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Cerclage with twins?

McsweetsMcsweets member
in High-Risk Pregnancy
The MFM mentioned possibly needing a cerclage last week, and has placed me on Progesterone suppositories to see if that helps at all.  I go back tomorrow and I just want to know if anyone here has had experience with a cerclage?  Everything online says there is no medical reason for it with twins - it hasn't proven beneficial.  I just want to be prepared going into our appointment tomorrow if it gets brought up.  Ultimately, I have to trust him - just looking for outsiders experiences.  Are the risks worth it?  Bed rest seems to be pretty effective on its own...
1st FET 2/14/2013 Happy Valentines Day! - BFN
2nd FET 6/14/2013 - BPF!!! -
1st Beta: 1046!!!!! - 2nd Beta: 2754!!!!!
First u/s 7/11/2013 - TWINS!!! 120 and 124 heartbeats <3
Second u/s 7/29/2013 - wiggley babies! 178 and 184 heartbeats!
Third u/s 9/9/2013 - 157 and 161 heartbeats ... a BOY and a GIRL!!!! Cervix on the "shorter side" (3-3.3) - going to check again in 2 weeks.
Fourth u/s 9/23/2013 - Baby A = 157 Baby B = 150 heartbeat. Cervix now 2.3-2.6 ... being referred to a MFM
MFM Appointment 9/26/2013 = Both babies healthy, cervix now measuring at 4 - Playing tricks on me ... will follow up in 2 weeks.
Cervical check 10/7 with regular OB - 2.1cm  --- going BACK to the MFM armed with ultrasound pictures from my OB of my cervix. *sigh*
MFM Appointment 10/8 - confirmed my cervix at 2.1cm - putting me on Progesterone for a week.
MFM Appointment 10/17 - Cervix unchanged! Keeping me on Progesterone - followup 10/29


  photo e8294769.jpgphoto 3a44b450.jpg
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Everett Alan James (3lbs8oz) and Eliana Lee (3lbs7oz) born 12/28/13 at 30w6d!
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Re: Cerclage with twins?

  • kneenah1231kneenah1231 member
    I have a cerclage but carrying a singleton. The procedure is a huge blessing from god but from my understanding it doesn't work well with pregnant with multiples. The weight if the baby will cause the cervix to open regardless and it can rip through the cerclage. I would bring that up to your dr maybe he has good success with cerclage with woman carrying multiples. How far along are you? What was your cervix measurements? The progesterone is a good idea. Why didn't he start you on injections instead?
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  • ajsweetonajsweeton member
    I'm pregnant with twins and will be having a prophylactic cerclage placed at 14w. My MFM says that there isn't any proof that it helps in twins and that sometimes if you have a doctor that isn't experienced taking care of multiples patients or in doing cerclages that it can actually cause more harm than good. My MFM is actually a researcher who has made PTL prevention in multiples his main goal. He feels very confident that the approach of placing a cerclage will work and be has placed thousands of them so he knows what he's doing. I'd make sure your doctor is very experienced and that you feel comfortable with his suggestion.
    Lilypie First Birthday tickersLilypie First Birthday tickersLilypie Angel and Memorial tickers

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  • McsweetsMcsweets member
    kneenah1231 said:
    I have a cerclage but carrying a singleton. The procedure is a huge blessing from god but from my understanding it doesn't work well with pregnant with multiples. The weight if the baby will cause the cervix to open regardless and it can rip through the cerclage. I would bring that up to your dr maybe he has good success with cerclage with woman carrying multiples. How far along are you? What was your cervix measurements? The progesterone is a good idea. Why didn't he start you on injections instead?
    The suppositories have shown better with multiples than the injections, so he did the suppositories instead.  Even those aren't totally "accepted" in the research industry as beneficial.  Last week I was at 2cm, no funneling ... I will find out today where I'm at and hopefully know what path to go.

    Also, I'm 20w4d now
    1st FET 2/14/2013 Happy Valentines Day! - BFN
    2nd FET 6/14/2013     - BPF!!! -
    1st Beta:     1046!!!!! - 2nd Beta: 2754!!!!!
    First u/s 7/11/2013 - TWINS!!! 120 and 124 heartbeats <3
    Second u/s     7/29/2013 - wiggley babies! 178 and 184 heartbeats!
    Third u/s     9/9/2013 - 157 and 161 heartbeats ... a BOY and a GIRL!!!! Cervix on the "shorter side" (3-3.3) - going to check again in 2 weeks.
    Fourth u/s 9/23/2013 - Baby A = 157 Baby B = 150 heartbeat. Cervix now 2.3-2.6 ... being referred to a MFM
    MFM Appointment 9/26/2013 = Both babies healthy, cervix now measuring at 4 - Playing tricks on me ... will follow up in 2 weeks.
    Cervical check 10/7 with regular OB - 2.1cm  --- going BACK to the MFM armed with ultrasound pictures from my OB of my cervix. *sigh*
    MFM Appointment 10/8 - confirmed my cervix at 2.1cm - putting me on Progesterone for a week.
    MFM Appointment 10/17 - Cervix unchanged! Keeping me on Progesterone - followup 10/29


      photo e8294769.jpgphoto 3a44b450.jpg
    imageimageimageimage"">image

    Everett Alan James (3lbs8oz) and Eliana Lee (3lbs7oz) born 12/28/13 at 30w6d!
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  • PerkyErkyPerkyErky member
    Good luck! As you know I just got a cerclage last week, but I have a singleton as well. I don't have any advice, but wanted to send good thoughts your way.
    Married 11/23/11, TTC starting 10/12, BFP#1 11/30/12, Adoption of stepson finalized 03/19/13,Loss of our daughter at 20w4d due to incompetent cervix 03/27/13, BFP#2 06/28/13, DS2 born 3/1/14.

    Lilypie Angel and Memorial tickers 
    Lilypie Kids Birthday tickers Lilypie First Birthday tickers
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  • McsweetsMcsweets member
    Thanks @PerkyErky :) Hopefully I have a good apt today and the "C" word isn't even mentioned :)
    1st FET 2/14/2013 Happy Valentines Day! - BFN
    2nd FET 6/14/2013     - BPF!!! -
    1st Beta:     1046!!!!! - 2nd Beta: 2754!!!!!
    First u/s 7/11/2013 - TWINS!!! 120 and 124 heartbeats <3
    Second u/s     7/29/2013 - wiggley babies! 178 and 184 heartbeats!
    Third u/s     9/9/2013 - 157 and 161 heartbeats ... a BOY and a GIRL!!!! Cervix on the "shorter side" (3-3.3) - going to check again in 2 weeks.
    Fourth u/s 9/23/2013 - Baby A = 157 Baby B = 150 heartbeat. Cervix now 2.3-2.6 ... being referred to a MFM
    MFM Appointment 9/26/2013 = Both babies healthy, cervix now measuring at 4 - Playing tricks on me ... will follow up in 2 weeks.
    Cervical check 10/7 with regular OB - 2.1cm  --- going BACK to the MFM armed with ultrasound pictures from my OB of my cervix. *sigh*
    MFM Appointment 10/8 - confirmed my cervix at 2.1cm - putting me on Progesterone for a week.
    MFM Appointment 10/17 - Cervix unchanged! Keeping me on Progesterone - followup 10/29


      photo e8294769.jpgphoto 3a44b450.jpg
    imageimageimageimage"">image

    Everett Alan James (3lbs8oz) and Eliana Lee (3lbs7oz) born 12/28/13 at 30w6d!
    Report Reply
  • JandM524JandM524 member
    Hi @Mcsweets,
    I am also on a board on babycenter's website for cervical incompetence and there are a bunch of women on there pregnant with twins.  I like thebump's board for high-risk pregnancy but the babycenter's is more specific and I get answers and information specifically related to having an IC.  The link is here: https://community.babycenter.com/groups/a6685995/cervical_incompetence_support_group
    Even if you don't end up getting a cerclage, it is a good place for us ladies with a short cervix.  There are women on there pregnant with twins with and without a cerclage.  There is one girl who is pregnant with twins, without a cerclage, and has been 4 cm dilated for 5 weeks now and still holding strong!  She's almost 34 weeks.  There are a lot of inspiring stories to give hope, as well as people who are going through the same thing you are.  Check it out!  

    Wishing you a long and comfortable pregnancy!  
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