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Author Topic: Shortened Cervix at 22 weeks  (Read 177 times)

Sparker1304

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Shortened Cervix at 22 weeks
« on: March 15, 2018 at 05:01 PM »
When I went for my anatomy scan two weeks ago, the ultrasound tech thought she saw some fluid on my cervix so she did a transvaginal ultrasound and saw that my cervix was measuring 2.9 cms. They weren't too concerned at that point but since I guess that number was borderline, they had me come back again yesterday to remeasure. Well yesterday, it measured 1.3 cms and funneling. So they referred me to Maternal Fetal Medicine to decide what needed to be done. The OB I saw said that they would probably do a cerclage or progesterone suppositories. So I go see them next Friday for another ultrasound and to hopefully make a plan about what we are going to do. The OB I saw is being very nonchalant about it but from everything I’ve read, it’s something pretty serious. I’m freaking out a little because I don’t know what to expect and none of my care provides seem to think this is an issue. Can anyone share their experience. What can I do for now to help things until I get in to see the MFM doctors? Thanks so much!

Lauren

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Re: Shortened Cervix at 22 weeks
« Reply #1 on: March 15, 2018 at 07:29 PM »
I would see if they can get you in sooner - most doctors won't do a cerclage after 24 weeks, and if they're waiting until next week to talk about it, I would wonder how they are going to get you in for surgery before the 24 week cut-off.

Talk to your family doctor about progesterone.  It shouldn't be a problem getting a prescription as it won't harm baby.

Until then, I would take it very easy.  If you can, take the time off work and avoid standing for prolonged periods of time and avoid too much activity.

My cervix is measuring 1.7 as of yesterday (17 weeks) with a cerclage and my doctors have given me a note to be off work until the end of the pregnancy.  I have quite a few other worrisome things going on, but cervix stability is currently our number 1 concern.

Hope this helps!

Sparker1304

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Re: Shortened Cervix at 22 weeks
« Reply #2 on: March 16, 2018 at 07:05 AM »
Unfortunately, this was the soonest they could get me in 😢. I even called a different group and they couldn’t get me in either. But I am limiting my activity. I’m a stay at home mom so I don’t have to worry about work. I will call my Primary physician and see about the progesterone. Maybe they will be of some help. Thanks so much!!!

OBmom

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Re: Shortened Cervix at 22 weeks
« Reply #3 on: March 16, 2018 at 09:17 AM »
Hey Sparker.

How are you holding up? Short cervix at the anatomy scan can be a pretty scary thing to deal with, especially if you haven't gotten the chance to discuss your options with an MFM specialist.

13mm is pretty short for this stage. Since it's your first pregnancy, you might be a case of insufficient cervix (IC). Or maybe you've had some previous cervical surgery? LEEP or conization?
Still, it doesn't mean you can't hold things off for quite a long time.

I'd say your options definitely should include:
- Bed rest (not mummy-style no-moving, just restricted everyday activity: 3-5 min showers, no chores, bed or couch and no pressure on the pelvis). Stay off your feet as much as you can.
- Cerclage or pessary - this choice will most likely be influenced by your Clinic / MFM specialist. A 13mm cervix, especially with funneling, might prove tricky to perform a cerclage on - there just might not be enough cervix to place the stitch in securely. Ask if your doctor works with pessaries - they're rubber rings you place around the cervix for support and to keep the cervix from opening. You can order them online even if they don't have any at your practice.
- Progesterone - depending on where you are, PRG can be administered weekly as an intramuscular shot or vaginally everyday. But you should definitely be on it.

Steroid shots for helping develop the little one's lungs will probably on the table once you reach viability. Make sure you ask what that limit is precisely in your hospital, because 23 or 24 weeks can make a big difference.

Will be thinking of you and sending positive vibes your way!

Newmama9751

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Re: Shortened Cervix at 22 weeks
« Reply #4 on: March 16, 2018 at 04:59 PM »
I went in for my 18 week anatomy scan and found out my cervix was measuring 8mm !! I went in for an emergency cerclage and have been getting biweekly ultrasounds . Currently at 29 weeks and measuring 6mm ..basically hanging on by a thread . I honestly never thought it was possible to make it soo far . But I have literally been on strict bedrest since my cerclage. I found for myself setting little goals of making it to week 24 then week 26 then 28 ..now my goal is to make it to week 32 . Fingers crossed . Honestly for me it was the scariest time not knowing what is going to happen.. but positive thinking and strict bedrest has really helped . 

Sparker1304

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Re: Shortened Cervix at 22 weeks
« Reply #5 on: March 22, 2018 at 05:23 AM »
I’m sorry that I haven’t responded back. It’s been a roller coaster for a few days now. I was admitted to the hospital for preterm labor a few days ago. My cervical length when I arrived was 8 mm. They took me in for an emergency cerclage. When I was in the operating room they discovered that my bag of water was bulging and I was 3 cm dilated. Thankfully the high risk ob specializes in cerclages and was able to do one cerclage to gently hold up my bag of water and another to close my cervix. It’s going to be a long road bug he said he’s confident that this will help and at least help me carry to a more comfortable time frame. I’ll be 24 weeks on Sunday and baby was measuring ahead on ultrasound so that’s very reassuring. We are just taking it day by day now.

OBmom

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Re: Shortened Cervix at 22 weeks
« Reply #6 on: March 22, 2018 at 07:08 AM »
Hi Sparker.

So sorry to hear about our emergency procedure. It's such a good thing you got a specialist though, that cerclage was the only thing that could have helped in that situation.
Other good news is the fact that you didn't PPROM even with bulging membranes.

I can't even imagine the levels of stress you must be going through. Don't feel like this was something you could have avoided or that it is somehow your fault. Keep your support system close - we all know how hard it is at the end of the day when family and friends leave and we're stuck in a hospital room with a big scary "elephant".

I hope things are stable now. It's just 3 more days till Sunday, trust you will make it to viability. Big babies are always a plus in preterm world :)
Keep holdin' on momma, will be thinking of you.