Dilating at 23 weeks. What would you do? - Mothering Forums

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#1 of 19 Old 11-21-2009, 06:48 PM - Thread Starter
 
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For the past 4 days, I've had some really horrible vaginal pressure, combined with lots of BH contractions and a lower backache.

I had an exam this morning after DH noticed last night that I was dilating, and the midwife confirmed that I am dilating (she said my cervix is "soft and open", but wasn't going to check internally how open or how long my cervix was because I appear to be on the brink of preterm labor and she didn't want to stimulate it further).

What would be your course of action now?

edit: Midwife just called. She consulted with a perinatologist and wants me to have an ultrasound ASAP to check my cervix, so they can start steroids and other medications to help prepare the baby and stop labor. so I'm off to the hospital.

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#2 of 19 Old 11-21-2009, 06:56 PM
 
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I'd ask for an emergency referral to a OB and have them evaluate the situation, with the aim of keeping the baby in there as long as possible. I'd also ask if steroid injections to help the baby's lungs would be appropriate.

Hope all is well.
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#3 of 19 Old 11-21-2009, 07:12 PM
 
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Ditto to Tessie. I'd see on OB asap. Something similar happened to me during my first pregnancy - I'd been absolutely 100% determined to only see midwives, have an intervention free pregnancy etc. As soon as I started to have problems I had to forget about my plans and do whatever was best for the baby (which, in our case, was to change to care under an OB).
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#4 of 19 Old 11-21-2009, 07:12 PM - Thread Starter
 
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Originally Posted by tessie View Post
I'd ask for an emergency referral to a OB and have them evaluate the situation, with the aim of keeping the baby in there as long as possible. I'd also ask if steroid injections to help the baby's lungs would be appropriate.

Hope all is well.
I'm not actively in labor right now (contractions are only every 30-45 minutes), so we didn't feel it was necessary for me to see an OB *today* (although I could, if I felt more comfortable with that).

Midwife wants to do a FFN when I reach 24 weeks on thursday, and also potentially do an ultrasound to check on dilation and cervical length. I had my "20" (which was actually 21+3) week ultrasound 2 weeks ago, and my cervix was closed. We at least have that base line measurement to go onto too, for cervical length.

I went into labor with my last pregnancy at 32 weeks, but that was after a car accident and was situational, so I don't know how relevant it is.

Right now I'm on pelvic rest, and was told to relax as much as possible.

I'm just second guessing everything right now.

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#5 of 19 Old 11-21-2009, 07:14 PM - Thread Starter
 
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By ASAP, do you mean today? Or Monday?

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#6 of 19 Old 11-21-2009, 08:02 PM
 
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Sorry, I'm in Australia - I meant Monday, but Monday for me is closer than it is for you. If you're comfortable with how you're feeling at the moment I'd probably do some self enforced bed rest and see an OB on Monday for another scan to gauge if there's been any cervical change, then decide what to do after having a better idea of the situation. If you started to feel more pressure or if you weren't happy with how you're feeling overall I'd go to the ER.

Good luck.
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#7 of 19 Old 11-21-2009, 08:03 PM
 
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Just saw your update, we must have been typing at the same time. Good luck, I'll be thinking of you and hoping for the best.
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#8 of 19 Old 11-21-2009, 08:21 PM
 
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I would think that if you're dilating an emergency cerclage and strict bed rest as well as meds to stop contractions would all be options well worth discussing.

Wife to my DH Mama to my two girls  hearts.gif'03 and love.gif '06 and my sweet babyboy.gif 3-'10 I am blessed.
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#9 of 19 Old 11-21-2009, 11:49 PM
 
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Keep your feet up, hydrate, eat well, think happy thoughts, talk to baby, meditate. Have a drink? Have a bath? Light some scented candles? Avoid tension, drama.

Emphasis on the rest and hydration!

Tamara: Aspiring doula, partner to Brazilian musician, mom to THREE GIRLIES!
(4/01, 6/07, & 12/09)
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#10 of 19 Old 11-22-2009, 12:17 AM
 
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I would think that if you're dilating an emergency cerclage and strict bed rest as well as meds to stop contractions would all be options well worth discussing.
Yeah that. This is serious stuff mama - I would do that stuff ASAP and not wait until Monday or Thursday. Good luck.

Dee, mommy to Miss M 11/07 and little Miss I 5/10/10!
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#11 of 19 Old 11-22-2009, 01:17 AM
 
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No advice to add. Just wanted to offer my voice to everyone else's in saying I hope your LO bakes a lot longer.

Any misspellings or grammatical errors in the above statement are intentional;
they are placed there for the amusement of those who like to point them out.
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#12 of 19 Old 11-22-2009, 10:33 AM - Thread Starter
 
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So. I have to admit that I'm a bit confused after the ultrasound last night.

Both DH and midwife felt an open cervix, and my cervix was soft according to the midwife. The ultrasound (which my midwife insisted I have ASAP after consulting with the perinatologist) showed a closed cervix. It was an on the belly ultrasound-they said if my midwife wasn't willing to do an internal exam, they weren't willing to do the transvaginal ultrasound she wanted me to have.

How can 2 people feel an open cervix yet the ultrasound show it's closed? And does it mean anything that my cervix was soft already? And where do we go from here? (I'm touching base with my midwife today, so of course I'll ask her all of those questions )

Is it possible for a cervix to GROW in length? I had an ultrasound at 21w3d (my anatomy scan) at it showed my cervix was 4.3 in length. Last night, at 23w4d it was 5.3?

I'm confused.

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#13 of 19 Old 11-22-2009, 01:23 PM
 
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my doctors, i see both an ob and mfm, say it is very hard to see a slightly dilated cervix on an u/s, even a tvu.
yes, a cervix can change lengths. i went from a 1.5 to a 2.7 in a week. i also had that happen in a matter of seconds.
i have weekly tvu due to a short cervix so i see a lot of my cervix

mom to 14yr dd and 4yr dd
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#14 of 19 Old 11-22-2009, 02:44 PM - Thread Starter
 
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my doctors, i see both an ob and mfm, say it is very hard to see a slightly dilated cervix on an u/s, even a tvu.
yes, a cervix can change lengths. i went from a 1.5 to a 2.7 in a week. i also had that happen in a matter of seconds.
i have weekly tvu due to a short cervix so i see a lot of my cervix
Thank you Chel. At this point, I'm thinking it might be worth it to have a consult with an OB, just to be on the safe side.

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#15 of 19 Old 11-25-2009, 05:47 PM
 
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How are things?
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#16 of 19 Old 11-25-2009, 11:41 PM - Thread Starter
 
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How are things?
I'm still pregnant

I'm on a modified bedrest, and am just watching things really closely right now. I haven't had a ton of contractions, and my midwife made me promise that I would call her if I so much as felt off.

I'm trying to find the medium between not overreacting while being proactive right now.

Denelle~ WAHM to a tribe (at least according to the mother in law )
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#17 of 19 Old 11-26-2009, 07:19 PM
 
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someone recommended the hypnobabies "baby stay in" cd to me.. i haven't tried it yet but i've heard other people have success with it. maybe it's worth looking into?
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#18 of 19 Old 11-27-2009, 11:22 AM - Thread Starter
 
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someone recommended the hypnobabies "baby stay in" cd to me.. i haven't tried it yet but i've heard other people have success with it. maybe it's worth looking into?
I've never heard of it, but I'll definitely check it out Thanks!

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#19 of 19 Old 11-28-2009, 09:00 PM
 
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the first night i listened to it i put it on before bed because i didn't have any other time to do it. i swear- i woke up the next morning and my cervix felt longer!!!
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