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October 2013 Moms
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@amjoy25, I think this needs some explaining

kimbo1216kimbo1216 member
in October 2013 Moms
From D13 (no, I wasn't lurking, a friend is on that board).  https://forums.thebump.com/discussion/12031733/bed-rest#latest

The OP is refusing at cerclage at 21 weeks.  She is 4cm dilated.

Here is her explanation:

Nevito said:
It's not religion thing. I was admitted right after my routine baby appointment. I was 4 cm dilated with bulging water sack. The doc said that if I do the cerclage I could get an infection, they can damage my cervix for future pregnancy or they can break my water. Even one nurse told my husband that I can bleed out on the table. I wasn't thinking about myself just the health of my baby. And other two options were to terminate the pregnancy right away or just wait. We have been waiting for a week and everything is fine so far. But we are hoping to hold on at least until 27 weeks and then wish for more.

Not going to lie, my first reaction was to judge.  But maybe it's not so black and white.  Idk.  What do you think?
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Re: @amjoy25, I think this needs some explaining

  • sleepy33sleepy33 member
    I was going to say, it seems like 4cm dilated is a lot to be doing a cerclage, based on my very limited knowledge, and there was a post by an L&D nurse that said the same thing. Possibly damage to the cervix is a lot more likely if she's that dilated?
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  • Amjoy25Amjoy25 member
    edited August 2013
    Well, personally, I would get a cerclage at 21 weeks. I know many people who have had one and they have had children afterward. Just like any procedure they have to tell you what "can" happen, even if it is remote. She will most likely need progesterone also, and deft if she doesn't get it done. It's just not very smart to have a baby at 21 weeks...even 27 weeks.

    I am with you in judging this girl; but it is ultimately her decision, and she is taking the risk of her baby having major issues vs. possibly bleeding (which can happen in any surgery) or subsequent infertility...although, if you need a cerclage with one, you may need it again.

    ETA I totally missed the 4 cm dilated thing...here's what I found as far as that is concerned. Women who are more than 1.5 in (4 cm) dilated, who have already experienced rupture of membranes, or whose fetus has died are ineligible for cerclage.

    Read more: https://www.surgeryencyclopedia.com/Ce-Fi/Cervical-Cerclage.html#ixzz2bmteQuSI

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  • kimbo1216kimbo1216 member
    yeah.  I feel like even with the risk mentioned, I would most likely get one.  But I'm not in that situation, so I guess I can't really say for sure.  She just seems very nonchalant about it all.  Idk though.  It can be hard to convey tone in writing.
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  • Throw3ksThrow3ks member
    I can't even imagine why they would offer that to her at 4cm dilated and bulging membranes. Seems like a really risky thing to do.
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  • kimbo1216kimbo1216 member
    I think you and I had the same reaction @mmgkms.
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  • chicsahmchicsahm member
    Throw3ks said:
    I can't even imagine why they would offer that to her at 4cm dilated and bulging membranes. Seems like a really risky thing to do.
    This, my neighbor is head nurse in L & D (I asked her, was curious) and at 4cm... it is NOT recommended, she is actually surprised it was suggested to her. Sounds like an awful situation, @kimbo1216, I don't think we should read into it if she sounds nonchalant about the whole thing.... Being online you can't tell... I am sure she was typing with eyes full of tears and just wanting to get the question out there, I would be in shock if I was even in that situation.
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  • Throw3ksThrow3ks member
    No chance I would go for it. I don't know how much funneling/effacing she has but i imagine quite a bit at 4cm dilated. At 23w2d I was 2cm dilated, 40% effaced with bulging membranes and it was to late for me. I've been on strict bed rest since and I am now 28w and 4d.
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  • yesthisiskim0401yesthisiskim0401 member
    mmgkms said:
    Let me go on record to say though, anyone who joins at 4am and jumps on with major craziness like that, always has me with one eyebrow up. It blows if her story is legit. But......

    Yep, I have MUD vibes from her, too.

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  • kimbo1216kimbo1216 member
    I would have been more likely to think MUD if she hadn't responded.  But I didn't look at her post count or when she joined.
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