nspear

messing with your cervix too much can cause IC and promotes infection.. so they don't like to do that unless there is a good reason.

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VivC

A manual check can miss IC, so they'd have to do transvaginal U/S to look for IC. It all comes down to money - the doctor would have to add time onto the appointment to do the U/S, then they'd have to charge the insurance company. And all docs don't have U/S machines sensitive enough to catch minor IC. Even without a history of IC, I tell every pregnant woman to insist on an U/S at 13 weeks (your "baseline"), then at 17, 19, 20 and 22 weeks.

If a doc blows off your concern, they're not worth going back to, IMO.

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LaurAnnHere

Getting a transvaginal u/s is no more dangerous than having sex, which women are allowed (and regularly encouraged to have) during their entire pregnancy. If the cervix is normal then this test will have no effect on the cervix at all. If you do have an incompetent cervix, your cervix should be left alone as much as possible, but without the checks you couldn't know that in a first pregnancy. The checks might aggrivate the cervix a little more but would allow the OB to catch IC in it's earliest stages (funnelling) when a rescue cerclage would likely be most effective and less likely to cause PROM and infection.

sunflower20

Hi,
I'm 13w5d pregnant and worried about IC.I do not have any risk factors othr than hormonal imbalance PCOS.I hd my 2nd OB/Gyn appt today and I asked her if she will check for the cervix length.....she laughed and said its done only in week 36 or if i have PTL....Can u believe she said that!!she didn't even do a manual check.I dont know what to do.I'm thinking about changing docs but I donno how that doc will be.Any advice?

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LaurAnnHere

That's a pretty normal reaction, actually. It seems that they classify IC as extremely rare (though I beg to differ) and many OB's believe that even if you do have it that there is little to nothing to be done to prevent it. There's much debate about the effectiveness of cerclages vs. bedrest. I think it's insane, myself. But that's life experience vs. medical school. Go figure. You have to push hard for those transvaginal u/s.

VivC

Exactly what Laurann said. And, frankly, if your doc is LAUGHING at your concern, I'd say her beside manner sucks and that alone warrants a different doc!

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Day-n-Night

Ya know the other day at my most recent cervical length ultrasound I had two techs there doing it. Two techs because the regular tech I always have was going to be on vacation for my next check and she needed to teach my non-regular tech how to measure my cervix since I am early in pregnancy (18 w).

They stated to me that I am the only patient they have ever done cerv. length checks on earlier than 36 weeks. I was shocked to hear that. Though the place I get my checks done at is in a small town they are quite famous for their technology, so to hear Im their first patient under 36 weeks really wowed me.

Though in all honestly as surprised as I was I did not doubt it because as I believe Laurann said IC is commonly dismissed pre-disaster and even post-disaster so they don't bother checking
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If you want a check for peace of mind and a doctor will not abide by the simple request I would start doctor fishing. Its just to quick and easy to do and can be done moments after a regular u/s. It takes only minutes to do.

I will never understand how everyone is tested for gestational diabetes regardless of who what when why and where yet women are denied IC checks
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The only thing I can dream up about why this is ..is that IC takes "fetal life" and GD could take "womans life"...

Maybe if doctors stopped seeing babies as fetuses and instead seen them for who they are, living babies.. things would change
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GabrielsMom

You hit the nail on the head right there. That is the problem.

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Rebecca's Mom

day n night that is a problem makes you feel like your baby is not important, They don't think its a big deal- they don't care if our babies die they havent delt with it, it hurts cause they think we are hyper conderacks they bite.....

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VivC

My peri used to be a "regular" OB. His wife lost a baby to IC, and he went back to school so he could learn more about how to prevent it (he also does genetics now, too). This was over 20 years ago, before regular OBs knew much about IC. Unfortunately, their marriage didn't survive. He said that they're still friends, and both remarried to other people.

I know that his loss makes him work so much harder for babies, KWIM?

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Rebecca's Mom

thats awesome viv

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Coastal

I just wanted to say something about trans-vag u/s vs. trans-abdominal u/s.........

at 20 wks I had signs on PTL so I went to L&D and they measured my cervix using trans-abd and the measurement came out to be 3.7 cm, which is just slightly short... but I got put on all the necessary limitations, etc.

at 27 wks, I had regular contractions (5 mins apart for over 2 hrs) so I went to L&D and the doc there (different city) did a trans-vag. She was shocked that anyone would even consider measurements from a trans-abd as accurate. When she measured me, my cervix measured nearly 5 cm.

So basically, I lived the past 8 weeks in fear that my cervix was going to thin and give out on me, with unnecessary restrictions, when it was really above average length. I know cervixes can lengthen over time, but the OB who did the trans-vag was really upset that no one had done one before. My old OB's reason for not doing a trans-vag?... his wand was broken and didn't want to pay full price for a new one, so he has spent the past seven months "negotiating" instead of just sending me somewhere where they had the capabilities.

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nspear

Well.. u/s went good.. everything looked great with the little bean.. however, they are sending me to the peri.. One for my past history and two because my cervix was only 3.6 soooo... they are going to be watching not only for PROM this time but IC as well.. I will be getting the P17 injections for sure.. but I guess they are now limiting cerclages and treating IC with the P17 as well.. and only doing resuce cerclages as needed... so we will see what the peri says.. not sure when that appt is.. they are suppose to call me with the date.

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Kaelyn Briana 12/26/07


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VivC

If you suspect IC, demand a cerclage. I know two cysters who participated in the "trials" of 17P vs cerclage...both received the 17P, and both lost their babies. A rescue cerclage may come too late to save a baby, and a preventative cerclage is far less risky - they're 95% successful! There's honestly no reason NOT to do one if IC is suspected.

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Dominici

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sweetums

What are 17P shots and what do they do? Is this something I should be demanding with my next pregnancy? When do you start them? Since it seems the loss of my boys was a combination of preterm labor and IC and other problems after the labor and delivery, I'm wondering if this is something I should have? I'm wanting to have a complete plan of action ready so that the next time I get pregnant, that I'm backed up with the plan and don't have to fight tooth and nail for things like I had to try to do with my boys. I want to be as informed as possible.

Manders

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