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60% funnelling, 2.0 length, 1.5 with pressureFrom: 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
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