Peeking in with Question (Late loss / Cerclage)

AutumnLeavesFall

Hi Girls,

First off Happy Holidays and congrats on your pregnancies.

I am in my last injections cycle, maybe triggering around 12/27-12/28.

My question is how many of you maybe has a late loss, and if you got pregnant again did you need a cerclage (sp)

My loss was unexplained, either weak cervix or infection they could not answer me. So I was wondering what the chances were that I would maybe not need one, or if I did what the proceedure was.

I'm thinking because I started a new job in Nov. I'd like to not tell my boss until after 1st tri is over, but if I need surgury for this, I'd have to tell them sooner. But I am really hoping not.

I know cart before horse. But I'm making sure I cover all the bases.

 Thanks!

SPerry0376

Hey you!! I'm just lurking around this board, but since we had such similar stories, I wanted to tell you what my MFM said. They said it was completely up to me. We can either do it at 14+ weeks, or just monitor it once a week and wait to see if it starts to shorten. I think the main reason they are giving me the option is because it is one baby this time... I think with twins i would have to do the cerclage. I've decided to do the cerclage at 14 weeks, simply because I promised myself I would take this pregnancy very seriously and would take no chances whatsoever. If I didn't get the cerclage and something happened, I would be so angry at myself for allowing the same thing to happen. 

My MFM told me they have had a lot of success with getting the cerclage in early for second time pregnancies that failed the first time. I really hope this cycle is it for you! You deserve it! 

leneae10

Hey Amye!!!  I'm sure you've heard my story a jillion times, but there are basically 2 types of cerclages.  Transvaginal (more common) and the transabdominal.  Most OB's will rec a cerclage in your case, and I wouldn't feel comfortable being pg without one.

Most TVC's are done right at the end of 1st tri and removed between 35-38 weeks and a vaginal birth is possible.  Gravity affects the TVC so usually there's lots of bed rest.  Lots.

The TAC can be done before pg or in pregnancy between 10-12 weeks, after viability is confirmed.  SweetieD21, lrachelle80 and I all have the TAC.  It's permanent, not removed, and baby is taken by c-section.  Gravity doesn't affect the TAC b/c it's SO high up, I'm still not on bed rest.

One of the 2 rockstar surgeons who perform the TAC is Dr. Davis in NJ.  He's closer to you than Dr. Haney in Chicago.  SweetieD used Dr. Davis.  I know my insurance covered 100%, as did lrachelle's, and I think Sweetie's too.  I have Aetna. 

Lots of info in my TAC blog, of course.

 

nina&matt

Hey sweetie! We did our cerclage (TVC) at 12w6d, the week after NT scan. The surgery put me out of commission for a week. I didn't bleed too much afterwards, but was pretty sore and achy. my situation is similar to yours. Former OB claimed IC yet I had preterm labor signs for 3 days before actually being admitted to hosiptal. Once admitted I had infection, which they classified as BV without a culture. So in essence it's possible I had BV, which can lead to PTL and would explain why I lost Lily. I asked my MFM if this pg is showing signs of IC and her answer was inconclusive b/c we are expecting twins. However, she said all my "troubles" so far point to classic PTL. if I were you I would get the cerclage before you actually need it, and push for VERY regular BV/infection screens. I demanded them every 2-3 wks. I'm also one of the few that are completely asymptomatic when it comes to BV. I'm praying this is your cycle sweetie!! Luv ya!!