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25 weeks and dilated with thinned cervix...

post #1 of 8
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hi, i just started my 25th week. i've been feeling a great deal of pressure and cramping in my pelvic area for the past month. worse when walking, doing things and carrying my almost 2yr old. i went to see my MW thursday and told her my fears about all this. when she checked me vaginally she said i was about 1cm dilated and my cervix was forward and somewhat thinned. she didnt seem like it was a big deal but it made me worry more. is this a normal thing? to be dilated and cervix thin at 24-25 weeks? it seems way too early to me. my dh and i decided on our own that rest is needed and asked her what to do to stop the cramping and dilation. she gave me herbs which actually made things somewhat worse in a different way (but thats a different story)...let me know if anyone out there has experienced this, is this normal, could i give birth early, etc. kind of freaking out...kali
post #2 of 8
Quote:
Originally Posted by m2b View Post
hi, i just started my 25th week. i've been feeling a great deal of pressure and cramping in my pelvic area for the past month. worse when walking, doing things and carrying my almost 2yr old. i went to see my MW thursday and told her my fears about all this. when she checked me vaginally she said i was about 1cm dilated and my cervix was forward and somewhat thinned. she didnt seem like it was a big deal but it made me worry more. is this a normal thing? to be dilated and cervix thin at 24-25 weeks? it seems way too early to me. my dh and i decided on our own that rest is needed and asked her what to do to stop the cramping and dilation. she gave me herbs which actually made things somewhat worse in a different way (but thats a different story)...let me know if anyone out there has experienced this, is this normal, could i give birth early, etc. kind of freaking out...kali
*I* don't think it is normal. Normally at this stage of pregnancy the cervix is posterior(leaning toward the back of the vagina) the cervix is closed and thick, and there isn't cramping and pressure like that. I would get checked by an OB and get what is called a fetal fibronectin test. I don't normally recommend interfering in a normal pregnancy, but this doesn't look normal to me, based on what you said. The doc may order an ultrasound to determine if the cervix is thinning a lot. Bedrest doesn't always work, but avoiding intercourse(the contractions of orgasm can stimulate the uterus to contract, not to mention the prostagladins in the semen) and other measures may be able to help you make it to 36 weeks, which is when most midwives I know would do a homebirth...PS, I also wouldn't pick up the toddler, some weigh almost 30 lbs at that age!
post #3 of 8
I'm another mom dealing with a thin cervix and conractions, not a midwife. But in my opinion and experience, I wouldn't fool around with this. If the pressure/cramping are causing your cervix to change, that IS preterm labor. If I was you, I would talk with your midwife about going into the hospital over the weekend (like right away!) to get a perinatologist or high-risk ob involved. Or if your midwife really doesn't think this is a big deal, I would find another midwife! What you are describing is not normal. You could probably also call the labor and delivery unit of a local hospital and explain what is going on and see what they suggest.

When I was 32 weeks pregnant with my first pregnancy, being 1 cm dilated and partially effaced meant drugs in the hospital until the contractions stopped and then strict bedrest and medicine at home thorugh 36 weeks. With my second pregnancy, I began to feel contractions at 23 weeks. This time I was seeing a midwife and planning on a homebirth, but she also did not take it lightly. At that point, my cervix was still long and closed. We managed things at home (rest, water, suppliments and herbs) through 30 weeks, when I lost my mucus plug and my cervix was changing enough that we brought in a perinatologist for consult. I again spent about a month on bedrest and medication before my son was born at 35 weeks in the hospital. Though he was close to term, he needed a little help in the NICU.

I'm pregnant again, just about 20 weeks this time. As a result of my history, we knew I'd be high-risk for preterm labor again, so I began to see a perinatologist along with my midwife at 8 weeks. I began to notice contractions at 12 weeks and since then have been seeing the perinatologist and midwives very frequently (at least weekly, plus anytime I feel an increase in pressure or contractions). My cervix is still closed, though softer and shorter. I'm still having frequent contractions and I am on medication to stop them. I'm guessing that if I was in your situation (dilated at 24 weeks), my midwives/doctors would have me in the hospital and would be doing everything they could to make sure that labor did not go further.
post #4 of 8
I'm not a professional either,but that doesn't sound normal to me.My dr's were concerned when I had contractions at 34/35 weeks.I'd definitely get checked out by someone else.

ETA: I wouldn't be picking up the toddler either
post #5 of 8
I agree with everyone else. That is NOT normal. You need to seek a second opinion. The contractions, pressure, etc. that you have been having are technically Pre-Term Labor which defined is: "contractions causing cervical change". You should probably be on bedrest taking meds at this point and should absolutely not be picking up your toddler.

See someone before it is too late!
post #6 of 8
I just wanted to send hugs. I was in this exact same situation with my first and seem well on the way with this second one. I did make it to 37 weeks, though, so hang in there! Think sticky baby thoughts! I agree about a second opinion, though. In my experience, this situation also meant short hospital stays with drugs to stop the contractions and then bed rest to keep them at bay. I think I was in and out about 4 times before the actual delivery. Take it easy!
post #7 of 8
You can get a vaginal ultrasound to look at the thickness and they can do a ffn test to see if labor is imminent.
We started progesterone injections and I had meds to stop contractions. At a certain point we did steroid shots for the lungs.
Yes, I think it matters and isn't normal.
post #8 of 8
Wow, I'm pretty shocked to hear that your midwife isn't at all concerned about this. I would absolutely get a second opinion and probably go to the hospital this weekend. Sounds like preterm labor to me too (though I'm a lay person) and I would surely be concerned. Best of luck keeping that babe in as long as possible.
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