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Author Topic: 25w3d w/Twins, Hospital Bedrest  (Read 5571 times)

sarahker

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25w3d w/Twins, Hospital Bedrest
« on: May 15, 2011 at 08:52 PM »
Hello everyone - I'm new to this forum and just wanted to share my story to see if anyone else out there had a similar experience - I'm especially eager to hear success stories.  I'm 25 weeks preganant with twin boys and have spent about a week on hospital bedrest due to shortened cervix and contractions. 

On Monday during my routine CL exam (transvag ultrasound) my physician noticed that my cervix had shortened significantly from my last check up 2 weeks prior - from 2.7cm to 2.3.  She immediately sent me to L&D at the hospital for further evaluation, where they found that I was also having contractions, which were about 3-5 minutes apart, but not painful.  After a shot of terbutaline the contractions subsided quickly, and I was put on nifediprene.  I was kept in the hospital for observation, with the expectation that I would be released to home bedrest within a few days, but a subsequent examinaton found that my cervix had shortened even further to 1.7/1.4 with pressure, and continue to have intermittent contractions, so the doctor prescribed hospital bedrest, likely until I deliver.  I'm not dilated, and membranes seem to be intact, so we at least have that in our favor, but so much else seems to be going wrong. 

I'm absolutely terrified about the prognosis, and have been trying to be brave throughout this process.  I'm hoping I can keep these little guys cooking AT LEAST until 28 weeks, hopefully much longer.  It's so hard to be positive when there's so much uncertainty, and I'm so afraid.  I have a follow up CL exam tomorrow, and hoping that I still have some cervix left.

I would love to hear other's stories and advice on how to get through this. 

maxxiniko

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Re: 25w3d w/Twins, Hospital Bedrest
« Reply #1 on: May 16, 2011 at 02:06 PM »
Hi.  My story started at my 20 week anatomy scan with a cervical length at 3.6.  I have twins too and because of how they were laying their hearts couldn't be evaluated properly so I had to come back at 22 weeks.
     At 22 weeks my cervix was 2.8. A week later at 23 weeks I had an appt with my ob who didn't like that number and put me on modified bed rest.  She sent me back to the specialist.  My cervical length had dropped to 2.0. I got put on full bed rest and referred to the maternal fetal specialist at my hospital.
     I was almost 25 weeks when I went for my appt at the hospital and my cervical length had dropped even further to 1.2.  I was admitted and given steroids.  They discovered that I was contracting every 2-3 minutes so I started on Procardia which only worked initially and so I ultimately ended up on magnesium sulfate.  Awful stuff but it worked.
     I stayed in the hospital for over a week at which time they rescanned me and to everyone's surprise my cervical length was 1.6.  I was allowed to go home - on full bed rest of course.
     I've had one visit to the hospital since my discharge and even though I was contracting my cervix is still between 1.3-1.6 and my fFN was negative and so they let me go home.
     Bed rest is miserable!  The anxiety of not knowing what will happen next is awful too.  But despite that my cervix has gotten better and the time moves more quickly than you'd think.  Some days I think that I've gotten nowhere but other days I'm amazed that it's almost 4 weeks since this whole mess started.  You'll get there!

jumama

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Re: 25w3d w/Twins, Hospital Bedrest
« Reply #2 on: May 16, 2011 at 02:52 PM »
Hi hun I'm pregnant with twins too they checked my cervix at 25w 6days at it was at 1.5 I was put on bedrest at that time and given the steriod shots for their lungs. I am now 30 weeks and 3 days. I have my cervix checked weekly at my last check it was at 1.4 bedrest is not the funniest thing in the world but it is the safest thing for the little ones when needed just try and stay relaxed and rest is the key. Good luck

mckoygirl

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Re: 25w3d w/Twins, Hospital Bedrest
« Reply #3 on: May 16, 2011 at 03:49 PM »
sarahker-  Welcome!  :)
Twins here as well, put on bedrest at 17 weeks for preterm contractions (not painful) and shortened cervix I was only in the hospital for a day. I was contracting every 2-3 minutes and didn't even realize it. My cervix got down to 1cm at the lowest point. Now it's 3.5cm on bedrest and I'm 32 weeks, 4 days!!!! There is hope! I was on Procardia/nifidipine 10mg every 6 hrs but they've lightened up on that and allow me to take it as needed. As of this week I'm allowed to "float" in our pool while watching my 5yr old swim. I can't tell you how wonderful that is after 4 months of bedrest!

I know it seems overwhelming at first and hopeless, but hang in there. Adhere to everything your doctor prescribes you, stick solidly to that bedrest. I have a book that's great for twin moms called: "When You're Expecting Twins, Triplets or Quads" by Dr Barbara Luke. It's a marvelous book. It even recommends bedrest around 28 weeks for twins anyway. Basically the book is based off of studies done on multiple pregnancies and they have proven their methods produce twins weighing 30% more than average twins, and 30% less likely to deliver preterm. Great, great book.

Let us know how your check goes this week and we'll be praying!  ;)
Due date: 7/7/2011
Twins (we're not finding out the sexes!)
5th pregnancy (5yrs old-put on bedrest with her @ 35wks for PIH)
3 previous losses
Put on bedrest this pregnancy @ 17weeks for Cervical shortening & preterm labor
Thanking God for each day I'm given with my twins!

sarahker

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Re: 25w3d w/Twins, Hospital Bedrest
« Reply #4 on: May 16, 2011 at 03:50 PM »
Thanks for the words of encouragement!  It's great to hear that there are others going through the same thing.  I had my follow up CL today, and I'm holding steady at 1.6 for now, but still having intermittent contractions, mostly in the evening and in the morning for some reason - I'll have 4 or 5 per hour for an hour or two, then everything quiets down for the day.  I guess that's why I'm still on hospital bedrest instead of at home. 

I just feel like I'm living from day to day, and it's hard to stay positive when it seems like such a long road - I know it's well worth it in the end. 

mckoygirl

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Re: 25w3d w/Twins, Hospital Bedrest
« Reply #5 on: May 16, 2011 at 08:23 PM »
sarahker- It will get better. That's when I had the majority of my contractions. Most preterm (usually benign) contractions occur from 8pm in the evening, til 5am in the morning. Mine usually started up at 5pm and would continue til around 3am. It sounds pretty stable for now. They will probably let you go home soon if things remain as they are. I agree, it DOES sound like a long road in the beginning. Let little milestones to begin with. Don't look too far ahead. For now, set a 27 week goal. Babies do SO much better after 27 weeks. After that, get to 29 weeks, then 30, then 32 and so forth. Each number I just listed are important weeks to get to. Handle them one "goal" at a time. It will make it easier.

Imagine finding out all this at 17 weeks... 8 week before your babies even have a chance of being viable. That was me. Now I'm 32 weeks, 4 days. It will pass I promise. Just follow orders and listen to your body. Find distractions like Netflix, books, and little activities like knitting or scrapbooking.

Hang in there!!!! ;)
Due date: 7/7/2011
Twins (we're not finding out the sexes!)
5th pregnancy (5yrs old-put on bedrest with her @ 35wks for PIH)
3 previous losses
Put on bedrest this pregnancy @ 17weeks for Cervical shortening & preterm labor
Thanking God for each day I'm given with my twins!

BedrestPractitioner

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Re: 25w3d w/Twins, Hospital Bedrest
« Reply #6 on: May 18, 2011 at 04:57 PM »
Sometimes it can be easy to pick up on and take on others fear.  Fear can oftentimes build in a hospital setting.  I would say work on balancing your stress level, as well as deflect whatever fear those around you may be feeling and projecting.  Research additional, complementary care you and the twins can utilize to assist a healthy pregnancy and beyond, such as Aromatherapy, Herbal Care, and Flower Essences.

sarahker

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Re: 25w3d w/Twins, Hospital Bedrest
« Reply #7 on: May 21, 2011 at 07:18 AM »
Hello Ladies -
Just a brief update - I'm still here in the hospital, almost 2 weeks after presenting with contractions and short cervix (26w1d now), and the contractions seem pretty under control (for now), and have another CL check on Monday.  I'm hoping if all goes well they might consider releasing me to home bedrest, but not going to get my hopes up.  I just think it's astounding how frequently this seems to happen with twin pregnancies (Preterm labor, short cervix etc.).  There are 5 rooms here in the L&D Observation Unit, and 4 of us are twin pregnancies with short cervix, not to mention all of the women on this site with similar experiences!  Just wondering why my doctor didn't warn me about this, and why there isn't more research out there?  I guess I'm just frustrated with the lack of information. 

Hope everyone is doing well and hanging in there!