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Old Jan 18th, 2012, 12:38 PM   #1
valentinacast
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Concerned and sad! Cervix openning


I have been reading a lot the past few days and I still didnt get my answer .
I am about to be 23 weeks and last week at my ultrasound my doctor said my cervix is openning at presure. It openned from 4cm to 3.2 cm.... She said is to late for cerclage wich I am not so sure about because I have seen some of you got emergency cerclage arround 22-23 weeks... She gave me Makena, injection with progesterone once a week! Does 3.2 cm sound bad????uff I am so worried, I stayed in bed ever since and I cant wait to go at my next app on the 24th! What would you do if you were in my shoes?? Please help


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Old Jan 18th, 2012, 17:30 PM   #2
Foogirl
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I have no advice about your exact situation as I never got anywhere near labour, but in answer to the "what would you do" I'd certainly go on bedrest and follow any advice I was given by the doctor. It might be the others were given cerclage at that gestation but their cervix perhaps was only at 2cms or something.

If you are not at all sure you are being given the right information, stamp your feet and ask for a second opinion.


 
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Old Jan 18th, 2012, 20:20 PM   #3
Jen1802
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Quote:
Originally Posted by valentinacast View Post
I have been reading a lot the past few days and I still didnt get my answer .
I am about to be 23 weeks and last week at my ultrasound my doctor said my cervix is openning at presure. It openned from 4cm to 3.2 cm.... She said is to late for cerclage wich I am not so sure about because I have seen some of you got emergency cerclage arround 22-23 weeks... She gave me Makena, injection with progesterone once a week! Does 3.2 cm sound bad????uff I am so worried, I stayed in bed ever since and I cant wait to go at my next app on the 24th! What would you do if you were in my shoes?? Please help
Hey valentina that's basically what happened to me. My cervix was weak from previous pregnancy and was opening under the increasing pressure of the baby and fluid etc (they also thought I had an infection but couldn't tell me what the infection was let alone where!) I too asked for a cerclage but when I went into the hospital with staining and dull ache from the pressure they told me the cervix was opened 3-4cm with bulging membranes. I actually hadn't realised there were others on here who had, had one performed at that gestation as I was just told it was impossible to do at that stage. I was informed had I came in earlier i.e. anything up to 20 weeks I would be able to have it performed. I also had a lot of conflicting advice (I did a tour of 3 hospitals in less than a week and seen countless no of consultants during this time) each consultant seemed to have a differing opinion on the effectiveness of a cerclage. I'm not sure if its the same for you but my membranes had come through the cervix opening already and I think that was the main reason behind not being able to do the cerclage. I was in hospital for 5 days before my daughter was delivered and my cervix kept dilating and closing again but because the weakness was there at this stage it didn't matter and she had to be delivered via emergency section when my membranes finally burst. Its kind of embarassing but bascially every time I needed to do a bowel movement the membranes would come back down and I would dilate again and I even seen them the final 24 hrs before my daughter was born at the vaginal opening. They finally burst when I was trying to do a bowel movement after the midwife gave me a suppository because I had become so constipated from not wanting to go for fear of that very thing happening!
Can you feel an achey or heavy feeling down below at all? If so I'd go back to the hospital as that could be a sign that the membranes have actually come through the cervical opening. I'm surprised they even let you out of the hospital at all after that scan. I'm sorry if I've scared you by that story but if you are worried at all go back to the hospital asap. Good luck and let us know how you get on! xox


 
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Old Jan 18th, 2012, 21:38 PM   #4
bek74
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Quote:
Originally Posted by valentinacast View Post
I have been reading a lot the past few days and I still didnt get my answer .
I am about to be 23 weeks and last week at my ultrasound my doctor said my cervix is openning at presure. It openned from 4cm to 3.2 cm.... She said is to late for cerclage wich I am not so sure about because I have seen some of you got emergency cerclage arround 22-23 weeks... She gave me Makena, injection with progesterone once a week! Does 3.2 cm sound bad????uff I am so worried, I stayed in bed ever since and I cant wait to go at my next app on the 24th! What would you do if you were in my shoes?? Please help
Sounds like me, I had a scan at 23wks and found my cervix had funnelled open and I only had 1.5cm left. My Dr put an emergency cerclage in and I was put on strict bed rest. I don't think 3.5cm is bad, but resting is a very good thing. Theyb started my steriod injections at 24wks just incase. My waters broke at 28wks and I had them. I was carrying twins and my twins were my 4th and 5th children so my cervix just couldn't hold up.
Rest as much as possible and see what the next scan brings, try not to worry babe.


 
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Old Jan 18th, 2012, 22:05 PM   #5
valentinacast
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I can not understand why one of you girls says 3.2 is good and the other one says that if it was at 2cm it was better.... I am about to start crying again ((((


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Old Jan 18th, 2012, 22:22 PM   #6
bek74
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Originally Posted by valentinacast View Post
I can not understand why one of you girls says 3.2 is good and the other one says that if it was at 2cm it was better.... I am about to start crying again ((((
I am saying that I only had 1.5cm of CLOSED cervix, thats why they put a stitch in. The above poster was saying that women who get a stitch usually only have around 2cm ( or less ) of CLOSED cervix.

From your post your saying you still have 3.2cm of CLOSED cervix and that is probably why they aren't putting a stitch in at this point.
Sometimes the cervix can funnel to certain point but not go any further and can remain that way till the end of the pregnancy, others like myself the cervix keeps funnelling thats why a stitch was put in me.

While on bed rest my cervix started to close back up again so by resting as much as you can will help your cervix.

Hope I have explained that correctly, plese don't be in tears although I do completely understand how scary and frustrating it can be..

Remember that 3.2cm of CLOSED cervix is still good, just rest up


 
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Old Jan 18th, 2012, 22:29 PM   #7
bek74
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Quote:
Originally Posted by valentinacast View Post
at my ultrasound my doctor said my cervix is openning at presure. It openned from 4cm to 3.2 cm..
I think the confusion is your saying it is OPEN, is it open and 3.2cm dilated or is it funnelling open from the inside and you still have a closed cerivx length of 3.2cm.

If it is the first then they can't stitch an already dilated cervix, if it is the second then they will just monitor you, to see if it continues to funnel open and possibly put you on rest.

From what I have read an average cervix length at around 20wks is 4cm give or take.
When is the cervix to short? And in danger of preterm delivery they say at 1.5cm of length. As the pregnancy progress and the fetal weight increases some shortening is expected.


 
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Old Jan 19th, 2012, 07:03 AM   #8
Jen1802
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Bek's explained it pretty well Valentina. Funneling is different from dilation. Dilation is the cervix is actually opened already, the mucus plug etc isn't there anymore (usually, not always!) and typically the membranes come down into the birth canal. Did your dr explain whether the cervix was opened? I know this is a really scary and stressful time for you but it may not be as bad as the cervix itself has actually opened. xo


 
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Old Jan 19th, 2012, 17:23 PM   #9
valentinacast
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I got scared last night and first thing in the morning I called my ob! Here is what she said, my cervix lenght is 3.2cm funneling there is no dilatation and they are going to check it again to make sure it dosnt change. She said it may be that my cevix is short and that's how my body is...I am relaxed right now , for sure not as scared as last night!
Thank you girls!


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Old Jan 19th, 2012, 17:31 PM   #10
bek74
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That's what I thought and like she said that maybe just how your body is. Still rest as much as u can and don't over do things. Keep us posted mate


 
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