Re: Update & cerclage ??? (pg ment)

[Guest guest]

Hi Dena and ,

I also have UD and have had three " relatively " normal, full-term

pregnancies. I was facing many of the fears and uncertainties that

you are, particularly with my first PG, where all I could get out of

my doctor were a bunch of " probabilities " but no clear answers.

Being the proactive sort, I actively lobbied for a cerclage and was

told that unless it's indicated (due to past losses, cervical

shortening or some other factors in a woman's history), then the

risks outweigh the benefits and my OB would NOT go there.

I did not actually have a cerclage in any of my pregnancies, so I

don't have first-hand experience but in my extensive research, I've

read of having it placed anywhere from 12-14 weeks, if

it's " preventative " due to history. I've also read that cerclages

tend to be more effective if they are placed at the onset of changes

or problems, rather than later, when they are more of an emergency

intervention.

There are several women on this list who did have cerclages, or are

currently PG with one in place and it seems that they've served our

members well, I believe most went to full-term before having the

stitch removed.

I know the thought of bedrest etc. seems daunting, but try to think

of it as your doctor being conservative and extra-cautious - I know

that with MA's, including UD, this is a better (and safer) approach

than the typical " let's wait and see " that many clueless OB's

practice, sometimes to the detriment of high-risk patients.

All the best, I hope others with more direct experience chime in

here. Take care,

Lia

UD, mom of 3

[Guest guest]

Hi and Dena,

I wish you great days ahead. I had a non-elective cerclage at 18

weeks. When I went for anatomy, they found that my cervix was open

and the remaining was 1.2cm. However the high risk doc were watching

it before and it was 3.6cm at 14 weeks. SO I had the stitch and

modified bed rest (only bathroom and shower). At 19w the length was

1cm.

Before I go on, let me tell you that found out that I have a septate

uterus and they did the procedure last week. I just want to mention

that I had this problem as well so you know why I did not a great

result from the cerclage. Everything was fine but at 20w I had some

bleeding and got hospitalized and unfotunately lost the baby at 21w.

So, if I were you, even though you are not prescribed bed rest yet,

I would take it easy and maybe try to remove pressure from the

uterus as much as I could. There are many people with preventive

cerclage, which experiencd a very successful pregnancy and agian

mine was the shape of uterus as well as incompetent cervix so be

POSITIVE and enjoy the sex of baby, finding name and etc.

Wish you and the baby the best

Zohreh, 2 losses - SU(resected)/IC

--- In MullerianAnomalies , " Hobbs " We went

for the fetal anatomy today at 18.5 weeks. Everything looked good

and it is a boy. So we're sitting there waiting on the now routine

every 2-wk transvag us for the cervical length talking about names,

nursery changes, etc. Then when we get the tvus, the cervical

length is 25mm now (down from 30mm (we think it was 28mm at the last

check)). Doc comes in and is now talking about bedrest and

a " stitch " if the cervical length goes down to 20mm.

>

> Dena's question is this: for those of you who have had a cerclage

that was non-elective, at how many millimeters and at how many weeks

was this done?

[Guest guest]

a

FFN is a fetal fibronectin test. This is a test that helps to predict

if preterm labor is likely to occur within the next two weeks. The

test is similar to a pap just without the lubrication. A negative

result is a very accurate prediction that labor is not likely to

occur while a positive result is less accurate.

Let me know if you go back to work. If not, we can be bed rest

buddies!

UU 27w5d

-------- Original Message --------

==> ==> Date: Tue,

03 Feb 2004 21:05:19 -0000

- just wanted to wish you good luck! Here's to another 4 or 6

weeks of bored bedrest for you and your babies! Thanks for your post,

I too had cerclage questions. What is FFN, by the way?

Fellow (modified, so far - possible chance of going back to work

after my u/s and app't next week) bed-rester, a

35 18 weeks pg SU

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[Guest guest]

Hello there,

I am glad that you both asked this question, and that several of us

are responding.

I am currently 36+ weeks pregnant. I have UU and IC. My cerclage

was placed at 17 weeks. My cervix measured great until 15 1/2

weeks...at that check it had gone from 3.9 to 3.2 CMS. The key for

my Dr. was, not the length, but the amount it had shortened in just 2

weeks. I hope this helps..

By the way, I have a modified Shirodkar cerclage....which is higher

up on the cervix. Once it was placed, I spent 3 weeks on bedrest.

After that, I've been on a no long distance walking, no sex, no heavy

lifting etc....routine....and have been just fine!

Good luck to you both!

Shari

R UU 36 ish weeks

> AND Dena here. My wife is sitting beside me as I write this.

>

> We went for the fetal anatomy today at 18.5 weeks. Everything

looked good and it is a boy. So we're sitting there waiting on the

now routine every 2-wk transvag us for the cervical length talking

about names, nursery changes, etc. Then when we get the tvus, the

cervical length is 25mm now (down from 30mm (we think it was 28mm at

the last check)). Doc comes in and is now talking about bedrest and

a " stitch " if the cervical length goes down to 20mm.

>

> Dena's question is this: for those of you who have had a cerclage

that was non-elective, at how many millimeters and at how many weeks

was this done?

>

> OK, we're a bit of a wreck tonight. It was a bit much to be

excited about the sex of the baby, to have that seem to be more and

more real after several years of infertility, then to feel this

vulnerability/fragility again.

>

> Thanks ahead of time for being here.

>

> and Dena (UD)

> 18.5 weeks pg

> DTC 10/16/03

>

>