Multiples
Cerclage with multiples??
Hello everyone!
I am about 21 weeks with twins! I saw a specialist 2 weeks ago (at 19 wks), who did an internal US and let me know that my cervix was measuring 1.7cm. I suggested a Cerclage and he told me that it does not work with women having twins. I've seen on a few posts about women with twins/triplets and getting the cerclage. Is it possible to do with twins? Will it work? Are there many risks involved? Does anyone think I should get a second opinion?
Any advice would be helpful 
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Re: Cerclage with multiples??
At this stage it's considered an emergency cerclage. Unfortunately, they are not as successful as getting women to term as preventative cerclages are. 1.7 is very short. Anything below 2.5cm warrants immediate action. Mine was 2.5cm at 15w and unfortunately I lost my first set of twins at 17w4d and 18w2d.
It's important to note that your cervical length can change dramatically very quickly, EITHER way. Even more important is the strength of that 1.7cm. It could be iron tight or it could be made of mush. Unfortunately it's hard to know until someone pokes and prods in there or you wait it out and see what happens.
I would absolutely 100% PUSH for an emergency cerclage and strict bedrest (perhaps hospital) to keep these babies cooking as long as possible.
Keep us posted!
ETA: He's an IDIOT. MANY women who have cerclage put in are carrying multiples. A cervix that needs extra reinforcement needs it, regardless of how many babies are in there!!!!! Find another doc.
Twin boys born too early at 17w4d and 18w2d in February 2010
Transabdominal cerclage placed September 2010
DS born at 35w1d in February 2011
Twin girls born at exactly 36w in February 2013
She's too far to put in a preventative cerclage. They can do an emergent cerclage with the remaining small amount of cervix she has left. My OB said she can work with anything more than .7mm. All OB's are differently skilled, though. Bed rest and contraction preventatives are also needed.
Twin boys born too early at 17w4d and 18w2d in February 2010
Transabdominal cerclage placed September 2010
DS born at 35w1d in February 2011
Twin girls born at exactly 36w in February 2013
Peanut Butter and Jelly!
<a href="http://s568.photobucket.com/albums/ss122/AliceNP/?action=view
I am trying my hardest to stay as unactive as possible.. The doc also told me they will not know too much until they check me again (tomorrow) and see if anything has changed. My cervix could be short and strong and always been that way, or it cold have shortened. They have no way to tell yet because they hae never checked the length before measuring it at 1.7.. With all of everyone's information on here I think I am going to talk to the doc about the emergency cerclage tomorrow, and see what happens with that. If anything has changed i'm sure they will put me on HBR.. I was actually surprised that they didn't do that two weeks ago.
Trying my best to keep these boys cookin' as LONG as possible!!!
My cervix measured 1.5 at 18.6w. I was also told a cerclage was not a good idea...not because it wouldn't work or hasn't worked for others, but because there is no research that it works for a multiples pregnancy. And my OB thought that the risks (infection and putting my body through surgery), were too much for the possible benefit. I was put on modified home bedrest with progesterone supps.
When I was admitted for hospital bedrest 3 weeks later, a cerclage was completely out of the question because I was already dilated and Baby A's sac was visible. I was given a pessary, which is far less invasive than a cerclage. If your doctor is still against a cerclage, I would at least push for a pessary.
Beta#1 (12dp3dt)= 353, Beta#2 (15dp3dt)= 1466, Beta#3 (22dp3dt)= 14,139, First u/s: TWINS!!
After 10 weeks of bedrest, our two little ladies joined us at 28w6d
are you contracting though??? Big difference between effacement and effacement caused by cobtractions.
i had a length of 1.6 at 23 weeks and i was contracting. strict bedrest at home got me go 36 weeks.
good luck and keep us posted.