High-Risk Pregnancy
1cm dilated at 26 weeks?
After having horrible stomach pains yesterday because of "dehydration" causing contractions, (which I feel the nurses constantly point to as a culprit, but I digress) I found out I'm 1cm dilated. The nurse seemed only a little worried, but I'm sure that's because I have a doctor's appointment tomorrow anyway.
Because of my risk of preterm labor having a bicorn ute anyway, I'm not sure what my doctor will advise. Cerclage? Bedrest? Progesterone shots? I'm pretty new to this.
The anxiety of the unknown is really what's bothering me. Any ideas what doc might order?
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Re: 1cm dilated at 26 weeks?
How scary!
Your doctor will likely do a t/v ultrasound and get a very detailed look at your cervix. They will likely measure length and see if there is any funneling or dynamic movement going on.
You won't get a cerclage - it is too late for that. Maybe they will do progesterone shots, but it is pretty late for that too. Bedrest is a likely option. You will probably continue to get ultrasounds weekly or bi-weekly to see how your cervix is doing. They might do a fetal fibronectin test to see if labor is "imminent".
My cervix is not the greatest. In my first pregnancy they noticed problems at my anatomy scan. It ended up shortening and funneling and was under 1 cm (in length) and internally funneling by the time I was 31 weeks. I ended up getting to 35w4d when my water broke (likely from the funneling).
My second pregnancy I was on 17P (progesterone) from 16-36 weeks, modified bed rest the whole time. I ended up making it to 39w4d. I was 3cm and 80% effaced at 34w and a few days, though. And my cervix was still shorter than average the entire pregnancy.
There are lots of things your doctor may or may not do. I would insist on an ultrasound (transvaginal) and monitoring. Ask about the plan if things get worse. Ask about steroid shots to help mature your baby's lungs (I got them at 30w with both pregnancies).
Married 6/28/03
Kate ~ 7/3/09 *** Connor ~ 11/11/10
4 miscarriages: 2007, 2009, 2013, 2014
*~*~*~*~*
No more TTC for us. We are done, and at peace, as a family of 4.
"Suffering has been stronger than all other teaching, and has taught me to understand what your heart used to be. I have been bent and broken, but – I hope – into a better shape.” — Charles Dickens
I'm going to see a specialist on Monday, actually. I hear he's good, so I'm feeling better about it.
Doc didn't seem concerned, and I had stopped contracting, so we're just watching more carefully now. The peri will help that, I'm sure. Thanks for your concern!