Abnormal?

lcloffredo

I am 21 weeks with di-di twins and I don't go back to the OB till 24 weeks and he didn't schedule an ultrasound and they haven't checked my cervix. I already had a healthy pregnancy and no real stand out signs of anything wrong I think just some extra fear that carrying an extra baby brings. Anybody heard of a doctor not checking your cervix with twins? Or has anybody had cervix issues with no warning signs or something I should look out for that I might not know of?

zazu13

My dr said they could measure it on ultrasound and wouldnt do manual checks until 28 weeks. I was worried about this too, but no issues and still closed when I was induced at 35w.

pillowass

When was the last time you had an ultrasound? Any cervix checking at this point would be via ultrasound and I would also be kind of worried if they hadn't checked in awhile. I think my MFM's protocol was every 3 weeks. Mine had started to shorten around 20 weeks (2cm) and once that was discovered I was getting checked once a week. After 24 weeks it's normal for your cervix to start shortening so my MFM stopped checking since cervical length does not correlate to PTL risk after that point. I think it's worth a conversation with your OB to make sure they are tracking this, especially if your OB is not a MFM. 

xtina78

I also have only had cervical checks by ultrasound (so far).

dmurrie

I get induced at 38w tomorrow... I've had a grand total of 3 manual cervical checks. They've done them pretty often on ultrasound (as well as checking the placentas) but they never made a big deal out if it unless you ask them or something is wrong.

carrotcake06

I had one cervical check via u/s at my anatomy scan at 19w. I asked at my next u/s and was told they aren't done unless there's a reason.

I had a stint in the hospital for very mild pre-e at 32w and was checked manually then as a baseline. I was 1.5cm dilated, 70% effaced, -1 station.

My water broke spontaneously at 34w. I dilated to 6cm within an hour and delivered via c/s due to baby a's prolapsed cord (he was also breech).

I was told that without a compelling reason, the less times someone gets all up in there the better bc of the risk of infection.

meldoo2002

Mine checked it at my anatomy scan at 18 weeks via ultrasound and again one more time at another ultrasound.  I never had manual ones done, but I also delivered at 30 weeks.  

lcloffredo

Thanks all!

auntjessy

My doc started checking mine every 2 weeks at 20 weeks, then weekly after either 28 or 30.  They checked w/ultrasound when I had scans, manually every other time.  I delivered at 34, a surprise, when the week before my cervix was still at 3mm long.   

Loue0709

My doc checked at 20w with a vaginal u/s and since he saw some funneling, manually checked as well.  I went in again 10 days later and he did the same thing.  No changes.

I am going in every 2 weeks from now (now 25w) and I believe he will keep checking and doing the same thing.  If he didn't see any issues, I'm guessing he wouldn't be checking every appointment.

absolutelymaybe

I asked at my a/s (20w) and they said they don't do it until later. I think they will be checking at next appointment (24w).

4legsRbest

All of mine have been at 2 week intervals with my OB and the MFM checks me every 4 weeks. It is always via transvaginal u/s. Manual checks are a no-no (for any pregnancy) at my OB's office, but I know they are all different. Still, I would refuse a manual check unless in active labor. I am 28 weeks and still 3+cm.

I do think it is abnormal that haven't checked you between 20-24 weeks. That is really a pivotal time.