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60% funnelling, 2.0 length, 1.5 with pressure

From: Kim (anonymous@obgyn.net)
Sat, 14 Oct 2000 08:47:42 -0500 (CDT)


At Fri, 13 Oct 2000, Kelly Shanahan, MD wrote: >
>At Fri, 13 Oct 2000, Kim wrote:
>>
>>I am now 24 weeks pregnant, cerclage since 13 weeks, previous preterm
>>delivery 23 weeks last year. I've been on Indocin since Monday and last
>>night went to labor and delivery with contractions. My cervix has
>>shortened from 3.75 after cerclage to 2.0 now or 1.5 with pressure. I
>>was sent home because the contractions are only a couple per hour and
>>only come when I am due for another dose of Indocin. My concern is that
>>last pregnancy I only lasted 9 days on Indocin until my fluid was very
>>low so I was taken off, contractions progressed the day after stopping
>>Indocin and I delivered a preemie who only survived 2 weeks. The stitch
>>is holding, and cervix is firm. Indocin seems to be the only drug that
>>stop me from contracting and I worry my days are numbered on it. Do you
>>think that my cervix could lengthen in the next couple of days and stop
>>funnelling, so that when I go off Indocin, labor could still be delayed?
>
>If you stop contracting, the funneling may well resolve (only to return
>when you contract)
>
>>If it doesn't and I continue to contract with continued cervical change
>>the stitch will be the only thing holding in the baby. How strong is
>>the stitch?
>
>Good -- but it won't work if you are in labor -- you will effece and
>dialte and the stitch will tear thru your cervix -- a cerclage is not
>designed to keep the cervix closed in preterm labor.
>
>have you been on Mag sufate (IV, in hte hospital)? a calcium channel
>blocker? terbutaline?
>
>Have you been tested for infection??

Yes I have been tested- No infection. My biggest concern is going off Indocin next week, I have had Indocin in 2 previous pregnancies and both lasted only 1 week until fluid was too low. Last years loss followed contractions that started the day after stopping Indocin. This is more of a case of PTL than IC isn't it and if thats the case, this cerclage will be history as the contractions increase. My cervix changes at every check. >>
>>Kim
>>
>>--
>>Kim
>>
>--
>M. Kelly Shanahan, MD, FACOG
>South Lake Tahoe, CA
>
>This information is for educational purposes only and does not construe a doctor-patient relationship. It does not replace the need for you to consult your own doctor.
>
>***private e-mails will be deleted without reading. Please respect my family time
>

--
Kim



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