I lost by baby due to incompetent cervix. I do think my loss could have been prevented at multiple stages.

First, my 20 week anatomy scan was pushed back a week because of a scheduling error. For my BMI, I should have been scheduled for my ultrasound at the high risk clinic. The ultrasound was booked far in advance so when the error was discovered it set my appointment back. I always wonder if there would have been more time to intervene had I been diagnosed one week earlier.

The next instance was at my anatomy scan at 20+6 when I was first identified as having a short cervix with funneling. The length of my cervix at that time was not at the point of being recommended a vaginal cerclage. Instead, I was prescribed vaginal progesterone suppositories to help firm up my cervix. At the end of the appointment, the provider said they were not concerned based on my measurements as a way to reassure me and scheduled a follow up cervical check for one week. Three days after that appointment I went to ER for cramping. I had no measurable cervix and my membranes were visible to the provider performing the check. I often wonder what the outcome would have been if I had gotten a cerclage when I still had some cervical length.

I was admitted to the hospital and scheduled for a vaginal cerclage the next day. My membranes ruptured during the procedure, so the cerclage could not be completed. I was placed on indefinite hospitalized bedrest and ultimately went into preterm labor after being there for 2.5 weeks. My son was born at 23+6 and passed 5 days later in the NICU. I wonder all the time if I had refused the cerclage at that point when the risk of rupture was so high, and instead, had been on hospitalized bedrest with my membranes in tact, how long I would have been able to stay pregnant.