High-Risk Pregnancy

Cerclage and modified bedrest w/two young children

Also posted on Multiples board.

My twin girls are 8.5 months old, born at 30 weeks following 6.5 weeks of complete hospital bedrest. Our doctor said there was no way to know if the IC was due to twins, but that I should get a cerclage for my next pregnancy just to be safe.

We conceived through IVF and have a single frozen embryo waiting to be transferred.  Since we have the opportunity to "plan" our next pregnancy (assuming success), we are attempting to get the best understanding possible regarding the impacts of a cerclage and potential bedrest, especially with two young children.

Our current plan is to pursue an embryo transfer sometime this summer which would mean our girls will be about 1.5 years when I will likely be put on modified bedrest.  I assume I won't be able to pick them up and won't be able to do many physical activities with them during that 5-6 month period.  Has anyone else gone through this or going through this currently?  Can you please share your experience - Did you need extra help?  What were some unexpected impacts? 

TIA!

Me:26 DH:30

Dx: Severe MFI, 0% morphology, doc says we will be lucky to get 10% fert rate

IVF w/ICSI #1: 6R, 4M, 0 fertilized Switching docs, looking for clinic that will provide new treatment for DH's rare dx.

IVF w/ICSI + CaI #2: 11R, 9M, 6 fertilized!!! Transferred 2 5-day blasts, 1 frozen.

12/26: BFP!! It's Twins!

Re: Cerclage and modified bedrest w/two young children

  • I'm on bedrest for preterm contractions. We have kept DS in daycare, because I really can't keep up with him on my own (he's 2.5). He's pretty good about walking along side of me and climbing into his carseat so I can pick him up at daycare and take him places, but I can't imagine keeping him entertained all day. Kid loves to run, go outside, and move his play from room to room- things that are hard these days. I know some moms do it- you can have your SO set up activities before they leave and plan lots of TV, books, and playdough, but it's got to be hard.

    As far as extra help. We have been blessed to be able to afford increasing our cleaning lady from 1x per week to 2x. She does laundry and dishes and picks up. Basically it means that DH isn't completely run ragged. We're also doing grocery delivery sometimes and occasional meal delivery from a local service. Our church family has also brought meals. It's all helped so much and made it so DH and I get some down time to connect after DS has gone to bed. We'd be totally frazzled without it.

    Hope that gives you some idea. I'm also on modified bedrest, so can pee, shower, make meals, and do 2-3 hours of light activity a day. The type of bedrest really depends on your doc and diagnosis. Good luck!
    BFP#1 9/14/10 (EDD 5/21/11); no fetal pole 6w6d, 7w4d, d&c 10/8
    BFP#2 3/16/11, beta 138; 4/12 Baby/HB DS born 9/10/11 at 29w4d due to partial abruption and PTL
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    BFP#3 8/19/13 Another boy! 17P, modified bedrest and Nifedipine helped us have a termie! DS2 born 4/19/14 at 38w5d.
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  • Thanks haziedaze!  I guess I should clarify that I am a working mom and we currently have a nanny - I don't think a third child would be an option for us considering the potential bedrest if I was also a SAHM.  Luckily my job is flexible enough that I could work from home if needed.

    I'll look more into grocery delivery and meal delivery - sounds like those will be valuable resources!  

    I'm hoping to meet with my MFM in the next month to better understand what type of bedrest she expects for me - knowing full well that I could end up back in the hospital again if my body doesn't respond to the bedrest/cerclage measures.

    Me:26 DH:30

    Dx: Severe MFI, 0% morphology, doc says we will be lucky to get 10% fert rate

    IVF w/ICSI #1: 6R, 4M, 0 fertilized Switching docs, looking for clinic that will provide new treatment for DH's rare dx.

    IVF w/ICSI + CaI #2: 11R, 9M, 6 fertilized!!! Transferred 2 5-day blasts, 1 frozen.

    12/26: BFP!! It's Twins!

  • I was on bed rest with my first and second. With my second I ended up moving in with my mom for 10 weeks b/c DH was working crazy hours during tax season and couldn't be home to watch our 1.5yr old. I spent 16 weeks on (strict) bed rest with our first and due to a short cervix and ended up on bed rest with our second for 20 weeks. DS#1 was born 2 days before his due date and DS#2 was a repeat c-sec. This time around we planned to put both boys in school and have our moms help as much as possible. So far I'm not on bed rest yet but that is the plan if my cervix shortens.  
    IAmPregnant Ticker


  • It's smart to plan for bed rest. However, I also wanted to point out you might not need it. When I was pregnant with my son, I started having contractions at 23 weeks and found out I had a short cervix (measured between .7 and 1.5). I had an emergent cerclage and was on strict bed rest for 10 weeks (until my water unexpectedly broke and my son was born at 33 1/2 weeks). This pregnancy, I had a preventative cerclage at 13 weeks and I started progesterone shots at 16 weeks. My husband and I fully expected I'd need to go on bed rest at some point. I am a stay at home mom. So, we planned for my mother in law to come stay with us whenever I was put on bed rest. However, my cervix has remained long and closed. The shortest my cervix ever measured this pregnancy was 3.76 at 31 weeks. So, I have not needed any help and have not been on any bed rest. I will be 35 weeks tomorrow! I am sure dealing with young twins is much harder than my situation. However, it's worth pointing out that the success rate for a preventative cerclage is much higher than with an emergent cerclage. So, you might not need to go on bed rest. In any event...congrats on your twin girls and good luck with your transfer this summer.
  • I lost my daughter to IC at 20.5 weeks and then had a rescue cerclage placed at 18w5d with my son. I now have a bouncing 3 week old who was born at 39w (two weeks after my cerclage removal). I was prepared for bedrest especially since it was a rescue cerclage, but I never had to be on bedrest. I was on modifie activity, I have a desk job so I was able to go to work, complete pelvic rest, no excercising, no lifting more than 15lbs (this could be difficult with two 1.5 year olds), and elevate my feet at the end of the day. We have an older son and I just had him climb up to me if I was on the couch etc. DH did the heavy lifting for bed time and stuff. Honestly my everyday "normal" didn't change much.

    You very well might avoid bedrest completely with a preventive cerclage and a singleton pregnancy instead of a multiple.

    Good luck!
    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.

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