PREGNANCY-BIRTH Messages for October, 2000: Re: 60% funnelling, 2.0 length, 1.5 with pressure

Re: 60% funnelling, 2.0 length, 1.5 with pressure

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 14 Oct 2000 11:02:51 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: William F. von Almen, II, MD, FACOG: "Re: HBV Injections"
Previous message: William F. von Almen, II, MD, FACOG: "Re: A QUESTION CONCERNING BLEEDING WHILE PREGNANT"
In reply to: Kim: "60% funnelling, 2.0 length, 1.5 with pressure"

At Sat, 14 Oct 2000, Kim wrote: >
>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
>

Kim

I am not a perinatologist, but it may be time to change you from the indocin to another tocolytic agent. Fluid decrease is one of the problems with Indocin. Discuss this with your MD. Good Luck

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: HBV Injections"
Previous message: William F. von Almen, II, MD, FACOG: "Re: A QUESTION CONCERNING BLEEDING WHILE PREGNANT"
In reply to: Kim: "60% funnelling, 2.0 length, 1.5 with pressure"

use when must restrict search to only the pregnancy & birth forum...
Enter search keywords:
	Returns per screen: Require all keywords: