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Messages - ms79

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Making the Best of Bed Rest / Re: Monday Roll Call for August 27
« on: August 28, 2018 at 05:05 PM »
Today at 39+2, short cervix at 1.7 at 21 wks, down to 0.7cm at 32 wks, 4 in-house monitorings, no bed rest but pelvic rest and no working out, progesterone suppositories, stopped them and all restrictions at 37wks, doing squats, having sex, no sign of emerging of our baby boy for this FTM.  The anxiety of preterm labor obviosuly gone only to be replaced by new high risk designation of past due date. Omg. You can do this ladies! Keep em cooking but don't let them stew too much. Its been a wild ride for 5mos!!!!!


Simar story, my cervix was 1.9 at 21wks and was put on progesterone suppositories, told to reduce my work schedule and stop working out but no bed rest. Ive been doing my own research and bed rest doesnt seem to do much apart from harm, so i have been walking moderately and doing some prenatal yoga classes.
I too had a dynamic cervix, it went to 2.3, then 1.7, then 1.3 and now its 0.7.
BUT im at 34 weeks today and finally feel normal that i have made it this far.
The uterus hardening in areas are actually contractions, and i've had plenty of those since around week 22. They get stronger and you feel them more and sometimes very frequent. It also has a diagnosis of irritable uterus. Apparently, the dynamic/short cervix and irritable uterus go together.
I can reassure you in that here i am, 34 weeks and very grateful i have made it so far.
I cant reassure you that it wont be causing anxiety. We would have ups and downs, downs mostly after visiting the doctor and being "rushed" to labor and delivery just for a measurement on an ultrasound. I have been monitored 4 times now, once for 24hrs at week 32 and given the steroid shots for lung maturity.
For me, no working out has been a major bummer.
There is light and the end of the tunnel. They usually stop measuring your cervix at 34wks as it just doesn't matter after that, youre either in labor or youre not.
I wish you the best, this forum helps, i too am a first time mom and was nearly certain i would have a nicu baby or just no baby at all.
Cervical length is just a number they used to not measure it at all, but now they keep obsessing..while it does increase your chances of.preterm birth by about a factor of 2 (11% vs 25%, normal cervix vs shot) my best advice is to stay as positive as possible, read success stories (which, btw, there are waaaaay more of than the other way around), and do things that make you feel good. Yes its a about the baby but its also about you and you cant love a baby if you dont take care of yourself!


Congrats on your 33+ wks, it is so comforting to know that real labor feels different and more intense. You just uplifted my mood!
Hope your son is thriving.


So...not only am I a little oven but also a doctor and this process is driving me crazy. FTM, baby boy. All your ladies stories are what keeps me sane and hopeful.
At 21wks my cervix was 1.9cm. I went to med school a while ago and this was not a standard of care--measuring cervical length at the time.
I was told to "reduce my work schedule" and started on progesterone  suppositories. I stopped working out. Strict pelvic rest (that was hard! I was insanely horny)
At 22wks went up to 2.3cm, and we resumed planning for a baby moon.
At 24wks, back to 1.7, cancelled baby moon. No other precautions apart from no working out that i imposed, continued progesterone. I take daily walks, at least 20min twice a day, but at times i did a 4mi and a 6mi. Slow pace.
At 25 wks, 1.3cm. Sent me to l&d and noted that i was not in labor.
At 26wks, 1.4cm,
At 28wks, 1.4cm
At 30 wks, 1.4cm
This was the best. All steady and passed a ctitical stage. I went to a couple prenatal yoga classes, i was on a high.
Then, i started paying attention to contractions. They were definitely there for weeks but i brushed them off. Mild discomfort, belly would get super tight, press on my bladder, etc. Sometimes 8-10 an hour, sometimes less. Was told to go and check and was monitored. Yes they saw contractions but decided to let me go.
At week 32, went for usual (and last, i hope!) cervix scan and was at 0.6cm. Nothing but alarm on all doctor's faces-- "are you feeling contractions?" Duh. Yes, as i have been saying for weeks now. Was admitted to hospital, 2 shots of steroids. The nex day was still at 0.6cm. Released to go home.
Since then ive been totally bummed. I havent changed much of my activity, but, honestly, unless i see data in scientific literature i am not going on bed rest. Not that anyone recommended it but it is my fear and i have much respect for all of you who can do it. I cant. In fact, bed rest is more harm than good but it makes everyone feel like they are doing something.
My biggest fear is that i go into labor and not notice it as i have all these subtle signs yet it doesn't feel lile the real thing. And some stories make you realize that you may not know.
My other reason for posting is that, if some other md was following me, i may have gone on bedrest 3 mos ago! And, as proof, you can make it to 33 wks without it and staying mildly active.
I want him to cook more but i also have to stay sane. I want to do a couple more surgeries and see some more patients before this baby comes out.
Oh, and the contractions! Total medical mystery, btw.

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