Cervical length

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Cervical length

Postby TrebleLily » Thu Oct 08, 2015 9:06 am

Do any of you ladies have experience with short cervical length issues? I'm concerned that I am at risk for preterm labor because of short cervical length. At my first scan (7w5d) I asked the ultrasound tech my cervical length and she measured it at 3.5cm. She told me anything between 3-6cm was normal and that mine didn't show any signs of effacement or opening. But since I did have a LEEP procedure (cut out some of my cervix that had abnormal cells) just this April, I am at higher risk. Also, doing more research online it seems like 3.5cm is very short for that early in pregnancy. Lots of places say that length isn't expected until at least 30weeks. They can do a procedure to essentially stitch the cervix shut to ensure it won't open and I'm really leaning towards wanting this done, but don't know if it will be an option yet. My next appointment is at 13 weeks, and I'm planning on asking about it all then. So trying to gather more info now! They originally said they weren't going to send me for another scan until 20weeks. But I read if I need the stitches, that it has to be done prior to 20 weeks! So I think I'm going to be pushing for an earlier ultrasound just to check on cervical length.

Anyway, sorry for the long post. Any of your insights or personal stories with cervical length or procedures related are welcomed please!
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Re: Cervical length

Postby 2Prttyme+3 » Fri Oct 09, 2015 5:00 am

This is pretty much why I'm high risk and why I will be having bi weekly ultrasounds at 16 weeks. To check cervical length. This early it's no big deal because baby is still tiny and is not causing the cervix to shorten. Unfortunately unless you've had a hx they usually don't just give a cerclage. I was on bedrest and vaginal progesterone as well as injections with dd1 then just injections with dd2 and this one. They will check the length at 20 weeks because that's when baby is large enough to note significant changes.

BTW, with dd1 and 2, my cervical length was in the 2cm range at 20-something weeks. As the pregnancy progresses and baby gets bigger it's naturally supposed to get shorter. My specialist wasn't too concerned because there was no funneling or rapid shortening. If it's gets to 1 cm and shorter in the 2nd trimester, I was told that was the alarm range
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Re: Cervical length

Postby TrebleLily » Fri Oct 09, 2015 8:18 am

Thanks for the reply! Hmm that sucks that unless you have a history of problems they won't do the cerclage. I guess I can understand it. But from what I've read, once you have a problem, it's kind of too late! Incompetent cervix means it's opened and baby is coming out, tough luck! I suppose I will just have to at least push for them to monitor me super closely. I would think that my LEEP procedure might count for something in deeming me more at risk. I'd really prefer to have the cerclage than be on bed rest for months! Ugh...
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Re: Cervical length

Postby 2Prttyme+3 » Sun Oct 11, 2015 4:32 am

I had a LEEP surgery done right after I had my first and even though I was pregnant with my second, I still didn't display any ptl or cervical issues until my 20 week scan showed a shortened length. Unfortunately, that is what happens. When it's too late. That God they caught mine, and I was able to start injections to try and strengthen and lengthen the cervix. They want to see if the cervix is actually opening AND shortening. Mine was shortneing, but still closed until my early 30s, which then I get steroids for babies lungs. I've been pretty much deemed having late pre term babies even though I take progesterone injections. If you can concerned, I'd DEFINITELY ask for more ultrasounds so they can at least monitor and if changes occur, they can be treated
Me: Nyesha 30
DH: Lj 31
DS: Dontè 8
DD1: Kylee 3
DD2: Aryanna 19 months, and 13 months of ebf! Gold Boobies
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Re: Cervical length

Postby Yelibaby » Fri Oct 16, 2015 12:30 pm

You don't need to have the cerclage don, you can just ask for close monitoring and any action deemed necessary thereupon. If your current doctor isn't willing to provide close monitoring, I would change. I have a friend who had part of her cervix removed, she was closely monitored and eventually required the insertion of a pressary (this was in Europe). She is currently 32 weeks pregnant and is expected to go full term.

It's certainly something to watch over but not something to be overly concerned unless there is an issue.

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Re: Cervical length

Postby TrebleLily » Sat Dec 19, 2015 9:47 am

Thought I would update this thread. I had my 20 week ultrasound Thursday and asked to get my cervix measured again. The tech told me it is "over the required 3cm. Probably about 3.5". So I'm very relieved! If it's the exact same length as it was at my 7w5d scan, then that seems good to me! Perhaps now I can relax and try to trust that I will not have an incompetent cervix.
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