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Re: Questions regarding PTL vs Incompetent Cervix...For Claudia Twisdale RN

From: Claudia Twisdale RN (anonymous@obgyn.net)
Fri, 22 Jun 2001 15:50:37 -0500 (CDT)


If you are already dilated 3cm and only 21 weeks, and OB says cerclage, I would definitely do what he suggests

At Fri, 22 Jun 2001, anonymous@obgyn.net wrote: >
>Thanks for your quick response...I am a little confused...should I go
>for the combination of cerclage and bedrest or just try to make it with
>bedrest since it worked so well last time? Thanks!!!
>Jenifer
>At Fri, 22 Jun 2001, Claudia Twisdale RN wrote:
>>
>>With your history I would not think cerclage alone would be enough. You
>>are high risk for preterm labor, get some good books, and hang in there!
>>
>>At Fri, 22 Jun 2001, Jenifer wrote:
>>>
>>>I am 21 weeks and scheduled for a cerclage today at 5pm on the advice of
>>>my OB and a Perinatologist (both of whom I admire and trust) due to
>>>funneling. My cervix was originally 4cm and is now at 3cm in length. I
>>>have one son (1996)and had ten weeks of bedrest and terbuteline
>>>(sp?)when I was found to be dilated to 3cm at 26 weeks. I followed my
>>>bedrest therapy strictly and carried my son until 37 weeks. My doctor
>>>has no access to my previous records due to the fact that I was in the
>>>military and gave birth in Okinawa, Japan. I do know for a fact that
>>>when I was found to be dilated with my son, I was having contractions as
>>>they monitored me for over two hours. I have been told that despite the
>>>cerclage I will be on bedrest anyway. So I guess I am wondering if,
>>>since I will be on bedrest anyway, that wouldn't suffice as it worked so
>>>well previously. And also, what percentage of complications are seen
>>>with cerclage at 21 weeks? I have lost two pregnancies to miscarriage (8
>>>and 6 weeks) within the past year and would be distraught to lose
>>>another. Thanks for any answers you can provide.
>>>Regards,
>>>Jenifer




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