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Discussion Starter · #1 ·
I had my monthly appointment with my midwife this week (I'm 24 wks now) who said I may have a "short" cervix. She got the complete ultrasound report from the hospital on my Ultrasound at 20 Wks. She said the tech measured my cervix at 2.8 cm which is below the normal range that starts at 3.0 cm. I don't want to put much weight in this measurement since it was done by a tech and also maybe my cervix is "shorter" than most women, who knows? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/confused.gif" style="border:0px solid;" title="Confused">:<br><br>
Anyway more details of this u/s a month ago: the day of the Ultrasound the tech told us that she put the edd for our baby 1/28/06 instead of the 2/7/06 because of the baby's measurements. After talking with the midwife later in the day, we agreed not to change the edd to earlier so as to avoid being induced. Also I had been charting for a year prior to my pregnancy. The midwife added that an u/s at 20 wks isn't very accurate for edd. Interesting thing is that during the u/s, even before we were told by the tech about an earlier edd, I didn't think she was being very accurate when measuring the baby and noticed this pretty quickly. I hadn't known what to expect for the ultrasound (it was our first) and of course was focused on looking at the baby who was really active!<br><br>
So, my midwife says if I want I can go to a specialist at a larger hospital for another Ultrasound to see if I do have a "short" cervix. She said the measurements could be a mistake but obviously we don't really know. She didn't seem to advice me one way or the other becaue I was pretty close to the range of "normal" and I haven't had any signs of contractions and don't fit in any risk categories of having a preterm labor.<br><br>
I'd rather not have anymore testing etc. and am feeling great. At first I was pretty worried about it but now I just want to get more information. Sometimes I wonder if all this technology is a good thing............. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/headscratch.gif" style="border:0px solid;" title="headscratch"><br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/help.gif" style="border:0px solid;" title="help"> I wanted to share this information with you all to see what you think or if anyone else has experiences about a "short" cervix.<br><br>
Thanks for listening!!!!!
 

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So...they want you to submit to more testing because they *think* your cervix might be .02 cm shorter than what is average for the women that someone has (I assume) measured? And what would they *do* with this information that they collected? Surely they would not proceed with any type of preterm labor protocol based on THAT.<br><br>
If I may be blunt, I think this is another example of medicos trying to suck everyone around them into their panic that SOMETHING MIGHT GO WRONG!<br><br>
Sorry to get rant-y. I just HATE the way they try to scare pregnant women...esp. first timers...it is so irresponsible!<br><br>
There is no reason whatsoever to worry about a slightly short cervix. Good grief.<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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Discussion Starter · #3 ·
I'm glad at least someone responded. Thanks! I was wondering if my post was invisible or too detailed <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/blahblah.gif" style="border:0px solid;" title="blah blah"> . I just joined this week so I was wondering if I was missing something......<br><br>
Yep, it does suck to get information that encourages worrying but when it's your first baby and preterm labor is brought up, yikes! My midwife didn't give me an opinion about what to do one way or the other about further testing but did say if I did have a "short" cervix restricting activity would be advised.<br><br>
So for now we've decided to proceed as usual, no testing to confirm or deny this possible information. I feel really good and am leaving it at that.
 

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When your midwife last gave you an exam, did she say that your cervix was hard and closed? If so I wouldn't worry about it. I would think that a short cervix would only be a problem if there was evidence of funneling or softening.
 

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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>BakingMama</strong></div>
<div style="font-style:italic;">Yep, it does suck to get information that encourages worrying but when it's your first baby and preterm labor is brought up, yikes! My midwife didn't give me an opinion about what to do one way or the other about further testing but did say if I did have a "short" cervix restricting activity would be advised.<br><br>
So for now we've decided to proceed as usual, no testing to confirm or deny this possible information. I feel really good and am leaving it at that.</div>
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</tr></table></div>
I think you've made a wise decision, mama! It is SO hard with your first baby to know whether or not to worry. And with your second and third... :LOL<br><br>
My good friend was told she was in ptl with her first. They treated it agressively. She was hospitalized and had a terbutaline pump installed in her leg. They ended up taking the baby by c/s at 35 weeks because he was breech (I know. Don't get me started.)<br><br>
Anyway, fast forward two years. She did a ton of research and began to suspect that she hadn't been in ptl at all. She'd been contracting, and a lot, and she'd been dilated 1 cm when she was diagnosed. But her cervix never changed from that all.<br><br>
So...next pregnancy she's determined to wait things out unless she becomes convinced in her own mind that early labor is emminent. Sure enough, she contracts like crazy the entire pregnancy (as in like 6-10 an hour sometimes). She's a little dilated fairly early. And? Baby came right on time at 38 weeks.<br><br>
Trust your instincts.
 

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Discussion Starter · #6 ·
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">Orginally posted by CajunMama<br><i>When your midwife last gave you an exam, did she say that your cervix was hard or closed? ....I would think that a short cervix would only be a problem if there was evidence of funnneling or softening</i>.</td>
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I haven't had any more internal exams after my first one, which was very early on in my pregnancy. So I don't know if my cervix is hard or closed. I guess I could look myself though. And thanks for the info., I'm going to suggest my midwife looks at the next visit.<br><br>
Citizenfong- Interesting story about your friend. Do you know what symptoms she was having during her first pregnancy that led them to DX ptl? So she had contractions throughout her entire second pregnancy? Wow! Did she find anything that helped decrease them? Glad to hear she didn't have to go through all the medical crap with her second baby.
 

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Not from your club, but I'm due in March. My first baby was born at 29 weeks. A short cervix means pretty much nothing, unless you a) have a history of PTL b) have other symptoms of PTL (cervix changing regular contrations, infection possibly, etc.). Even if you are prone to PTL a short cervix may or may not be a good indicator and does not change management of your pregnancy at this point. I think you are wise to stay the course of continuing as normal. As long as you are having no contractions and your cervix stays shut a short cervix could very well be normal for you in pregnancy.<br><br>
Best of luck and take care,<br><br>
Olivia
 

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Unfortunately, because we live in such a litigious society, Dr.s have to "advise us" of worst case scenerios. OBs, CNMs etc pay an exhoribitant amount in malpractice insurance, and try to avoid being sued.<br><br>
If I were you, I'd just be careful not to lift anything heavy, and pay close attention to my body. I might also get an internal later on, just to be sure the cervix was still closed.
 

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Discussion Starter · #9 ·
Thanks for the posts. I am doing really well and have had no problems <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">.
 
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