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MFM appt!

lemen99lemen99 member
in Preemies

We had our MFM appt on Friday!  We have a plan!!

1) Do a 24 hr urine sample and blood test (I had protein in my urine)

2) Do an u/s to look for any abnormalities before scheduling the cerclage. I've never had a non-preg u/s.  He said my cervix (or uterus?) is to the left side, which could be nothing or something :-) They want to make sure something isn't responsible for my Incompetent cervix that would repeat itself. We'll do this in 2 weeks!

3) I'm probably a candidate for either cerclage.  Given that I was showing signs of dilation in the 23rd week, and usually (not always) the IC strikes sooner in the 2nd preg (BOOO), the risk/reward of the abdominal cerclage is far more attractive than than a vaginal cerclage.  (At least in our opinion and the doctor's.)

4) We have to talk about it, but I think we're going for the trandabdominal cerclage.  The doctor has done about 10% of TACs in the entire COUNTRY.  Love.  He seems to be very forward thinking.  But, he *just* started doing them before pregnancy a few months ago.  He said before pregnancy things are tight and hard to manipulate and tie onto - but after pregnancy has risks of hemmoraging and other things due to high blood flow in the area.  I would be the 7th patient to have one day pre-preg, laproscopically, with a robot.  It scares me a little that I will be patient #7 for this specific procedure, but he seems awesome and I trust him. My friend had a TAC by him (and knows several others) after being pregnant (triplets) with a traditional c-section (not laproscopic)..

5) He's had some failures, complications, and losses, but keeping in mind he sees the highest risk patients (one had 6 babies, several with multiple complications, and many triplets etc), and he said being at a healthy weight decreases my risk.

He rattled off a ton of other details, risks, info, etc. but that's all I have time to write for now. 

All in all, things look optimistic, but a lot ahead of us.  The u/s will really be telling.


 

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Re: MFM appt!

  • kcswifeykcswifey
    Sounds like a pretty good appointment!  Keep us all posted!
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  • clyoungseyclyoungsey
    congrats on the appointment...lots to think about, but sounds really exciting!
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  • kamcfarlanekamcfarlane member
    sounds like good news! i hope the u/s goes well!!
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  • JrzyMeeba1JrzyMeeba1 member
    I'm so glad you have a plan.. it sounds like your MFM is on top of things!  Here's hoping that ultrasound goes wonderfully, and your lefty uterus is 'nothing' instead of 'something.'
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  • mcdevmcdev member

    Hey Lemen!  Looks like we have a few things in common.  With Claire, I began dilating at 23 weeks, but like you, I wasn't always dilated.  They called it a "dynamic cervix".  Are they using the same term with you?  I remember during an ultrasound I actually watched my cervix go from completely closed to slightly dilated to closed again.  Weird.  And scary!  I also had a transabdominal cerclage with pregnancy #2 and although Keira also ended up being a premature birth, my cervix never opened.  My premature births also (unfortnuately) have a very strong PTL tendency even after the cervical issues were solved.  If IC is your only problem.....I think I see a full term baby in your future!  I'm not on this board as much as I used to be, but I do check in so please let me know if you have any questions about the TAC.  

    I also think you should check out TriciaJoy's preemie forum.  It's www.preemiepalace.com

    Good luck!!! 

    Claire Avery born at 32 weeks on 10/25/06 Keira Leigh born at 27 weeks on 4/29/08
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  • lemen99lemen99 member
    imagemcdev:

    Hey Lemen!  Looks like we have a few things in common.  With Claire, I began dilating at 23 weeks, but like you, I wasn't always dilated.  They called it a "dynamic cervix".  Are they using the same term with you?  I remember during an ultrasound I actually watched my cervix go from completely closed to slightly dilated to closed again.  Weird.  And scary!  I also had a transabdominal cerclage with pregnancy #2 and although Keira also ended up being a premature birth, my cervix never opened.  My premature births also (unfortnuately) have a very strong PTL tendency even after the cervical issues were solved.  If IC is your only problem.....I think I see a full term baby in your future!  I'm not on this board as much as I used to be, but I do check in so please let me know if you have any questions about the TAC.  

    I also think you should check out TriciaJoy's preemie forum.  It's www.preemiepalace.com

    Good luck!!! 

    thanks! I haven't heard of a dynamic cervix!  I guess we'll find out  more next week! :) I'll check out preemiepalace :)

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