Shortened/Opening Cervix Intervention Q?

tyresec

Hi Ladies,

So, I got some good and bad news today at my a/s.  The good news is that the boys are doing fine, growing like they should and both are where they are supposed to be at 9 and 11oz.  We got to see the majority of their bodies, except Langston was moving around so much, the tech had issues getting all of the measurements.

However, it turns out my cervix has started to open up.  Two weeks ago, it was around 3+cm.  Now, its b/w 2-6 and 2.4 depending on if they put any pressure on it.  The borderline for intervention is 2.5.  My doctor hasn't put me on bedrest or anything yet, but will check again in 2wks (I have an OB appt. next week, however, and they will check the same thing).

The MFM mentioned that the cervical stitching surgery (I can't remember the name for it right now) is risky with multiples and that there is a high mortality rate, esp. the further along you are.  Since, I'm not at viability yet, they wouldnt do anything to stop me from going into labor or giving them any growth hormones.  My plan is to go to work and then home and do nothing, "take it easy" as she said, until I get to 24 wks and I feel better.

I guess my question is whether or not any of you had to deal with this.  What happened?  Did you get the surgery or try some other method to strengthen the cervix?  I am scared and nervous and sad and I am praying that everything turns out alright.

ETA: Sorry, I might have used the wrong terminology.  My cervix has shortened from 3+cm to 2.6-2.4cm.  It has not dialated.

leneae10

You need an emergency cerclage NOW and bed rest the remainder of your pregnancy!  I would absolutely get a second opinion; the line of thinking from your OB is unacceptable.

I had the same issue in my first twin pg, did not get a cerclage and it did not end awell, I lost them at 17w4 and 18w2.  I ended up getting a permanent cerclage during my next pregnancy.

HUGS and please get a second opinion to give your boys a fighting change.  Just 5 more weeks and you could give them a HUGE chance!

tyresec

Do you remember how short it was?

I am going to the OB Wed. and they will check my cervix then as well. 

Mrs. Alice

I agree.  You should seek a second opinion.  A lot can happen in 2 weeks and I would at least put myself on bed rest.  Just because you aren't to viability yet doesn't mean they can't attempt to stop labor.  I think the "growth hormone" you are talking about is steroid injections for their lungs which is not given until around 24 weeks if your Dr.'s feel that delivery is imminent.  I didn't have cervix issues so I can't really answer your questions about that.  Sorry this is happening.  Wishing the very best for you.

DandT1206

I was in the same situation as you at my anatomy scan, except I had funneling and my cervix was alot shorter --  between .7 and 1 cm!  I was not experiencing any other symptoms of PTL.  I decided to have the cerclage, because i knew the benefit would outweigh the risk.  i was 21.5 weeks at the time and here I am at 36.5 weeks, with a c-section scheduled at 38.5.  I have been on modified bed rest/pelvic rest ever since the cerclage, but I wouldn't trade this for the world.  Not gonna lie, it was a very scary few weeks as we counted down until the viability age.  I'm still in shock that I've made it this far.  Good luck with your decision!

yliedtke

Per my doctor 2.5 at this stage is at the cusp of doing the cerclage and 24 weeks is near the end of when they would offer. If you are having funneling. I would have it done. If you have a job where you stand allot ask your doctor if they at all would recommend bedrest. There is risks with cerclage rupturing the bag and infection. But complications from the stats i was given is 1 to2 percent. They gen give you antibiotics during surgery.Im 23 weeks had cerclage done at 22 for cervical length of 1.1. Have a dynamic cervix. On Strict bedrest until my twins make their appearance praying its in 14 weeks: Good Luck!

Jennifer271012

leneae10:

You need an emergency cerclage NOW and bed rest the remainder of your pregnancy!  I would absolutely get a second opinion; the line of thinking from your OB is unacceptable.

I had the same issue in my first twin pg, did not get a cerclage and it did not end awell, I lost them at 17w4 and 18w2.  I ended up getting a permanent cerclage during my next pregnancy.

HUGS and please get a second opinion to give your boys a fighting change.  Just 5 more weeks and you could give them a HUGE chance!

Thiss 100%

Look at my signature if you don't believe me. 

melissaRW27

My cervix shortened to just under 2cm at 19 weeks 4days I was also contracting, but unaware until. They hooked me up to the monitor. Once my contractions were under control, I had a cerclage 20 weeks 2 days and was put on bedrest. I truely believe my cerclage is the reason my kids stayed in as long as they did and are healthy today. At 26 weeks 4 days I was dialated 2cm and 80 effaced, if it wasn't for my cerclage providing some resistance I'm sure I would have dialated much more and much sooner. I made it 31.5 weeks, then my water broke.