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I have had a couple days this past week, where I suspect I've had some preterm labor. Not 100% sure, but enough for me to notice. I do know that "funneling" happens and usually begins about now. Obviously, I wouldn't really know except by US, which I'm trying to avoid.<br><br>
DH has checked my cervix but isn't sure if he feels a change or not in either dilation or shortening. I can't reach mine. Should I try my speculum and see if I can see anything? Would I see a difference?<br><br>
Thanks!
 

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what' is your EDC?<br>
If it's preterm before 35 weeks, protocol at the hospital I work at is no with the hands but okay with the sterile spec.<br>
You don't want to stir up trouble.<br>
Are you having bloody show, lots of discharge,pressure?<br>
Are contrx regular?
 

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i'm just wondering why these measurements would help....i suspect most cervical change is normal and not a sign of impending birth. esp with twins, why make something out of cervical length or dilation?<br><br>
its normal to get some cramping at this point...and lots more pelvic pressure with twins. making sure there isnt regular contx is one thing....<br><br>
but even if you suspected cervical change, what would you do?
 

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MamaRabbit-- I'm not a birth professional, but just another twin mama a few months farther along than you. From 25 weeks forward, I have been having MAJOR paranoia about preterm labor. I have had LOTS of BH contractions from that time, and they've gotten stronger and more regular as time has gone on. There have even been a few times in the past month when they've been strong enough to take my breath away and settling into a regular pattern. Many of the other twin mamas I've asked have said that they had similar experiences... Anyway, usually if I'm having a lot of that I've been doing too much, and one or more of a few different natural things will help mellow it out-- drinking water, lying on my side for a while, epsom salt bath, progesterone cream, or a slightly diluted glass of wine. Anyway, at 28 weeks, I was convinced that there was NO WAY I would make it to 36 weeks (my midwife's earliest for a homebirth), and now I'll be 36 weeks this weekend.<br><br>
So, if they keep going and won't go away, or if there are PTL symptoms other than just some strong contractions, that's a different story. But if it's just the contractions, it <i>could</i> be just normal twin pregnancy stuff...
 

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Discussion Starter #6
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<div>Originally Posted by <strong>snugglebug14</strong> <a href="/community/forum/post/7907318"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">what is "funneling"<br><br>
Out of curiosity...how would you be able to see yourself with a speculum, especially pregnant?</div>
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Funneling is where the cervix starts to open from the top. I'd use a mirror. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngtongue.gif" style="border:0px solid;" title="Stick Out Tongue"><br><br><div style="margin:20px;margin-top:5px;">
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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>junamoss</strong> <a href="/community/forum/post/7908507"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">what' is your EDC?<br>
If it's preterm before 35 weeks, protocol at the hospital I work at is no with the hands but okay with the sterile spec.<br>
You don't want to stir up trouble.<br>
Are you having bloody show, lots of discharge,pressure?<br>
Are contrx regular?</div>
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EDC is late July/early August. No blood, no extra discharge. But regular contractions. Not every day, but I have noticed a couple times where they were definitely regular. It's typical for me to have lots of BH cx in any pregnancy, but these were different. Friday morning, I woke up to feeling nauseous, had diarreah, and then definite cx for the next 3 - 4 hours. I'd think nothing of it if I'd been up all day and running around with toddlers, but first thing in the morning kindof freaked me out a little bit.<br><br><div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>pamamidwife</strong> <a href="/community/forum/post/7908698"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">i'm just wondering why these measurements would help....i suspect most cervical change is normal and not a sign of impending birth. esp with twins, why make something out of cervical length or dilation?<br><br>
its normal to get some cramping at this point...and lots more pelvic pressure with twins. making sure there isnt regular contx is one thing....<br><br>
but even if you suspected cervical change, what would you do?</div>
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And that's what I'm thinking. I hear of all these moms being admitted for funneling, then bedrest, drugs, cerclage, etc.. None of which are evidence based. And most of those babies make it to term, though probably more out of luck getting around the interventions. I think I just want to make sure I'm not running around 4cm dilated this early. And to know when to go to hospital for preemies if necessary.<br><br>
What would I do? Probably nothing, other than just act as if it's PTL and do my own thing to stop it. I trust that my body will do as it's intended to do.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>MamaRabbit</strong> <a href="/community/forum/post/7910305"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Funneling is where the cervix starts to open from the top. I'd use a mirror. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngtongue.gif" style="border:0px solid;" title="Stick Out Tongue"></div>
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I'm not a health professional, but also expecting twins. I've had two trans-vaginal u/s to check for cervical funneling. It occurs on the <i>inside</i> of the cervix at the opening of the uterus. It can't be detected by looking into the vagina with any device other than u/s so a mirror won't work.<br><br>
In early pregnancy sometimes a cerclage (stitch in the cervix) or other measures against preterm labor are indicated if funneling is occurring. After 28 weeks the perinatologists no longer check for funneling as the previously mentioned precautions are no longer recommended.<br><br>
Closer to term it's just part of the natural change in cervical consistency leading to labor.
 
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