|
Re: Cerclages and Premature Labor
From: anonymous@obgyn.net
Thu, 25 May 2000 13:01:28 -0500 (CDT)
Hi Mary
Not that this is going to help make your decsion any easier because it
is a tough one to evaluate. I have had 5 cerclages myself and I had one
of the cerclages placed after a tear was found. That cerclage did fail
me, but then we placed another cerclage after the failure and it held
okay. I guess it's possible that you can have a tear and go on to have
a successful cerclage experience and I think it all depends on how bad
the tear is. My Dr told me mine was very tiny and should not be much of
a concern and then had the failure. I also think you can speak with
your Dr and evaluate the type of cerclage that can be used and whether
one type or the other would be better in your situation. My Dr has a
personal preference on what type he uses,your Dr may too.
Take care
Jas
At Wed, 24 May 2000, Mary wrote:
>
>I am a DES daughter. After one FT pregnancy, one miscarriage at 8
>weeks, and a premature birth at 23 weeks that ended in the baby's death,
>I was diagnosed with incompetent cervix. During my next pregnancy, a
>cerclage was placed at 12 weeks; my water broke at 34 weeks and I
>delivered that baby successfully the next day. Twelve years later, I
>became pregnant again and had a cerclage placed at 12 weeks and was
>placed on a home uterine monitor - I was able to carry that baby to 39
>weeks. Fifteen months later at age 40, I became pregnant again and had
>a cerclage placed at 13 weeks. This time I had some clear mucousy
>vaginal discharge at 24 weeks and upon being checked, was discovered to
>be dilated to 2 cm. with the bag of waters protruding - my OB
>immediately sent me by car to a major medical center about 100 miles
>away. By the time I got there, I was dilated to 4, and still not
>feeling any contractions for sure. I was placed on mag sulfate and bed
>rest in the trendelenburg position. After 2 days, the mag sulfate was
>discontinued. On the fourth day, I began bleeding and having back pain,
>and was discoverd to be dilated to 6; I delivered the next day. The
>doctors were not able to say why this happened - whether it was a
>cerclage failure, preterm labor, or both. Because the doctors were
>trying to delay delivery as long as possible, they did not remove the
>cerclage, but instead allowed it to tear and later repaired it. My
>regular OB says my cervix now looks pretty bad.
>
>I would really like to have one more child, but am wondering if it would
>be wise to attempt it given my age and history. Does having had
>cervical tearing make it more likely that a future cerclage will fail?
>Also, are there any good articles on causes and prevention of preterm
>labor that you would recommend?
>
>Thanks very much,
>Mary
|
|
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)