cerclage soon - any info

iVillage Member
Registered: 01-02-2004
cerclage soon - any info
4
Sat, 02-21-2004 - 2:55pm
Hello,

I think I am about 10 weeks along. I am not entirely sure as we are unsure of dates. However in Sept 03 I had a baby girl and gave birth at 23 weeks. She was too premature and died soon after she was born. This time since it was an incompetant cervix that caused my premature labour, I am to have a cerclage to ensure my cervix stays closed. Can anyone give me any info on this?

iVillage Member
Registered: 03-27-2003
Sat, 02-21-2004 - 3:24pm
Hi,

Sounds like your doctor is on top of things, which should make you feel great! All a cerclage is, is a stitch or two that's put at the base of the cervix that literally closes it up until the stitch is taken back out. A normal length cervix will usually stay closed by itself, but some women have a short cervix and it becomes "incompetent" at some point, usually between 16 and 24 weeks. The stitch is usually kept in until shortly before your due date.

I have a bicornuate uterus, which means my uterus is shaped like "bunny ears" instead of an upside-down triangle. My doctor thought for sure I'd have to have a cerclage by week 16 because the baby would literally be "pushed out" of the uterus due to my flat, odd-shaped uterus. I have a long cervix though which prevents incompetency, so he's been checking me every two weeks for problems and so far, so good. From what I understand, you can't feel the cerclage and it doesn't hurt to put it in or take it out. I think as your pregnancy progresses though you may have to rest more than the typical pregnant woman so you don't put too much strain on the stitch. Success rates per all the research I've done once a cerclage is put in are fantastic, so good luck and I wish you all the best with a healthy pregnancy! Best wishes, Sandy ; )

iVillage Member
Registered: 02-05-2004
Mon, 02-23-2004 - 11:57am

Sorry about the cl hat...I am about to head back to work when I came across your post.


I am a ***wanna be over here*** from the ttcam board...


GL with your cerclage and your pg hon. I had mine done at 15 weeks with my dd...I was 90% effaced and 1cm dialated already.


With most doc's it is a day surgery and you will be home on the same day...you will be npo (no food after midnight) and you will get ususal pre surgery labs done (white count, etc) and then you will get anestesia (either general-where you are asleep) or a spinal. You may also be given terbutaline and or/indomethacin incase of contractions. I had spinal...felt like a little bee sting. Then they will put you on the table, drape you like you see on tv for c-section and your legs will be in stirups, only elevated over your head. The stitch is pretty quick to go in...it works just like a purse string...like a draw string and keeps your cervix closed. You will be monitored for a few hours and hopefully sent home.


It is common to feel a bit crampy for a day or so afterwards. You might also have some brown/bloody discharge for a day or two(because of the cervical irritation) I was placed on strict bedrest-only had bathroom privelages and also no sex, nothing by vagina ,and no orgasms either (because of premature labor). I saw my doc once a week after my surgery to make sure that all was ok. I also was not allowed to lift anything heavier than "a gallon of milk".


My bedrest and the sex issue was an extreme in the cerclage department as I was already thinning, dialating and having active contractions. For my future pg's I will have a cerclage placed at 13 weeks and have modified restrictions. I should be able to work up to 8 hours a day

 

iVillage Member
Registered: 01-02-2004
Fri, 02-27-2004 - 3:10pm
Thanks so much to both of you for such invaluable information. I am very excited about this pregnancy and appreciate all the info anyone can give me...one loss is enough for all of us....god bless you and I think you are wonderful, kind and beautiful people - gl with future pregnancies!
iVillage Member
Registered: 07-08-2003
Sun, 02-29-2004 - 5:30pm
Hi! Just wanted to add my 2 cents since I had a cerclage put in w/out knowing anyone who had experienced it before. We lost our son at 22w 5d-born still due to preterm labor/IC. I had a cerclage put in this time at 10 weeks, and I am now 29w 2 d with no problems yet (fingers crossed). I could feel a little cramping the first day after or so, and could tell the stitch was there (just pressure) for the first few weeks when I had been on my feet too much. Other than that-things have been good. I kept waiting to have to go on bedrest, but so far so good! I have had a couple of vaginal infections (showed up as browninsh discharge) b/c of the irritation from the cerclage to my cervix, but nothing that an antibiotic couldn't fix. I have also had delalutine shots every week since about 11 weeks, which are supposed to relax the uterus and keep it from getting irritated. My OB said that he will take the cerclage out at 38 weeks and preform a c-section, but my specialist thinks that the cerclage will probably give out before that (maybe 34 weeks). Anyway-I have freaked out for this whole pregnancy and am just now getting to the point where I am starting to think about the nursery, etc. It's stressful, but totally worth it! I wish you the best of luck! :)

Jen

Riley 4/19/01

Addison-born still 2/25/03

Reese ??????