I do have a post about my two cerclage experiences in draft form but it's long and I don't know when I will get time to finish it right now. However I've been reading some blogs lately and I'm horrified to see that MANY women have second term losses and have been diagnosed with Incompetent cervix or are confused because they had an infection of the membranes and doctors don't know if the incompetent cervix allowed the bacteria up there or if the infection happened and then the women just went into pre term labor. I am AN EXPERT ON THIS SITUATION. DEMAND AN EARLY CERCLAGE at 12 weeks of any subsequent pregnancy, whether your diagnosis was certain or not. DO IT. DO IT. It's scary, but you will not lose your baby during the procedure, the doctors who do these procedures are EXCELLENT. Waiting to see if your cervix will hold later in the pregnancy and then bed rest or an emergent cerclage ARE NOT SUCCESSFUL in A LOT OF CASES. A 12 WEEK CERCLAGE will give you the most opportunity to hold your babies if you in the above categories. I also had intramuscular injections of Progesterone, the oil, injected weekly by my husband. The shots were successful for me and I haven't tried any other way because my doctor said this was the best and only way to get the progesterone where it needed to be. I also refrained from SEX and BATHS during the entire pregnancy. DO NOT TAKE BATHS!!! Some doctors won't tell you this stuff! They say you can have sex a few weeks after the cerclage is placed, don't chance it, not even with condoms because if you have group b strep or other nasty things in your lower vagina, anything in there can push it up to the cervix. I don't even like vaginal wand exams after the cerclage and my office will not do them. Advocate for yourself. FIND SOMEONE who does CERCLAGES and is SUPER CAUTIOUS if your current OB-Gyn is the wait and see type and doesn't want to do cerclages. I'm APPALLED by a story I just read on a blog, the women lost a set of twins to the circumstances above, which was my own as well (singleton though), and when she got pregnant with a second set of twins, a doctor should have IMMEDIATELY set her up for a cerclage. Multiples are saved as well from this procedure and I can't believe there is any evidence out there that this isn't successful with multiples as well. Women with multiples may have more restrictions with a cerclage to keep extra weight off of the cerclage but I've read about women carrying twins having a cerclage and she worked until the very end and had no issue. Cerclages SAVE BABIES. Plus, it was a relief for me so have it in. It held tight and I promise to put my experience on here soon. DO IT! Don't be afraid, Cerclages are amazing and the risks don't outweigh the benefit=living baby. I have LOADS of information so in the meantime if you need to email me so we can chat about it personally, please please, email me. I will help you make this difficult decision. I had the worst case scenario, group B strep and other bacteria in the vagina and and incompetent cervix. Scary. But I have two living children and wonderful pregnancies and full term deliveries using a cerclage. I have no damage to my cervix and with my second son (first we lost at 21 weeks to IC and infection of placenta and fluid) and I had the WORST CASE scenario when at 11 week, I went in to have my cerclage placed (I opted to stay awake, control thing) and I heard the doctor say in the middle of putting it in, this is the shortest cervix I've ever seen, I'm going to have to pull it to give me something to work with and put two in, and he had to do the Shirodkar which is an older and more invasive procedure. So I am the worst case. I think my short and effaced cervix at that point was due to the fact that we got pregnant three months after losing my first and that wasn't the smartest thing to do. My uterus and cervix were not ready. But I had a cerclage placed and it did it's job. Email me for more info. and my next post will be about my cerclages. For my third son I had a McDonald cerclage at 12 weeks, so I've had them all except a transabdominal. Luckily we didn't have to go that route but we absolutely would have if it meant keeping my baby in until term. And I went to two different surgeons because we had moved from Florida to Virginia. The care was terrific at both places, cerclage placement is more common than you think. Advocate for yourself, it is YOUR DECISION whether or not you have a CERCLAGE PLACED. IT'S YOUR DECISION. YOURS, NOT THE DOCTOR. If they say it's their decision, pack up and go to another doctor. If you've had a 2nd trimester loss or an almost loss (you had a emergent cerclage or bedrest kept your babies in ) and there was any question as to whether or not your cervix was involved-you have the RIGHT to REQUEST A CERCLAGE at 12 weeks in your subsequent pregnancies. Even with multiples, YES!
At 19 weeks I went to my doctor and was told that I had an IC the next day they sent me to FMF and told me that I was in strict bedrest. When I arrived at the FMF office my boyfriend and I was terrified as for this is our first child the doctors including my obgyn told my boyfriend and I that they dont know what to tell us because this is my first pregnancy and I never miscarried before it can be hereditary and we just have a case of bad luck. They told us to not do the surgery because of me having no history to just wait it out and take progesterone pills vaginally; I left the doctor on Friday in tears not knowing what to do with my cervix measuring 2.0 to 1.8. I stayed on bedrest that whole weekend until my next appointment with my obgyn that Wednesday. When my boyfriend and I went to the doctor that Wednesday my cervix was measuring at 1.1 we felt that bedrest and progesterone just wasn't working and my doctor wouldn't suggest anything for me just that I do have the option to get the adominal cerclage but there are a lot of complications that come with it and she asked us what we wanted to do I was so hurt and scared we just couldn't make a decision that day so we went home made and appointment for the next day to make a decision. That night my boyfriend and I prayed and research cerclage surgery the whole night and just decided it was what we wanted to do. That Thursday we told my obgyn that was what we wanted and she schedule me for that Friday morning. Prior to the surgery I was really scared but thank god is was a success today I am 21w2d not having any complications im still on bedrest and I go to my obgyn once a week I really do recommend the surgery it is worth it now all I can do is pray and wait. But at the end of the day I know I did everything I could to save my son.
ReplyDeleteAnon 5:02 pm THANK YOU from the bottom of my heart for posting your story here. I am SO GLAD that you did research and ADVOCATED for yourself and your son. Luckily you were able to catch the IC before you had a loss, which is what happened to us and so many others. You did the RIGHT thing and that cerclage will hold strong. Please come back and drop a line when you have your baby so we can hear the end/beginning of your story with your baby! I hope others will read your comment and feel free to post their stories! I want this to be a place of sharing in this scary world of growing children. Take care! Melanie
ReplyDeleteHi there,
ReplyDeleteThank you for sharing your stories. I'm currently 24 weeks pregnant with a preventative cerclage in place, due to our19 week loss last year in June from a IC. Still til this day we don't know why this happened as I've never had any history of IC and carried my first son full term who is now 5 yrs old. Today I had my cervix checked and its length was 2.2 cm I'm a little nervous and anxious and have been really this whole pregnancy. My cervix is still closed and my dr said as long as there is no bleeding or discharge then all should be ok but I can't help but worry. Is this length still ok and safe to carry to full term. I'm so scared that we will go through another loss or worse. I feel as there isn't much support with all this that I'm going through so to have this site is nice to know that I'm not alone.
Hi Ruby! Thanks for contacting me! I have a few questions that will help me give you a more detailed answer. If you don't want to answer on here, you can always email me at amorecappa@gmail.com. Either way, I will get it immediately. What was the length of your cervix right after the cerclage was placed and do you know which style stitch you have? McDonald, Shirodkar? Also, have you had any funneling or cramping? And do you have a history of Group B strep? 2.2 is still quite good as long as there wasn't a sudden shortening and as long as there isn't any funneling. Are you on bedrest? I was VERY nervous during that first pregnancy with the cerclage, after our loss, so I understand your concern. I was a worst case scenario and I will try and post my detailed story on here today. I look forward to hearing from you! Thanks!
ReplyDeletehi thanks for your quick reply, we done the stitch at 14 weeks and we got checked at 16 weeks and it was around 3.5cm then at 19 weeks we got checked again and it was 2.4cm then yesterday which was 24 weeks it was 2.2cm. i have no funnelling at the moment. im not too sure what stitch i have but i know its the common one that most women get. Im not on bedrest, just no heavy lifting. i dont have a history of group B. Ive had on and off cramping throughout this whole pregnancy and my dr would get to come in each time to check if all was ok and there was never any thing wrong, he said they could just be stretching pains. Im hoping we can just get to 28 weeks with not problems so i can relax a little.
DeleteRuby, if you get this message, give us an update :-) I would love to hear how you are doing!
DeleteHi there,
ReplyDeleteThis Sunday I will be 28 weeks.. So far going ok, my dr doesn't want to do anymore internal checks on my cervix, which keeps me wondering... I think bub is starting to kick on the stitch every now and then which is a little uncomfortable. Praying everyday we make full term.. Dr will now be seeing me fortnightly..
Thanks
Ruby
Thanks for the reply Ruby! So glad to hear from you! They did the same with me at 28 weeks. I remember being nervous that I wasn't seen as often but they said if it was holding well at that point with no shortening or funneling, then they were confident I would carry full term. I'm glad to hear everything is going well. I remember the boys kicking at the stitches VIVIDLY. The first time around I remember really worrying about it because it was sharp and pinching. Really uncomfortable and it wasn't something that was mentioned to me beforehand. At that time I thought the cerclage was more precarious but they explained that kicks from a baby in the membranes can't possibly do cause any damage or funneling. Thanks so much for sharing and keeping in touch. I look forward to another update further along! Take care!
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