Re: Bicornuate uterus & twins

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Just because you needed a cerclage for a previous pregnancy doesn't mean you need one for subsequent pregnancies! Ditto for the bicornate uterus and cramping, though these things might make you more likely to have to have one, its not necessarily so. A bicornate uterus is just one that is shaped a little differently from the usual. Often times there is some adhesion that causes it to be more heart shaped and who knows, it could be even easier to carry the twins because there may be some separation between the two, almost as if they each have their own uterus, or at least half of it! :-)

It doesn't matter what shape your uterus is or that you needed a cerclage before because what matters is the current state of your cervix. If it remains tight and closed, no matter what the contractions or pain that you have, there is no worry that the babies will be delivered early. However, if you start to dialate or thin, etc, then your doctor may want to do another cerclage. And they want to see you every four weeks to be sure that you don't start to do just that and if you do, then they will do the cerclage. Don't fix what ain't broke! I wish I could help ease your worries. One thing is for certain that it is known the more you worry the more the pain hurts! So try to relax. Congrats on the twins!

Mars (edd#1 2/10/00)

At Sat, 10 Jul 1999, Nicole wrote: >
>I'm 15 weeks pregnant with children # 2 & 3 and have a bicornuate uteus
>which caused me many problems in my first pregnancy. In my last
>pregnancy my OB and Perinatologist both agreed that I should have a
>cervical cerclage to help prevent miscarriage. I had preterm
>contractions from about 24 weeks, but was able to hold labor off until
>38 weeks, only busting one of the two stitches. That was just one baby
>that gave me so many problems. Now I'm carrying twins and the pain and
>cramping seem to be doubled if not more, but I have two new doctors who
>both agree that there is no need for the cerclage. The just want to do
level II ultrasounds ever 4 weeks or so to watch the cervix. Does this> >sound right to you? I'm just having trouble thinking straight between
>the pain, which keeps me up at night, and the fact that I've met two
>people pregnant with twins, one already lost them and the second is on
>bed rest after losing twins less than a year ago. I'm just having
>trouble putting my mind at ease and it seems the more research I do the
>more reasons I have to be concerned. Help please.
>Nicole

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