Multiples

When do they start checking your cervix?

I hear so many situations where women end up having a shortening cervix during a multiple pregnancy and I'm just wondering when the OB starts checking. I have an appointment tomorrow and I'd like them to start because I'm getting nervous, but I wasn't sure what protocol was. And when do they do check - how do they do it? Is it by ultrasound or by exam?

Re: When do they start checking your cervix?

  • I'm having triplets and I have growth scans every 2 weeks, so I may be a little different.  My MFM is supposed to start checking my cervix at 16w (tomorrow) by hand.  At my 14 and 12w u/s they looked at it by u/s.
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  • mine was done via u/s at every visit until 32 weeks, when it was first checked manually.
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  • My peri checks via u/s at every visit.  I have had it checked manually a couple times at the OB but that was because of random goings on...i.e today I went in for brown spotting.
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  • My MFM checks at every appt via u/s and now I will also have weekly checks with my OB.
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  • My OB started bi-weekly checks at 18 weeks via transvaginal u/s.
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  • Mine first started at my big ultasound at 20 weeks via transvaginal u/s.  They found my cervix was short at that point (2.4cm) so I was put on modified bedrest and get my cervix checked every 2 weeks now.  Whenever I go in now, they just check by hand.
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  • I had mine checked by vaginal u/s for the first time today when I went in for my scheduled ultrasound.  I know they'll check it once a month when I go in for my monthly ultrasounds... not sure when my OB will start checking by hand. 

    I get monthly ultrasounds with my identical twins as long as they both maintain the same weight (which they have).  If one starts to get bigger, the plan changes.

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  • Mine was checked at every appt.  If they couldn't get a good read on it via u/s, then I would have an internal.
  • The first time I know of mine being checked was at my 20-week u/s (it was 5.5 cm so no worries).  I'm not sure whether they checked at later ultrasounds, if they did I never heard about it.  The first time I was checked manually was between 36 and 37 weeks just because my OB wanted to see if I was making progress on my own before my scheduled induction.

  • My maternal fetal doctor wants to test me every 2 weeks from week 16 on for like 2 months.  Not sure if he plans to do it after my  4 visits.  They do it with ultrasound for me plus it give me another look at the babies which gives me some peace in knowing they're still okay. 
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