! xx
 
Hi ladies, just a quick one....Sherrie, you must be psychic, I was wondering only yesterday about you...so glad you've got a little mischief maker :happydance:

Pink lady- from what I can gather, 3cm cervical length is pretty good, especially now the stitch is in place to hold it firm. Not that it matters now as the stitch will do its job, but 2.5cm is classed as a borderline/short measurement, anything around that length needs monitoring and possibly a stitch. Funnelling, when the cervix begins to open from the top, near the baby as it gives out from the weight of the baby, is usually also a sign of a weak cervix. That may also have been present prior to your stitch, but now the stitch will hold it all firmly in. Try not to worry, you've done the best possible thing you could for your baby. :happydance:
 
Pink lady- so glad the procedure went so well and you have no major discomfort! As helen said, i think 3cm is a good length plus it can lengthen with bed rest (i think bookfish found her cervix lengthening after so much bed rest). But anyhow, stitch is in and chances are it will hold your cervix even if your cervix was to shorten even more!

JJEE- Welcome on the thread and congratulations for your pg! Your doc has done a good job catching that cervix shortening early enough so you re good to go! Stick around, the ladies on this thread are an inspiration and very good support system especially in those long hours on bed rest!

JJ- Dear God, your story really sounds like one of those "one born every minute" episodes! So happy Wriggle is doing well and proving everyone what a big and strong boy he is! Even though i ve never had a similar experience i assume they would tell you not to look through rosy glasses even if he was superman/superwriggles! they have to...
anyway, glad you re sounding so happy and positive hun, you re the best mummy ever for your little man!
 
Popping really quickly to say a bit 'wow' to Jimmy, to warn her to edit out her name and number as this a public forum :haha: and wish her all the very best, and let her know she's in my thoughts!

Also, welcome to all new members. Currently I really don't have the time to participate as actively as I used to a month ago, but sure thing I'll be back with a vengeance.

x
 

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