Multiples

Shortened Cervix and Funneling @ 31 weeks

Hi Ladies! I hope everyone is doing well. I finally got to see an MFM yesterday and it went well for the most part.They were a refreshing change from my OB office. 

They confirmed that I do NOT have placenta previa and it isn't even low lying (woohoo!). However, they did see that my cervical length is about 2.8-2.9 which is less than the 3 that they like to see. Also, they said I had some slight funneling. My cervix is still closed though.

My question is - has anyone else had a similar situation at 31 weeks and if so, what restrictions were you put on? How long were you able to keep the babies baking before they were delivered? Should I be worried? The MFM didn't really put any restrictions on me and suggested I stay horizontal as much as possible (but that might be more to control my swelling) and avoid intercourse.

Thanks in advance! 

image
Me: 31 | DH: 31
Unexplained Infertility
7/12-9/12: IUIs #1-#3 = BFN
11/12: IVF #1 - Transferred 2 blasts (1 frozen) = BFP!
Beta#1 (11/21) - 194, Beta#2 (11/26) - 1222, Beta#3 (12/2) - 9535 (It's twins!) Pregnancy Ticker

Re: Shortened Cervix and Funneling @ 31 weeks

  • This was just addressed yesterday I think.  Here's a link to a thread on High Risk and there's a thread on this board not too far back as well.  Sorry it's not a clicky link.

     https://community.thebump.com/cs/ks/forums/thread/74325935.aspx

    Natural m/c Oct. 2005

    Dx: balanced translocation and LPD

    TTC since Oct 2011

    BPF 02/19/12, EDD 10/31/12, natural m/c 02/28/12 (4w6d)

    IVF (BCPs starting 10/30/12, ER 11/18/12, 5dt of 1 beautiful, healthy embryo 11/23/12)
    BFP 12/02/12, u/s @ 6w,5d showed 2 HBs! Identical twins!!
    Bed rest from 21w-35w due to short cervix, hospital bed rest from 23w-32w due to PTL
    Our rainbows were born 07/19/13 (36w, 5d)

    Baby Birthday Ticker Ticker
  • Here's the other thread I was talking about: 

     https://community.thebump.com/cs/ks/forums/thread/74328017.aspx

    Natural m/c Oct. 2005

    Dx: balanced translocation and LPD

    TTC since Oct 2011

    BPF 02/19/12, EDD 10/31/12, natural m/c 02/28/12 (4w6d)

    IVF (BCPs starting 10/30/12, ER 11/18/12, 5dt of 1 beautiful, healthy embryo 11/23/12)
    BFP 12/02/12, u/s @ 6w,5d showed 2 HBs! Identical twins!!
    Bed rest from 21w-35w due to short cervix, hospital bed rest from 23w-32w due to PTL
    Our rainbows were born 07/19/13 (36w, 5d)

    Baby Birthday Ticker Ticker
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  • hi there! i had funneling at around 22 weeks, and had a cerclage put immediately.  i was able to keep my babies baking for about 3 more months until i delivered at 35 weeks and 1 day.  i think you may be too far into your pregnancy (again, i think...) for a cerclage, and then i was put on bed rest and pelvic rest (no sex).  stay off your feet and keep those babies cookin!  good luck!
  • imageCNYBride05:

    This was just addressed yesterday I think.  Here's a link to a thread on High Risk and there's a thread on this board not too far back as well.  Sorry it's not a clicky link.

     https://community.thebump.com/cs/ks/forums/thread/74325935.aspx

    Thanks! I got excited and jumped the gun today with my post before checking out the rest of the board. Appreciate the links! 

    image
    Me: 31 | DH: 31
    Unexplained Infertility
    7/12-9/12: IUIs #1-#3 = BFN
    11/12: IVF #1 - Transferred 2 blasts (1 frozen) = BFP!
    Beta#1 (11/21) - 194, Beta#2 (11/26) - 1222, Beta#3 (12/2) - 9535 (It's twins!) Pregnancy Ticker
  • imagejanniep:
    hi there! i had funneling at around 22 weeks, and had a cerclage put immediately.  i was able to keep my babies baking for about 3 more months until i delivered at 35 weeks and 1 day.  i think you may be too far into your pregnancy (again, i think...) for a cerclage, and then i was put on bed rest and pelvic rest (no sex).  stay off your feet and keep those babies cookin!  good luck!

    Thanks for sharing! I wonder if my MFM wasn't as worried because my cervix was closed and only a little bit below 3 and that's why he didn't prescribe bedrest? In any case, I will take the extra precaution and stay off my feet as much as possible. 

    image
    Me: 31 | DH: 31
    Unexplained Infertility
    7/12-9/12: IUIs #1-#3 = BFN
    11/12: IVF #1 - Transferred 2 blasts (1 frozen) = BFP!
    Beta#1 (11/21) - 194, Beta#2 (11/26) - 1222, Beta#3 (12/2) - 9535 (It's twins!) Pregnancy Ticker
  • imagereemap916:

    imagejanniep:
    hi there! i had funneling at around 22 weeks, and had a cerclage put immediately.  i was able to keep my babies baking for about 3 more months until i delivered at 35 weeks and 1 day.  i think you may be too far into your pregnancy (again, i think...) for a cerclage, and then i was put on bed rest and pelvic rest (no sex).  stay off your feet and keep those babies cookin!  good luck!

    Thanks for sharing! I wonder if my MFM wasn't as worried because my cervix was closed and only a little bit below 3 and that's why he didn't prescribe bedrest? In any case, I will take the extra precaution and stay off my feet as much as possible. 

    I'm not really that experienced on this topic but I believe because you are 31 weeks it is somewhat normal to start seeing cervical changes in a multiple pregnancy.  If you were only 21 weeks, it would be much more concerning and signal an incompetent cervix and/or pending pre-term delivery.   I've also heard that some Dr.'s stop measuring cervical length after 28 weeks because of this.  All great questions for your Dr. though - good luck!

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