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Discussion Starter · #1 ·
<p>I had my 20 week u/s today (19w4d) and tech observed a short cervix. It ranged from 3.2 cm (fine) to 2.4cm. She measured with internal u/s over the course of a couple minutes and said I was having a couple contractions too.</p>
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<p>My gut said this isn't a big deal but reading old threads tells me it CAN be and bed rest might be in my future. This is #2, anticipated VBAC, went into labor at 38w3d with DS (though I think he could have been a week older than that, and my water broke).</p>
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<p>I probably won't hear from m/w until next week and I refuse to do internet research. What can you tell me?  Do m/w transfer care? Is this an example of if I hadn't had the u/s we'd never know and never need to know?</p>
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<p>I also do not want to have this pregnancy filled with ultrasounds, both for the safety and the cost to us out of pocket.</p>
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<p>ETA: has anyone who had this happen for the first time opted for a cerclage just in case to avoid further intervention and bedrest? I know many have with subsequent pregancies.</p>
 

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<p>Crashing from New Posts. </p>
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<p>I understand your situation some.  <span><img alt="hug.gif" src="http://files.mothering.com/images/smilies/hug.gif" style="width:22px;height:15px;"></span></p>
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<p>So, my mw group would have done concurrant (sp?) care with the OB or peri.  Once you are at 36/37 weeks, there would have been no problem switching back to mw-only, as long as there were no other risk factors.  I think it depends on the providers. </p>
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<p>I have a story.  It does not have a happy ending.  Not sure you want to hear it, if you do, let me know.  If not, I understand.</p>
 

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Discussion Starter · #3 ·
<p>Thanks for the reply. I have read of some tragic endings, I will pm you if I would like to know more, thank you for offering.</p>
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<p>I talked to my doula, who recommended paging my m/w instead of worrying all weekend (late Fri afternoon, not in office). I did and heard back from her right away and she is not worried. She will check the u/s report to see if there is any funneling which would be more worrisome. I do not recall that there was any. She advised doing nothing at this point but be aware of preterm labor symptoms and most likely get at least a followup u/s later.</p>
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<p>I admit, I DO worry about those instances where labor got too far along to stop and baby was lost. At this point, it doesn't seem like bedrest is warranted. I would be open to a cerclage as a preventative measure and will discuss that with my midwife. I do not feel compelled to get weekly or bi-weekly u/s, but am comfortable getting one later on, maybe in a few weeks, to see if it is stable or continuing to shorten or show other signs.</p>
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<p>Those who have been through it, does that seem like a wise course?</p>
 

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<p>My midwives are following my cervical length with a transvaginal u/s at 20, 24, and 28 weeks, due to my previous baby being premature.  We are using this published guideline by SOGC as a reference to interpret my u/s results and to decide if obstetrical intervention is required: <a href="http://www.sogc.org/guidelines/public/102E-CPG-May2001.pdf" target="_blank">http://www.sogc.org/guidelines/public/102E-CPG-May2001.pdf</a>  (the measurements are cited in centimeters, if you need to convert to inches here is a handy conversion calculator: <a href="http://www.onlineconversion.com/length_common.htm" target="_blank">http://www.onlineconversion.com/length_common.htm</a> ).</p>
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<p>I would personally suggest you take the information about your cervical length seriously since yours indeed is quite short for only 19-20 weeks, paired with the contractions.  Those contractions are obviously causing cervical changes, even if they are not bothersome to you.  Here's hoping you have a long, boring, uneventful pregnancy!  Best wishes and good luck.</p>
 

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<p>I'm having biweekly u/s cervical checks because I'm carrying twins and I've had surgery on my cervix in the past.  If I were in your position I think I would want some repeat u/s and a cerclage if it continued to measure < 3. </p>
 

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<p>I think (someone jump in if I'm wrong), that it's less risky to get a cerclage earlier rather than later, meaning risk to the bag of waters. - that said it may be a good idea to get a repeat u/s in 2 weeks to assess, if there is an issue then it can be an easier procedure than if you wait 3 or 4 weeks and you then want to pursue that path.</p>
 

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Discussion Starter · #7 ·
<p>Thank you, that article was helpful. Any others anyone has would be appreciated too!  From that article, it seems good to have a measurement around 23 weeks, since they found that 90% of births before 28 weeks had cervixes shorter than 15cm at 23 weeks.  And these women accounted for 60% of deliveries before 32 weeks.</p>
 

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<p>For piece of mind I'm also having cervical length checks at 20, 24, 28 weeks this time around. I'm also on 17P injections but it's a long story and I'm determined to get to full term this time. I have to say though that in my opinion the amount of time it takes for a cervical length check to me is worth the risk or repeated exposure to ultrasound.</p>
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<p>In my first pregnancy I went to my 28 week appt and had a cervical check and was less than 2.5cm....was put on bedrest and a few days later my water broke. Ended up having babe a week later. He has done fantastic...and we are very blessed.....but I do not want a repeat as the NICU stay was quite tramatic for my entire family.</p>
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<p>I don't know what you should do though as you always here about women that are dialated for weeks and don't go into labor. It's a tough place to be in...I wish you luck with whatever your decision is and hoping for happy, healthy, full-termers for us all!</p>
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<p>Mama, I couldn't read and not post- tho I don't have any personal experience.</p>
<p>Hugs to you. I think, like pps have said, it CAN be a pretty big deal.</p>
<p>Reading your post, it seems it would be really helpful to work w/ your MW to strike a balance btwn not wanting tons of intervention, but also wanting to be cautious.</p>
<p>g/l. kup.</p>
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<p>I want to give you big hugs while you deal with this!! <span><img alt="hug.gif" src="http://files.mothering.com/images/smilies/hug.gif"> That's all... hoping for the best and keep us posted. You are in my thoughts.</span></p>
 

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<p>Hi Alicia,</p>
<p>Hope it is okay for me to bump this- I was thinking of you and wondering how you were doing. Did you end up talking to your MW?</p>
<p>Hope things are going well.</p>
<p>Best.</p>
 

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Discussion Starter · #12 ·
<p>Thanks for asking, things seem fine for now. I'll probably choose to have a followup trans vag u/s in a few weeks. My midwife wasn't concerned at all. She said she was going to check the report if there was any funneling (I can't remember if there was) and I haven't heard from her so I'm assuming there wasn't. She said if no funneling, there is little to worry about.</p>
 
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