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Author Topic: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest  (Read 1013 times)

EmJay344

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I'm new here. A prospective father (It feels odd just typing that. Sometimes it feels like that prospect is slipping away).  My wife tends to stay away from the internet.  I, on the other hand, have seemingly reached it's ends.  I've read nearly every academic paper and many, many posts here. (You women are incredible and your strength...it's no wonder why you are able to carry children, and we men cannot). My brother also happens to be a brilliant physician--so, I have learned a lot about this. I know more about the cervix then I ever could have imagined.  I also know that the medical community does not know nearly enough about lots and lots of things. 

Our Story: We were married in the fall of 2015.  We met in law school, dated 7 years and lived together since dating for 1 year.  We're two, busy, corporate lawyer urbanites. We're as tight as can be and have been through a lot together.  I've had health issues that my wife has helped me through on 4 occasions. We first got pregnant in the summer of 2016.  Unfortunately, we experienced a blighted ovum, which was devastating to us.  My wife had a D&C in November 2016.  We found out that we were pregnant again in January 2017. We kept it a secret for longer than most. We were thrilled, but terrified at the prospect of facing another loss.  My wife experienced spotting early in this pregnancy, which caused us to live in fear every day.  At our first scan, we saw the heartbeat of our what-we-would-learn-later-to-be, our little girl.  We breathed easy for a few days, but I think that after experiencing any loss in the first trimester, you never let your guard down.  I literally crossed off days on a calendar that I keep in my office that marked the end of the first trimester--when we were supposed to be "in the clear without much to worry about."  Eventually, we finished the first trimester and were starting to let ourselves enjoy this.  We registered for baby items and planned construction in our home to accommodate a new addition. We starting preparing our dog for her new best friend. We love our dog. I started having incredible visions of taking our daughter shopping and spoiling her rotten every day.  I imagined my wife strolling our little girl down the street with that proud mama look. My wife tells me that I'm going to be the best dad. I like hearing that, but I like thinking about how great a mom my wife is going to be more.  I don't really care much about me.

At our 16 week scan, the Doctor noticed that my wife's cervical length was 2.6cm, which is within normal limits. He had us come back for a follow-up length scan 1 week later. The length stayed the same ("Lots of our patients have cervical lengths less than 3cm," he said). We didn't pay it any mind. Then, we went for a routine 20 week anatomy scan. There, we learned that our baby was healthy and normal (we've been worried about baby's development since day 1).  But, we also learned that my wife's cervix measured less than 1 cm.  She had no pain or signs.  The doctor prescribed progesterone suppositories and scheduled a scan for the next day.  The length stayed the same, less than 1cm, and the cervix remained close.  There was funneling.  We spoke about a cerclage with the Doctor, but since this is our first pregnancy, we don't have a history of pre-term loss or birth.  According to the Doctor, the efficacy of a cerclage in this instance is far from clear.  He thought we would need one, but it wasn't entirely clear that it was necessary (or even helpful) at that point.  At our follow-up scan, my wife insisted that it be done.  1 day later, the procedure (a modified Shirodkar) was performed.  The Doctor (the MFM who also happens to specialize, in part, in all things pregnant cervix--he writes many of the academic articles) said that it was successful, that he was able to gain 2cm in length, and that as long as my wife's cervix behaved like everyone else, we'd be fine--whatever that means.  We like him. He gives 5 star cervix.  He actually said that he stitched his initials into my wife's cervix.  I laughed for the first time in weeks. 

We're thankful that it was caught in time and have access to great care. 

My wife was placed on modified home rest while she healed.  She's been experiencing pressure and cramps since the cerclage. We went for a follow-up one week after the procedure.  The length measured b/w 2.7cm and 2.9cm.  Modified rest was lifted (but we continued it anyway) and a follow-up scan was scheduled for one week later (our baby is the most scanned baby in history).  2 days after the scan, my wife started bleeding.  Technically, it would be considered "moderate" by medical standards, but a clot past that was the size of my palm.  I thought it was the placenta and it was the first time I truly panicked.  I called the Doctor who informed me that this was not anatomically possible.  We went to our hospital at 4am and my wife was admitted for the night.  The heart rate monitor and tacometer showed that the baby was fine and no contractions were recorded (I've also learned how to read those). They poked around with a speculum (Very painful.  They need to make those tools look more friendly. Cold steel?! Why don't they at least paint them a pleasing color?! They look like medieval torture devices. I would confess to anything just at the sight of that contraption), but couldn't see any active bleeding. They thought maybe it was a placental issue, but another scan didn't show any issues.  At least we got to see our baby again.  The cervical length was the same--about 2.7cm.  The bleeding stopped that morning.  Our Doctors suspect that it was surgical-site related bleeding--perhaps a suture from the stitch opened up and caused the bleed. Maybe it didn't heal entirely. She received 2 betamethesone shots, 24 hours apart, on Sunday and Monday this week.  These shots, as many of you know, are very painful.  Apparently they feel like being branded.  My wife had facial flushness after, which is not uncommon. 

Yesterday, we had an OB/GYN appointment.  He took a fundal measurement and blood pressure. Nothing to report.  Everything looks normal.  No infection either. He joked about needing to induce my wife.  I could have slapped him right there.  Tomorrow, we have another length scan.  We're always nervous before scans.  Does us no good to worry, and we know that, but we do anyway.

I stare at my wife every day while she lays on our couch, with our dog, working. She has to remind me that she's not sick. No offense to you wonderful ladies, but she is the most incredible women.  I can see how hard this is for her.  Every tweak, twang and twitch scares her.  She doesn't know what's normal pregnancy pains, and what is not. I cook and clean. I don't mind. I'd do anything for her.  But I know that she wants to do things and be active again.  To be normal and waddle around like most pregnant women do.  To pick out maternity outfits and complain about constipation and back-aches (she has those too). 

There have been a lot of tears. We just try to get through each day.
« Last Edit: June 01, 2017 at 09:55 PM by EmJay344 »

Laylasmommies

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #1 on: June 02, 2017 at 10:53 AM »
Hey there, I feel for you and pray for you guys. My wife's water broke two weeks ago at 21 weeks and she has been on home bed rest too. She can get up to use the bathroom thats it. I see the pain in her face, every cramp, every headache, every hot flash, I know shes in turmoil. Its so hard to see them suffer and we can only watch. I moved our bed to the living room and have been doing anything I can to keep her occupied and entertained. She too is going to miss out on maternity clothing, maternity pics, helping set up the crib should we get to that point...its in a box yet I cant bring myself to open it until we are out of the dark. Just hang in there....we are being admitted monday for hospital bed rest and steroids for the baby. Anytime something goes wrong I panic internally but keep cool and calm on the outside for her. If you need to talk about anything Im here. I wish you both the best and from my experience this past two weeks everyday is a blessing honestly. Cherish it.

Nickiedd

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #2 on: June 02, 2017 at 08:06 PM »
Hi there, sorry to hear about your wife, I too am on modified bed rest and have a cerclage that was placed at 14 weeks due to a preterm birth I had at 29 weeks with my last son.

 I also was on bed rest for that due to a dynamic funneling cervix that was found after my 20-week scan. I have had a lot of ultrasounds and monitoring as well to make sure that the stitches holding, and have funneled down to the Stitch site which is holding at 2.4 right now.

Tell your wife the most important job right now is to just keep doing what she's doing and put yourself on strict bed rest. Bed rest is your friend. When I was on bed rest with my Son, I had to get up to go for my GD testing at 28 weeks and just the act of getting up, shower and blow drying hair getting ready getting in the car going for the blood work sitting in the most uncomfortable chair ever known to mankind for an hour blah blah blah sent me into labor and put me in the hospital.

Up until that point the bed rest had been working. As for your wife having constant cramping and the bleeding that can sometimes be normal after cerclage. For myself it took over 3 weeks to start feeling normal again even though the doctor had said many are fine and on their feet within days. Not for me, seems like I had a very irritated pelvic floor, is what the ER specialist told me, when I kept going in to get checked out for the cramping.

This could be what is happening with your wife, her pelvic floor is irritated due to the surgery. The only thing that will help is rest, complete rest, keep the pressure off of the the cervix and the pelvic floor.

Just as a side note, I joke with my husband that I am a million-dollar incubator. At the women and children's hospital it cost over $300,000 to buy an incubator so I'd say I'm doing a good job. Good luck and keep us updated hope to hear many positive updates from you
Dear Son #1
9 Angel babies
Dear Son #2 arrived early at 29 weeks doing great Dec 2012
Sneaker Suprise #3 (Girl!) Due Aug 22nd 2017
Cerclage placed at 13.5 Weeks

DanaS

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #3 on: June 02, 2017 at 10:43 PM »
EmJay344 - sounds like you and your wife are keeping things together. I completely understand and agree with you about the fear. I couldn't find any solace until I passed the 24 week mark. Which brings me to my question for you - what's your fetus's current gestational age? If you're at or over 24 weeks, things are looking pretty good with the technology we have today.

Do update us after your doctor's appointment - then we can keep cheering you on! (Well, we can still do that anyway!!)

I hope talking about what's going on in your family helps. That's why I joined this forum. Having an outlet for my emotions helped to keep me sane as I waiting, unsure about my future child's  fate. 

SuzieQMom

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #4 on: June 03, 2017 at 04:22 AM »
Dear EmJay344,

You are truly a great support for your wife and baby to be! It means so much that you do all this research and because of it, you can understand more thoroughly what a struggle it can be for your significant other.

24 weeks is a major milestone and I hope you can get to it or have already achieved it. Although, since your wife has received the steroids, I assume that you are past the 24 week viability. Oh, it is in your title, 24+4. Lots of women have had huge success with cerclage, so stay positive. It sounds like your doctor is very optimistic, so let that comfort you.

My thoughts are with you and your family!
« Last Edit: June 03, 2017 at 12:48 PM by SuzieQMom »

EmJay344

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #5 on: June 03, 2017 at 10:17 AM »
Thanks to all for your replies and words.

June 4 (tomorrow), the baby's gestational age will be exactly 25 weeks.  We had a cervical length scan yesterday, and everything looks as it should according to the Doctor.  Cervical length is roughly the same. The Doctor is becoming more assured that this is a true cervical incompetency issue. 

EmJay344

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #6 on: June 03, 2017 at 12:13 PM »
We also just learned, about five minutes ago, that the results from an fFN test yesterday came back negative.

We were preparing for a positive test and telling ourselves that a positive result is not a helpful management tool (especially post-cerclage and bleed last week), but we were really hoping for a negative result. 

DanaS

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #7 on: June 03, 2017 at 04:08 PM »
Yay for a negative test!  ;D

wylee

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #8 on: June 12, 2017 at 12:30 PM »
Dear EmJ44,

How are you guys doing? I'm hoping everything is fine, and you should be at 26 weeks. When I was in your situation my maternal fetal specialist said our 2nd most important week was to make it to 26 weeks. He said he's delivered a lot of babies at 26 weeks that go on to survive with little long-term issues! You're in my thoughts.

EmJay344

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #9 on: June 13, 2017 at 05:11 PM »
Thanks for the message. 

We are at 26 weeks, 2 days today.  We had a scan today, and the stitch looks good and everything is still closed.  There's been some change in length, but we were told that this is par for the course--a few millimeters. Overall, today's appointment was good. Baby weighs 1lb, 15 oz and everything else is otherwise normal. We also had a negative fFN test, which is good.

I suppose the feelings we're feeling now are...disappointment.  I think each time, deep down, we hope that somehow things return to "normal" so that we can breath easy and let our guard down a bit.  But, we're starting to realize this is not likely and we will have to continue to endure each day, one day at a time.
« Last Edit: June 15, 2017 at 07:35 PM by EmJay344 »

EmJay344

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #10 on: June 29, 2017 at 05:23 PM »
FYI, as of today, we are 28.4 weeks.  Everything is stable and the fFN test done on 6/27 was negative.

K@T

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #11 on: June 29, 2017 at 09:02 PM »
28 week is a big milestone, congrats!!! Keep her cooking!!!
Being pregnant ???? with twins, cerclage at 20 weeks and Broken waters at 21 week. I have made to 34 week- MFM's don't let me go further - rather early healthy babies, than later with infections. And even when cerclage was out- the scar it left probably would hold my babies for another week or two, but ended up with c-section. Having both gender twins I can say that girls is stronger - and at the NICU she is the only girl and will be home sooner than her brother.

DanaS

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #12 on: June 30, 2017 at 10:02 AM »
Congrats on 28 Weeks EmJay344!

EmJay344

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #13 on: July 19, 2017 at 03:18 PM »
We are now 31.3 weeks. fFN on July 11 was negative. 

Early next week will be our final cervical length scan and the stitch will be scheduled to come out at the end of week 36 or early week 37. According to the Doctor, on average, delivery is 10 days after stitch removal. Almost there.

jensine449

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Re: My Wife is 24.4 Weeks Pregnant with Cerclage on Modified Home Rest
« Reply #14 on: July 20, 2017 at 12:34 AM »
Congratulations on almost reaching the key milestone of 32 weeks! Praying for you three and sending positive thoughts your way for a lengthy, healthy pregnancy.