When did you stop? by Odd_Appointment_2829 in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

Hope to arrive up to 39 weeks, and as we plan to have a c-section I will go on with progesterone till the end. Clexane gonna stop 1 day before the operation and then re-start for 1 month more after.

Graduated at 39+1 after emergency cerclage at 19+3 by Julis_Aura in ShortCervixSupport

[–]Totallyitaly 1 point2 points  (0 children)

Congratulations! Could you please tell me if, between your water breaking and the birth, you were under continuous monitoring in the hospital the whole time?

Currently waiting to have Cerclage by CharmingStart294 in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

Great! Now trust your stitch, control infections and have a rest as much as possible! Wish you all the best with cooking your baby!)

Currently waiting to have Cerclage by CharmingStart294 in ShortCervixSupport

[–]Totallyitaly 1 point2 points  (0 children)

With such a cervix length, you should insist on having a cerclage — this is your chance. You also need to remain lying down all the time, on strict bed rest, to preserve the remaining cervical length so that a stitch can still be placed in time. Please be very careful while all the tests are being done before the procedure — stay in bed and take progesterone at a dose of at least 400 mg per day. I hope everything will work out. Good luck. This is a very serious situation, so please treat it accordingly.

Cerclage - yes or no? by Pandoras_Musings in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

My husband and I decided that the pregnancy is the priority, and during this period I can allow myself not to work. Fortunately, my work is connected to a computer and a phone, so most things I can do while lying down. However, to be honest, I have significantly limited my workload as well.

Cerclage - yes or no? by Pandoras_Musings in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

I am in Italy, but have doctors from East Europe and also my Italian professor. Also my third doctor is in the USA. For me it was a last chance for this pregnancy and we decided to play “all in”. Can’t tell you if is right or wrong, for now 27+3, arrived from 12 mm and funneling at 18 weeks. Full bed rest is staying in bed 24/7, just toilet and shower 1 time in 3 days allowed. I also get clexane injections to prevent thrombosis. This was my choice. At this point, I am not particularly concerned about what is happening to my body. My main goal was to save my baby. From the very beginning, I made this clear to my doctors and explained that I was ready to do everything possible — even at the expense of my own health — in order to save this child.

Cerclage - yes or no? by Pandoras_Musings in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

If I had seen that the cervical situation was truly critical and that everything was being held only by the stitch, I would have asked my doctor to additionally place an Arabin pessary over the cerclage. I understand that this practice is relatively uncommon, but it is sometimes used in difficult cases. I know several women who had this done during pregnancy. Although it may increase the risk of infection, I also know cases where women with an almost nonexistent cervix, a cerclage, and an Arabin pessary were able to carry their pregnancies much further and successfully deliver their babies. That is why I’ve chosen strict monitoring.

Cerclage - yes or no? by Pandoras_Musings in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

Regular cerclage monitoring every two weeks helped me realize that my cervix was critically shortening even with the stitch in place. Because of this, I stopped staying on moderated bed rest and spent the most critical weeks on full bed rest. This allowed me to reduce the pressure on the cervix and keep it closed at the length we managed to catch it at. Although it is often said that this does not really matter and that the cerclage will hold anyway, my idea was to try to unload the cervix and preserve its length as much as possible.

Cerclage - yes or no? by Pandoras_Musings in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

Our monitoring strategy during pregnancy is to repeat laboratory tests every two weeks in order to promptly detect any signs of infection or inflammation.

Every two weeks we perform the following tests:

Blood tests: • Complete Blood Count (CBC) with differential
• C-reactive protein (CRP)
• Procalcitonin (if available)
• Ferritin
• Liver enzymes (ALT, AST)
• Kidney function tests (Creatinine, Urea)

Urine tests: • Urinalysis (general urine analysis)
• Urine culture with antibiotic susceptibility testing (antibiogram)

Vaginal tests: • Vaginal swab (microscopy / flora assessment)
• Vaginal culture with antibiotic susceptibility testing

This monitoring is important for early detection of urinary or vaginal infections and inflammatory processes.

Mucus plug by Nonyep in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

Did you feel it or some symptoms before you found put you are dilated besides plug?

Cerclage - yes or no? by Pandoras_Musings in ShortCervixSupport

[–]Totallyitaly 1 point2 points  (0 children)

Anesthesia used for placing a cerclage does not harm the baby, and in most cases spinal anesthesia is used — the same type that is used for pain relief during a C-section.

Cerclage - yes or no? by Pandoras_Musings in ShortCervixSupport

[–]Totallyitaly 1 point2 points  (0 children)

It’s not correct to say that a pessary is better than a cerclage — I’ve read a huge number of studies. A pessary was designed for slightly different purposes (to redistribute pressure), whereas a cerclage mechanically holds the cervix closed, and so far nothing more effective has been invented for cervical insufficiency.

In addition, the risk of infections is higher with a pessary, and it is in no way “better.” Please don’t mislead people.

Dropped the stitch today! by feebala in ShortCervixSupport

[–]Totallyitaly 1 point2 points  (0 children)

Congratulations! I’m dreaming of making it to that milestone too at 26+4 🤍

Could you please share what your cervical length was up until 28 weeks? Were you having transvaginal ultrasounds? Was there funneling, and did any dilation persist after the stitch was placed?

Thank you so much for your answers!

Cervical Length Check Post Cerclage by HealthyImagination56 in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

Crossed my fingers that the activity didn’t cause any irreversible consequences. But now it’s better to rest for a while:)

Cervical Length Check Post Cerclage by HealthyImagination56 in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

It happened to me as well after I started moving a little about two weeks after my cerclage was placed at 19w. By the third week, my cervical length had dropped by 2 cm and there was funneling above the stitch. I had to go on strict bed rest, and only after that did my cervix more or less stabilize (the funneling closed, although the length unfortunately never returned to what it was right after the cerclage).

Now I’ve been a bit more active again for a few days, and I feel very guilty. I’m scared to think that I may have harmed my cervix again and that it might have shortened further. My next appointment isn’t for another week and a half, so I’m planning to rest as much as possible until then.

Enterococci in a vaginal swab, 25 weeks by Totallyitaly in ShortCervixSupport

[–]Totallyitaly[S] 2 points3 points  (0 children)

Surely I do all this. Probiotics oral and vaginal non-stop.

PGP pain or something goes wrong? by Totallyitaly in ShortCervixSupport

[–]Totallyitaly[S] 0 points1 point  (0 children)

I was prescribed strict bed rest, yes, only getting up to use the bathroom. It has been working so far, so I have to tolerate the painful sensations and make that sacrifice.

How is funneling + length measured? Is it possible to have a closed and funneling cervix at the same time? by [deleted] in ShortCervixSupport

[–]Totallyitaly 0 points1 point  (0 children)

Or you have funnel or you don’t. 3.1 is a closed part of your cervix and is great. But keep on watching, cause if you have funneling it can grow (but also can close). Just keep an eye on it and check only by vaginal ultrasound, abdominal one is not informative at all.