PREGNANCY-BIRTH Messages for December, 2000: Thanks! Re: Dr.'s, normal cervical length question?

Thanks! Re: Dr.'s, normal cervical length question?

From: Melissa

anonymous@obgyn.net

Sat, 30 Dec 2000 17:53:03 -0600 (CST)

Thank you so much for the advice and for the reassurance. I really do appreciate it.

-- Melissa

At Fri, 29 Dec 2000, Kelly Shanahan, MD wrote: > >At Fri, 29 Dec 2000, Melissa wrote: >> >>I am currently in my 23rd week of my second pregnancy. I delivered a >>baby girl at 24w4d in February due to chorioamnionitis. She is doing >>fantastic. > >congratulations -- you -- and she -- are very lucky! > >>This pregnancy was a bit of a surprise since we were using birth >>contorl, but we are happy nonetheless. I have been watched very closely >>by my perinatologist this pregnancy with regular endovag ultrasounds of >>the cervix to watch for any changes. My cervix has been measuring very >>well coming in at an 45-47mm routinely and then shortening a bit with >>fundal pressure and bearing down (Valsalva?). Yesterday I had my 23w2d >>ultrasound done and the cervix had shortened a bit down to 41-42mm and >>then down to 36-37mm bearing down. The peri did not become alarmed, but >>he said it was something to keep an eye on and I will see him again next >>week for another u/s. If there are significant changes next week he >>will take me off work, which is fine and he restricted me from exercise >>which is also not a big deal. The cervix also showed a little "beaking" >>as he called at the internal os. It was that way two weeks ago as well. >>He said it wasn't funneling but just a little tiny "bird's beak" it what >>is looked like on the ultrasound. It hadn't changed from two weeks ago. >>Anyway, my question is, at what length does it become very concerning? > >in general, a short cervix is <2.5 cm (25 mm) > >I >>know changes this early aren't good, but right now it is still fairly >>long. I am a little nervous about all this even though the peri told me >>not to be. >> >>Is there anything else I should be doing to avoid puting extra strain on >>the cervix and membranes? > >don't lift heavy objects, strain at stool, etc > >Also, is it a problem to carry my daughter for >>short distances just around the house? She weighs 14.5 pounds now. > >at this point, no. >> >>Thanks for you imput. I really appreciate it. >> >>-- >>Melissa >> >best of luck for a nice full term pregnancy this time around! > >-- >M. Kelly Shanahan, MD >S. Lake Tahoe, CA > >***all posts are archived and can be retrieved; keep this in mind when posting items of a personal nature. >***this is for educational purposes only and does not construe a doctor-patient relationship. You should always consult your own health care provider. >****private e-mails will not be answered! Please respect my (and all the other docs on the Forum) personal time. >

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