Saturday, September 4, 2010

Incompetent

It's official: I have an incompetent cervix. This was diagnosed yesterday during an ultrasound that showed the inside of my cervix is opening. It's obviously not good news. TOIAW and I were pretty much shell-shocked and didn't really have the presence of mind to ask many questions. I am on complete bed rest with instructions to get up and be up as little as possible. The doctor went as far as to mention there have been no studies comparing bed rest patients who have showered daily and those who don't but he recommended I don't.

One of my first thoughts was, "How is this going to help? I'm practically on bed rest now since I'm still so sick. I don't do anything." Of course, after one evening of doing nothing I realized how much I was doing and, granted, it wasn't a staggering amount but I was up more than I thought I was. But she only weighs 4 ounces...how could she be putting pressure on my cervix? I'm so scared. Terrified, actually.

I go back Tuesday afternoon which is soon but he didn't have anything later in the week. I plan on asking a lot of questions then. Questions such as, my cervix is still long (3.3-3.5cm), does that mean anything? Can you do another cerclage stitch higher? Are the low pains and twinges I'm having likely cervical in nature? When do I panic? What are the things that would send me directly to the hospital?

The doctor told us bed rest is a theory and it certainly not proven but nothing is and once the cervix begins to open that's it, it's not going to close but hopefully we can prevent it from opening further. He said he wants to try to get me 4-5 weeks past where I was when I delivered Sarah. So far I've resisted Googling 'babies born at 28-29 weeks;' I just can't go there yet. And, to be honest, right now I'm wondering if we'll make it that far. I'm trying to stay calm but I'm so, so scared.

19 comments:

Mom of Three said...

praying for you. I have been reading your blog for a bit and have not commented before, but you are in my prayers.

N said...

Crap. Crap crap crap. Keeping you guys in my thoughts, and hoping beyond hope he can get you that far. I do have a friend who had her son at 27w, if you do start thinking that far ahead.

Much love and peace to you guys. ♥

AKD said...

I know a lot of doctors will do a second stitch if needed - I would definitely inquire about that. They can also do inverted hospital bed rest - basically, they jack your feet up in the air and give you a catheter. Not a ton of fun, I can't imagine, but I think it helps.

I am praying for you - please let me know if you have any, any questions about IC.

Soapchick said...

Oh Rachel, I'm so sorry to hear this news. However I was thinking the same thing that AKD suggested. Can you get an inverted bed so you have no pressure from gravity? Can you drink any vitamin drinks or milk or something that can speed her growth along? When can you start on steroids? Sorry for so many questions when you are still in shock. I just want someone to fix this for you. You are in my prayers Rach and although my prayers haven't done much lately, I'm begging God to hear me this time. Be strong, be calms, maybe get some meditation CDs and deep breathing CDs to help you get through this time.

rebecca said...

Oh Rachel I'm so sorry, how incredibly terrifying. The good news in all of this I would say is that they caught it and know what is going on, praying wisdom for your doctors and that they are able to give you the treatment you need to make it through. Praying that God grant you peace in an incredibly difficult time and bless with all you need to deliver this baby healthy long from now. Sending lots of love & prayers my friend.

Rachel said...

Oh no oh no oh no. Will be thinking of you and praying for you and your little one until he or she is safely delivered.

And do please let me know if there is any type of care package from NYC that would help pass the time in bed.

Vicki said...

Rachel, I am praying for you. I pray that your body hosts that little baby as long as it possibly can and that she is full of health and stregth as she grows. Stay strong. I really believe in positive thinking. There is a mantra you could try: Sing to her "Every little cell in my body is happy, every little cell in my body is well" over and over.

Michele said...

Hey Rachel... Keepinggravity off your cervix, even with a tad of inversion, can work wonders. I had a Shirodkar placed and, at 17w, funneled to the sitch and, at 20w, was dilating with the stitch in place. I was on strict bedrest even! But, inversion, bedpan (I know, it sucks), and strict bedrest kept Bobby and Maya in until 27w5d. It was terrifying, but they are fine and healthy. The success race is 90% at 28w and, of that 90%, 10% will have some sort of delay. The odds are great comparatively.

Feel free to email if you want to chat. Sending hugs and prayers.

Jennifer L said...

prayers, prayers, prayers for, the hubby and your sweet little girl.

Nick and Kristi said...

What your are going through is one of my fears...my cervix has been short from the start but all my miscarriages have been in first trimester so no cerclage for me just serial cervical checks....I am just 15wks now and cervix from the start has been between 3.1 and 3.6 but closed...I will def be thinking of you ad your hubby....Know you are doing all you can:)

The Gutsy Mom said...

Oh, Rachel. I will keep praying for you. I hope the appointment tomorrow answers many questions and calms some fears. Much love.

amy said...

Hi Rachel, just popped over from L&F because we're both on the bedrest list. I'm so sorry for what you're going through and I know how stressful it is (though I haven't had a loss, so I guess I really don't). I just wanted to say that my cervix has been shortening and funneling (I'm assuming that's what you mean?) for weeks and I'm on "moderate" bed rest (which I haven't really been able to follow since I'm alone with a 3yo old day and night) and I'm still here at 1.6. Oh, and I had a positive ffn last week. Sooo...hopefully that gives you some hope. Feel free to email me if you'd like to chat!

mrsmuelly said...

When we "discovered" my IC in my second pregnancy there was a bit of relief that washed over me. I guess it was because I had been worrying about any and everything before then. After the diagnosis, I just had one major thing to worry about. It definitely was still scary...but if there was a silver lining that was it.

I'm anxiously awaiting an update today. I've prayed for you guys and your doctors.

Navigating The Rapids said...

Just to let you know that I went into labor at 28 weeks. I was able to get steroids on board and delivered at 30 weeks. I was terrified at the time, but my OB told me the prognosis of babies born at 28 weeks was quite good. Girls tend to fair better than boys, and he was optimistic even then that she would be okay had she need to come out ASAP. I don't know if that's any comfort to you but I hope that helps.

sonja said...

I am SO so sorry you are dealing with this. I pray that you make it way beyond 28-29 weeks. I would like to offer some encouragement about 28 weekers. My quads were born at 28 weeks on the dot and are doing beautifully. No major issues whatsoever. They are even doing some things on par with their actual age (4 months) and everything on par with their adjusted age (1 month). Their brains are perfect, they came home with no monitors, no issues. I did receive 2 rounds of steroid shots (1 set at 24 weeks and one set 48 hrs before delivery) and the doctors said that is a huge reason they did so well (steroid shots protect the brain as well as lungs).

Obviously 28 weekers are not something you want and I will pray fervently that you go all the way to 40 weeks. But I just wanted you to know that 28 weekers do very, very well and it is unusual for them to have severe problems.

Also, my cervix shortened from 4cm to 1.9cm at 19w3d and I held out on strict bedrest (no cerclage) until 28 weeks. So just some further encouragement.

You're in my thoughts ... I am happy to talk to you further, feel free to email/comment.

LFCA

sonja said...

I should add that a cerclage would most likely let you hold out longer than I did, especially since I had 4 of them in there ...

Praying hard for you and your little one!

Soapchick said...

Rachel - I just thought of something. Is it too late to do a trans-abdominal cerclage to support the cerclage you already have? Reason I ask is another blog friend of mine had that done at 12 weeks with triplets and she made it to 32 weeks I think. It involves surgery, but it has better success rates than regular cerclages. I'm not sure if at 15-16 weeks it can still be done. If you want her information let me know. There are only a few doctors who perform it.

tonya said...

I was diagnosed with IC when I had my first child at 17 weeks. Four pregnancies later, I was pregnant with twins and had my first cerclage at 12 weeks and that went fine. On my 20 week ultrasound I had started dialiating. I was put in the hospital and was on modified bedrest(was hovering around 15). That helped for a while, but was not getting better. A month after being in the hospital, I had a 2nd cerclage which helped get me back averaging around 20 (still on modified bed rest). My girls were born at 28 weeks (strep b infection caused me to go into labor). The cerclage definitely helped me keep my babies in - I would just say if you have them, pay close attention to your body for any changes. The week I went into labor, I started having a low grade fever and increased discharge. I did tell my nurses, but I always wonder if we would have known I had strep b sooner, maybe I could have been given something to fight that off.

All that being said, my girls are doing great (they are now almost 4).

My prayers are with you!

MillieeJadee'x said...

Aaaww. that suckss. Have read your blog for a bit, hope you don't mind. It will be fine, dww <3