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Author Topic: First post, short cervix  (Read 3488 times)

Anne23

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First post, short cervix
« on: November 06, 2015 at 12:35 PM »
This is my first post and although, I've never done any support groups previously, I have found it very helpful to read everyone else's experiences.  This is my second pregnancy.  My daughter was born 5 years ago at 35 weeks. I was having trouble getting pregnant and after all the testing and the up and downs of IVF, they determined that I had destroyed all my eggs, so our only options for another child would be egg donation or adoption.  We chose the egg donation route, and I had 2 embryos implanted in July, and two weeks later, we received confirmation that we were pregnant with twins. 

I was feeling well and went for my routine 20 week ultrasound with a maternal fetal specialist.  The specialist saw that my cervix was dilated and the closed area measured at 1.7 cm.  I am now on modified bed rest, meaning I can get up to shower and fix a meal, but otherwise I need to sit.  Luckily, they are allowing me to drive my daughter to school, but I am unable to walk her in.  I'm worried that I may be moving around too much.  I will be going to weekly checks with the specialist and although, I am nervous, I'm hoping that next week, I will receive a confirmation that things are not worsening.  I started weekly progesterone injections last night.  This whole process is scary and I'm just hoping for a good outcome. 

Beth_Stack

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Re: First post, short cervix
« Reply #1 on: November 06, 2015 at 04:19 PM »
Hi, Anne.

     Welcome to the forum. I'm relatively new here, too, and I've found it to be an exceptionally supportive resource. This is my 2nd pregnancy, as well. I delivered my son at 30 wks & 5 days, so I've been considered high-risk & monitored very closely from the start. My cervix first measured short at 24 wks (I'm 28 wks & 3 days today). I wasn't found to have dilated (1cm) until last week. I've been receiving progesterone since 16 wks. The docs said that even though I dilated, the thickness I've retained is likely due to the injections, so I'm glad for that. Hopefully they work for you.

     I feel you when you say you're worried you're doing too much. I've been on bedrest for a month, strict at first and now more modified (due to a transfer in care to a group of docs with differing views re: the efficacy of bedrest). I feel like this recent lifting of restriction has justified my doing a bit more, but I certainly don't want to overdo it. I try to do just what I absolutely have to do, plus a few small things that just help maintain my sanity! I've been reassured several times that your body will do what it will do, even if you stand on your head. Who knows for sure, but don't beat yourself up over what you do or can't do. Allow yourself the time you feel you need to rest, but I don't think we should feel guilty about doing what we can still do for our children - they still need us, too.

     Best of luck to you and your babies! Hang in there and keep us posted!  :)

Natlg

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Re: First post, short cervix
« Reply #2 on: November 07, 2015 at 05:56 AM »
Hi Anne and welcome to the group, I find it really helpful to talk to other ladies in similar situations and to listen to their stories.

I would suggest to lie down as much as you can, reading everyone else's story rest is the key. Have they offered you a cerclage, as this also helps out a lot with short cervix, I would definitely push for that at your next appointment.

This is my 2nd pregnancy, i delivered my baby boy at 22weeks last year due to short  and an incompetent cervix. He sadly died a few minutes after I delivered him last December. I have been on modified bed rest since 14 weeks where they measured my cervix at 24mm funnelling, at 15 weeks it was 21mm and 16 weeks it went to 30mm, no funnelling. I have a cerclage in and also take progesterone every night. I am now currently 19 weeks and counting down the days until I reach my first goal of 24 weeks. This baby will be born 1 day after the due date of my 1st born so the gestation dates are the same which is very nerve racking. Next appointment is on Monday which I am anxious about as it has been 3 weeks since my last one.

When is your next appointment? Keep us all updated and try and keep positive.

kgkane

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Re: First post, short cervix
« Reply #3 on: November 12, 2015 at 08:44 AM »
Hi there Anne23!  My cervix measure 1.7cm at 24 weeks, and I have also been on 'light work load' for the past 16 days.  I've also been taking progesterone every night.  The great news is that with these interventions, my cervix has measure 2.6-2.7 the last three check ups!  So although frustrating, I am totally following doctors orders, even though that means accepting lots of help from others!  Including my mother in law!  I know she enjoys it  a little too much to cook for her boy again and dust the house while I lay helpless on the couch. She also does lots of passive aggressive things like rearrange the pictures on the fridge, and books on the bookshelf, but I am at the point now where I just laugh it up, and I know a happy husband now means a happy wife!  It is so difficult to rely on others, but I truly believe that I need to stay horizontal as much as possible! 
Hang in there, get a schedule and stick to it to remain as sane as possible :) sending positive vibes your way!

Anne23

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Re: First post, short cervix
« Reply #4 on: November 13, 2015 at 12:38 PM »
Thanks for all the responses.  I saw the maternal fetal specialist on Tuesday and I was reassured when my cervical lengthening had not worsened.  I'm still trying to keep it all in perspective and not over doing it.  My mom has been calling and coming over daily, but it definitely helps to break up the day.  I've been doing some research online on the recommendations for use of progesterone and treatment of cervical shortening, and I feel that my doctor is treating me according to the guidelines.  I'm on progesterone injections weekly and I've inquired about vaginal progesterone, but the doctor says that the injectable will be more effective for me.  As many of you have said, that sometimes the progesterone has increased the cervical length, the doctor said that he has seen it increase for singleton pregnancies, so I'm hoping that perhaps, this will work for me too.  I'm 22 weeks today and keeping my fingers crossed that I at least make it to 25-28 weeks.

kgkane

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Re: First post, short cervix
« Reply #5 on: November 15, 2015 at 03:00 PM »
That's great that it lengthened a bit!!! This is similar to my cervix...at my first appointment they described my cervix as incompetent, but with the progesterone and bed rest they've now labeled my cervix as dynamic....also dynamic sounds much better than incompetent! I'm now 27 weeks and feeling great that I'm almost to my first goal of 28 weeks.  Hang in there you are not far behind!

Anne23

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Re: First post, short cervix
« Reply #6 on: November 23, 2015 at 01:12 PM »
Last Tuesday, my cervix dropped from 1.7 cm to 0.7 cm.  I had an emergency cerclage that evening.  It was a hard decision because there is limited research on if the cerclage is effective for twins and there are many risks involved such as premature rupture of membranes and infection.  So far, I'm having no symptoms or signs of any infection or preterm labor, so I'm hopefully that this procedure has worked and the twins can continue to mature.  I'm only 23 weeks, so I still have a long way to go.  I have a follow up appointment tomorrow and I'm hoping that everything is stable.  I'm back on modified bedrest, so I'm trying my best to avoid sit as much as possible and even lie down more frequently.

Kmuss

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Re: First post, short cervix
« Reply #7 on: November 23, 2015 at 05:33 PM »
Anne, so sorry to hear about the shortening but that is great that the cerclage procedure was an option for you and that it went so well. At 23 weeks you're so close to the next big milestone of 24...then 26, 28, and so on! Please do update us after your appointment and hang in there momma, try not to worry. It sounds like you are in good hands and receiving the best care possible.

Natlg

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Re: First post, short cervix
« Reply #8 on: November 24, 2015 at 04:46 AM »
Sorry about the shortening did they put you on any progesterone?

Positive news that they could do a cerclage, a lot of ladies I spoke to after the 21 week mark could not have it. I'm on modified bed rest aswel, quite hard to understand how much you can actually do? I try and do as little as possible, my doctors are also very vague with it aswel. Sometimes I don't even know whether walking down the stairs etc is affecting my cervix.

You say only 23 weeks but that's brilliant, one more week till 24 week mark and then you can just start ticking the weeks off. I'm hoping that as we are coming up to the festive season that the weeks will go a bit quicker.

Let us know how your appointment goes?

Keep going!

Anne23

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Re: First post, short cervix
« Reply #9 on: December 01, 2015 at 04:06 PM »
My follow up appointment last week went very well and everything is stable.  I'm coming up on 25 weeks and excited to say that I've made it this far.  I do feel that grateful that I'm able to sit as much as I want, on modified bedrest, because I cannot imagine lying down all day, but like many of you ladies have said, it's amazing how much you can accomplish lying down.  I feel like with the holidays coming, I've been busy ordering gifts online, making photo albums and creating holiday cards.  I hope the momentum and things that I have found to keep myself busy, continue after the holidays.  Thanks again for all the support and concern.

Kmuss

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Re: First post, short cervix
« Reply #10 on: December 01, 2015 at 07:40 PM »
Anne congrats on approaching your 25 week mark, that really is an accomplishment! And stable is an AMAZING place to be in these situations. No matter how short the cervix, it is great to be stable, because no change is what we want! My first round with stability for my cervical length lasted a month, and then it shortened more and now I have been stable again for almost 3 weeks. You are doing GREAT and you should be so proud of yourself! I'm rooting for you!

Angela

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Re: First post, short cervix
« Reply #11 on: December 11, 2015 at 09:23 AM »
Hi, Anne! We're checking up on you.  ;D How are you doing?

Anne23

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Re: First post, short cervix
« Reply #12 on: December 15, 2015 at 04:30 PM »
I'm doing well. Everything is still stable.  At the most recent MFM appointment, the cerclage was intact and cervix was measuring around 3 cm, which was great.  The MFM recommended to continue modify bedrest, to help prevent preterm labor.  I'm 26.5 weeks pregnant today, and thankful that I've made it this far.  The MFM thinks that I will get to at least 32-34 weeks, which will be fantastic, because I'm having twins.  I'm trying to sit as much as possible, but have noticed that I'm not as diligent and have been doing more around the house, even though my activities are still very limited.  I was able to get out of the house this past weekend.  My husband borrowed a wheelchair from his workplace.  I even rode the power wheelchair at Target.  It was embarrassing but it was great to get out of the house.  I have a new appreciation for handicap individuals.  I just have to remind myself to continue to sit or lie down and avoid stairs as much as possible because I don't want to deliver too soon. 


Natlg

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Re: First post, short cervix
« Reply #13 on: December 17, 2015 at 03:08 AM »
Well done Anne! 3cm is a really good length and your another week down!

Although maybe embarrassing I bet it was lovely to get out the house in the wheelchair...dos you go anywhere nice?

Kmuss

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Re: First post, short cervix
« Reply #14 on: December 17, 2015 at 06:24 PM »
Anne you are doing great! :) I am so glad you got to get out and about a bit, too, that does wonders for the mental/emotional parts of this journey. Glad things are going pretty smoothly for you, keep 'em cookin! :D