Archive for Cervical Cerclage

24w 5d– Good News and Bad News

Posted in Incompetent Cervix, Pregnant with tags , , , , , , on September 14, 2012 by Me

This past Wednesday was my latest appointment– I saw my perinatal and a pediatric cardiologist. After taking a loooong look Seth’s heart, the cardiologist has given him a clean bill of health, but would still like to take one final look after he’s born, before he comes home. The concern for the heart is because of the slightly elevated Nuchal Scan. Once the cardiologist was done, the nurse took Seth’s monthly measurements, and he is still measuring 2-3 weeks ahead of schedule, having reached a whopping 2lbs at 24 weeks! So, in summary, everything is looking awesome for The Spawn.

Unfortunately, that rapid growth is  not sitting well with my incompetent cervix. Last week, my post-surgical measurement was 2.5cm (a gain of .3 cm!), this week it was down to 1.5-1.75 cm, with less than 1 cm between my uterus and the first stitch. This means that the I am still high-risk for delivering WAY too early. Now that we’ve made it past the 24 week mark, there is a much higher rate of survival, but things are still life-and-death. Once we get past 28 weeks, things get a lot less scary. I am also starting to show a small amount of funneling, due to Seth’s position– he likes to press down on my cervix with the top of his head.

One thing that I love about the new perinatal doc is that she is never alarmist about anything. If anything, she is sometimes too neutral for my comfort, lol. So when she suggested that we do the series of two cortisone shots to help mature Seth’s lungs, I wasn’t alarmed. I know that this is a Good Thing, just in case he puts in an early appearance. However, when she was visibly uncomfortable at waiting until next week to do the shots, I realized just how concerned she is. I had the first shot at the appointment on Wednesday (ow!) and then our roommate drove me to get the second shot on Thursday (I have to book my transportation 5 days in advance, and Stan doesn’t get off work early enough to take me to any appointments). I also may be going back on the weekly 17P shots, as I seem to be having a slight allergic reaction to the suppositories (OMG so itchy!! Luckily it only lasts a few hours).

So, the good news out of all of this is that Seth is doing well, and way ahead of schedule in size, if not development. Hopefully the cortisone shots will help him along in the development department. Our next milestone is 28 weeks.

I am still on modified bed rest, and will be getting another cervical check a week from Friday. If things keep going downhill, I will need to either go on strict bed rest, which means my mom will have to come down from WA and take care of me (which could be INCREDIBLY stressful for me, but also very helpful), or I will be put on hospital bed rest for the remainder of the pregnancy (less stress for me, but WAY more stress for Stan). Best case scenario, I stay on MBR, and things stabilize until I reach at least 34 weeks.

I think that’s about it! I plan on one more post about the whole bed rest experience, but I’m not sure if that will go up today or not.

Thank you all for your support and prayers– I really do appreciate them. I also hope that by keeping this blog, I can help others who are going through similar circumstances to know that they are not alone.

Cerclage Recovery and Bed Rest

Posted in Incompetent Cervix, Pregnant with tags , , , on September 13, 2012 by Me

Ok, so the last post brings us up to 23 weeks. The week went fairly well as I hung out in my recliner and attempted to get the prescribed 1-2 Gallons of water into me. I hit 24 weeks on that Saturday, and had a friend coming over to given Stan a massage (the man has been sooooo wonderful, taking care of work, me, and the house!). While I wasn’t up a great deal, it was definitely more than the 10-or-so minutes that I’m allowed per trip, and I ended up spotting a little bit, which freaked me right the hell out! I haven’t had a single incident of spotting this whole pregnancy, so this was really scary. I called the on-call doctor, and he assured me that everything was OK (not optimal, but not an emergency since I wasn’t contracting), and instructed me to stay off my feet until my next visit on the following Wed (Yesterday). I definitely complied, and there was no more spotting.

After a week on modified bed rest, I was rapidly learning just how much bed rest sucks. I haven’t had anything resembling an attention span this whole pregnancy (unmedicated ADHD FTW!), and as such, I haven’t been able to focus on reading, or writing, or really anything productive. I spend an inordinant amount of time on Facebook playing all manner of bubble games and I watch TV. And I twitch. A lot. I am, however, grateful that I’m not on Strict Bed Rest, and can at least get up for short periods of time to get food and go potty.

I also know that I’m doing what’s best for Seth, and doing whatever I can to keep him in until it’s A LOT safer for him to be out in the real world.

24w 5d– Lots of catching up to do… Part the first

Posted in Incompetent Cervix, Pregnant, Pregnant Sex with tags , , , , , , , , , on September 13, 2012 by Me

A lot has been happening here, and I’ve been bad about keeping up this blog.

So, let’s back up to my routine visit with the perinatal doc on 8/29 (22w4d). This was an in-between visit to check my cervix, and make sure that it was holding up to the now 1lb+ baby. This was also the first visit I went to by myself, as the hubs is happily working at his new teaching job (7th grade history!). Oh, an my regular peri was having her baby on this day, so I was seeing an associate of hers for the first time. I should have known something would go wrong, lol! Well, the ultrasound showed that my cervix had shortened from 3.0+cm to 2.2 over the course of two weeks. This was NOT a Good Thing. The doctor explained Incompetent Cervix to me (is that one of the stupidest sounding diagnoses, or what!?), and then she listed out my options– 1. I could have a progesterone shot (17P) and then go home on Modified Bed Rest for the next week, and then recheck to see how it was doing, or 2. I could have the 17P shot and go to the hospital to have a Cervical Cerclage placed to hold the cervix shut, and then still do the bed rest until the next week. I felt that I needed to research and weigh what was happening, so I opted for option one. Stan (the hubby) picked me up from the appointment, and I went home to Google and cry.  Research showed me that the cerclage needed to be put in before the 24th week, and that it had a decent success rate, so the next day I called the office and the scheduled the surgery for the next day.

The surgery involved an epidural, so I could have nothing by mouth for 8 hours prior– this led to spectacularly low blood sugar (61), and an early admission for me, so that they could get an IV and some dextrose into me. The epidural sucked (I’ve had one before this, and it sucked too), but the anesthesiologist was amazing (Dr. Dempsey for those in the Vegas area). The surgery was… interesting. I was on the operating table, with my legs in the stirrups,  and the table tilted back to a 45 degree angle.

Like this, but without the supportive boot, and of course, I was naked from the waist down…

My peri did the surgery, and she informed me that I had a “difficult cervix”– I would expect nothing less from my cervix. She ended up putting in two very thick stitches. Surgery went well. I had no contractions, and my amniotic sac remained intact– yay! I was able to get a sandwich in recovery and lots of apple juice, and about 3 hours later I could feel all of my parts and use the potty, so they let me go home. I was kept on modified bed rest and pelvic rest (read: No sex, and no orgasms. Yep, you read that right– no orgasms until after The Spawn makes his appearance). The doctor also switched me from the 17P injections to a vaginal progesterone  suppository that has been shown to lower cervical elasticity and help prolong the pregnancy.

Recovery went well, with very little pain and only a small amount of discharge. I’ll continue this saga with my next post…