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What's Your Story? Tell us. / Re: 18 weeks with a preventative cerclage
« Last post by Freshview on February 16, 2018 at 12:26 AM »
How many weeks are you now? 20?
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What's Your Story? Tell us. / Re: 24 weeks and facing preterm labor.. again!
« Last post by Freshview on February 16, 2018 at 12:23 AM »
Hi, thanks for sharing your stories.
OBmom - I can so relate. I’m a registered midwife and laboured at 24 weeks (anatomy scan at 20 weeks shows 4cm cvx trans abdo) and was 70% effaced and 4cm dilated on admission with moderate ctxs. For 2 days I was looked after by my colleagues and consultants. I received excellent care, but it ended in the birth and death of my son - in my workplace amongst my colleagues. Needless to say I haven’t gone back to work.
We won’t know if it was cervical incompetence or labour for some other reason, but my MFM has said she’d do a cerclage next pregnancy, in large part to support my mental health. She hasn’t mentioned a pessary. Are both of you in the UK? I’m wondering if it’s just a European intervention. I’m in Canada.
I’m keeping my fingers crossed for you and a nice, long pregnancy. 
Thank you.
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What's Your Story? Tell us. / Re: 18 weeks with a preventative cerclage
« Last post by MissKBoss on February 16, 2018 at 12:16 AM »
Update

Went to my appointment today and cervix is 2.5 closed so another week and it shortened again  :'( :'( I pray the stitch holds and i make it to at least 32 weeks but preferable full term  This is so scary.  I hate this.  Why can't i have a normal pregnancy
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What's Your Story? Tell us. / Re: Back for round 3
« Last post by EnglishRose23 on February 15, 2018 at 10:04 PM »
Hi OBmom,

Thanks for asking, after waking in pain several times last night I've been bleeding heavily and passing large clots since this afternoon. I suspect this is the end of the road for this baby. I'd had a bad feeling about it all day yesterday and now the pain and bleeding seems to be confirming what my intuition was already telling me. Waiting till I see for sure on the scan tomorrow before I give up all hope though.
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What's Your Story? Tell us. / Re: 24 weeks and facing preterm labor.. again!
« Last post by reasontohope on February 15, 2018 at 01:25 PM »
That was me who posted the Heiny article! Wow, cathartic is definitely the word. I read it shortly after bringing home my 36 week 3 day miracle, born after almost 4 months' bed rest and within 2 days of removing the miracle pessary, and wow, I sobbed.

Reading your story made me think again about my pessary...I'm really hopeful for you because for both of us, the pessary seemed to hold our pregnancies in place. I went down as low as 4 mm in cervical length and had a positive fFN, but stayed pregnant until the pessary was removed. This also mirrors what my MFM practice (well-respected research practice connected to a med school) told me they are finding, that the pessary really seems to work for a certain subset of patients (as always though, hard to tell exactly who). Because it worked for me this time, they are optimistic that if we have a second child it will work again if needed. They won't place it automatically though, they will just monitor for cervical length and give me progesterone shots.

I hope you are doing ok! Bed rest is such a mind trip. Sending you all the best! <3
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Preterm Labor: Anything and Everything / Re: Can I ignore Braxton Hicks?
« Last post by Angela on February 15, 2018 at 11:17 AM »
That is GREAT news you are still cookin', even with all the ups and downs! There will be days when 4 weeks seems like a reeeeeeally long time, but in the big picture of your life and your baby's life, these are just moments. Positive thoughts coming your way...
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I agree 100% with English Rose on this one.
At the end of the day, there are no rewards for "fastest-coming-back-to-work-again" pregnant moms.
Just take your time and take care of yourself and your baby, that's the best investment possible.
Best wishes!
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What's Your Story? Tell us. / Re: Back for round 3
« Last post by OBmom on February 15, 2018 at 09:42 AM »
Hey English Rose.

Just wandering if there are any updates?
The " I suck at pregnancy" thing really stuck with me, I've had that feeling too. Please don't beat yourself up, this is NOT your fault or anything you could change. Nobody wants this baby to be okay and have a chance more than you. Therefore, you're this baby's best shot.

Bed rest sucks, and it's even more frustrating if we're not that sure it is even helping. But we keep on doing whatever we can right? Just hang in there, and keep hoping for the best!
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What's Your Story? Tell us. / 24 weeks and facing preterm labor.. again!
« Last post by OBmom on February 15, 2018 at 09:22 AM »
Hi everybody.
Reading all your stories has been such a comfort. I want to thank you all for sharing your wins, and say I'm so so sorry for those of you who've experienced such tragic loss.
First of all, let me tell you I'm an OB specialist, so I got the technical aspects of this pretty much covered. But when the tables turned and I became the patient, things changed dramatically.

My first pregnancy was absolutely unremarkable up until 24 weeks. Perfect scans, feeling fine. At 24w I started having contractions on occasion. Nothing painful, nothing repetitive. Nothing to worry about, I told myself. I even asked one of my co-workers to check my cervix, just to make sure. And sure enough, at 36mm we were fine. Just fine. 2 weeks passed and I  continued to work, including ER shifts, I only stopped working nights. At 27 weeks, I got my cervix checked again - 27mm. "Not so great, but still okay right?" I decided to take a week off work and go on vacation. When I came back, at 28 weeks, my first shift was ER. One of the doctors on my team insisted I have a cervical ultrasound, just to be absolutely sure.
And my world stopped in its tracks. At 28 weeks my cervix was down to 8mm and I was at High Risk for preterm labor.
Imagine the shock, switching from "doctor-on-the-ER-OB-team" to "lady in room 5" in our Labour Ward.
We decided on placing a pessary (Arabin), medication for the contractions (nifedipine) and started steroids for the baby's lungs. I was admitted to our fetal-maternal medicine ward - my place of work - for three days. After that I begged to be allowed to go home, and they let me. Modified bed rest, of course.
Unfortunately, continued contractions led to my water breaking at 29w and 4 days. Not such a big splash, what we doctors call a "high rupture". But it did mean I had to be admitted again for IV antibiotics to lower the chance of infection. Long story short, I stayed in a hospital bed for the next 5 weeks, getting regular blood check-ups to monitor for infection. Lucky lucky me, the amniotic fluid levels (AFI) stayed almost normal, and baby's scans were fine every time.

--- Let me just say here that one of you suggested reading this article by Katherine Heiny - https://www.theguardian.com/lifeandstyle/2017/oct/24/88-days-trapped-in-bed-to-save-a-pregnancy-bed-rest - and it explains that hospital admission part SO much better that I ever could. Truly cathartic. ---

At 34 weeks we removed the pessary because the risk of being preterm at that point is not as worrysome as the risk of infection. I delivered at 34 weeks and 2 days, a beautiful and healthy baby boy, 2140g. He stayed in the NICU for 2 weeks with no complications, just learning how to eat properly 'cause he was a little lazy.

So anyway.. almost 3 years later, here we are again. Of course we were worried about my obstetric past, so we planned for strict watching out for everything. Spontaneous second pregnancy, normal first trimester scan. Progesterone starting at 14 weeks. Cervical length monitoring starting at 16w. I stopped working at 20 weeks, again because of contractions. Normal morphology and heart scan at 21 weeks. And then, at a routine scan at 23w 5d, a shortened cervix. Again. 18mm.
We've decided on placing a pessary since it worked so well the first time around and cerclage placement this far along can be dangerous. And I've been sent home for modified bed rest. Again.

I'm really scared because this time is even earlier than last time. Being an OB, I have an inflated sense of the consequences of being born this early. I've had "the talk" with concerned parents more times than I can count. Above all, I'm terrified I'll have to be admitted again, not knowing for how long. And of leaving my rock of a husband and my vibrant, cuddly 2,5 year old at home. We're staying at my mom's for extra support and I've taken medication for contractions.
I know I'm doing everything that can possibly be done, and I still worry it might not be enough.

So.. Sorry for the extra-long post. If you're on bed rest like me, and you're bored stiff after 3 days, I hope you might enjoy the read.
Feel free to ask questions, I'll give it my best to answer (with inside knowledge  ;))

Best of luck to all you future moms out there struggling with threatened PTB!
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Preterm Labor: Anything and Everything / Re: Can I ignore Braxton Hicks?
« Last post by Lacyelfmom on February 14, 2018 at 09:43 PM »
32 w3d and still pregnant.  ;D I've only had to go in to the hospital to get checked twice. Once for contractions and once for leaking fluid (turned out to NOT be amniotic fluid, yay!). At my last exam my cervix was still closed. So things seem to be going really well. My doctor says only modified bed rest is necessary, but my husband is being more careful and cautious, so pretty much has me on full bed rest for the next 4 weeks and 4 days. Thanks so much for your support.
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