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Lucille

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Hi Lucille,

Congratulations on your grandchildren! I'm glad some of our posts have

helped.

Regarding cervical checks, most women with MAs like to have a baseline

measurement of their cervix done around the 12 week mark, then

re-check the measurement every two weeks until 24 or 25 weeks. This is

because some MA women (not most or all) have weakened or 'incompetent "

cervices (IC), and this can cause late m/c. Unfortunately several

women on this board have lost babies in their 2nd trimester due to IC.

I would urge you to have your daughter's ob measure her cervix via

vaginal u/s every couple of weeks - if it appears to be shortening a

cerclage can be put in. The 'normal' range for cervical length is

anywhere from 3 cm to 5.5 or more cm. But don't panic - most women

with MAs do NOT have IC, its just a precaution to check for it as MA

women are at a higher risk for IC.

Regarding the perinatologist, again, most women on this board are

followed by perinatologists from their 2nd trimester on, at least for

thier first pregnancies. I would encourage your daughter to see a peri

rather than a regular ob, but if she is comfortable with her current

OB and happy with his/her knowledge of MAs, then she certainly doesn't

have to be monitored by a peri.

Yes, pre-term labour is a serious concern, although MANY of us have

gone to term (37-40 weeks) with our babies. Your daughter should be

very well versed in what to look for - she should know the signs of

pre-term labour just in case. And again, many MA women must have

C-sections because their babies are in the breech position, but many

others have normal vaginal deliveries at term, as I did. My baby was

head down, full term, normal vaginal delivery, and I have supposedly

one of the 'worse' case MAs, so again, don't panic, just back yourself

up with good doctors and good information.

I think its important to stay positive - a difficult thing when there

seems to be so much to worry about. But remember as well that many

women have MAs, have babies and never know they had a uterine abnormality!

Good luck, keep us posted on your daughter's progress.

Cheers,

a

36

SU/BU combo

DD 12 months old

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