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Re: 32 weeks, bicornuate, 50% effaced and 1 cm dialated........

From: William F. von Almen, II, MD (anonymous@obgyn.net)
Sat, 18 Dec 1999 13:44:56 -0600 (CST)


At Sat, 18 Dec 1999, Sela wrote: >
>I have a bicornuate uterus and am carrying in my left horn. I have been
>50% effaced since my 27 week appt. At my 30 week appt, I was still 50%,
>my cervix was soft and I was 1 cm dialated. I have an irritable uterus
>and experience lots of braxton hicks. I have been off work since 12/8
>and I am not having as many cramps and braxton hicks. Am I more than
>likely to deliver early? (I know that women with bicornuate uteri
>usually do, but I'm feeling so good....I can't help but hope I will make
>it to term!) My midwife didn't check my cervix at my last appt because
>my symptoms have very much decreased. (Was hospitalized twice with
>irritability) I was having 6-7 contractions in an hour but now have
>about 4-5. I have had 2 miscarriages prior to this pregnancy and am
>happy to have made it this far!!!

Sela Congratulations on making it this far. Yes, you are more prone to deliver early as your uterus is smaller (one horn instead of two horns fused into a 'uterus'). I agree that bedrest is the minimum you should do at this time. We know this can prolong pregnancies. Other healthcare professionals might try you on tocolytics (uterine relaxants). Just remember that womb rent is much cheaper than NICU rent. Good Luck to you,

--
William F. von Almen, II, MD, FACOG
Editorial Board, OB/GYN.NET Pregnancy and Birth
New Orleans, La.

The above comments are for educational purposes only.




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