Monday, November 3, 2008

Incompetent Cervix.

So, now that my head has cleared and I'm coming out of the fog, I've been reviewing what took place in the 48hrs+ I was at the hospital. The one thing that stands out for me is something the Gyne said she came in to check me at around 4am.

I wonder if you have an incompetent cervix? It happened so fast, I'm wondering if this might be the cause.


My waters broke at 10pm, I'd been having what I thought were Braxton Hicks since around 6pm and at 7pm I had been able to get a really strong heartbeat from baby of 150-155. My waters breaking is also something that really kind of points in this direction, the weight of baby was essentially causing me to dilate and go into labour. Imagine, 4oz of baby able to open and dilate my cervix. I just can't comprehend that.

I did not really ask many questions at the time, I was not in the right frame of mind, but now that I'm home, feeling a bit better, I want answers that just a couple of days ago I did not think I'd ever have. I'm disappointed though that I do not remember what this Gyne/OB said her name was, I only remember what she looked like.

I have though obtained the number at PLC for chart management so that I can get a copy of my chart. Everyone that saw me while I was there and did any sort of thing to me should have made note on my chart and signed/initialed it. The next question is, how legible will it be? My discharge papers say to call Dr. Igras for a f/u in 4-6w but I have no memory of seeing her? My Dr. that I saw at 12am (times are clear to me bc they always seem to do stuff to me on the exact hour - blood withdraws, blood pressure checks) was Dr. Iwanicki, not Dr. Igras. So is Dr. Ig the 4am person? /sigh

The other frustrating part is that I had none of the previous 'symptoms/causes' that would have made my have an incompetent cervix. I have been told and through a bit more searching have learned that my first pregnancy could have caused the weakening.

What can I do? Well it can be detected in early pregnancy. They check your cervix (something not routinely done during pg bc it does not occur frequently, plus my Dr. had no reason to believe it was a problem for me, I was spotting brown, but that can be 'normal'). and if it's stretching, you then get to have a clerage done at 14-16w. Then at 36-38w they take out the stitches.

If you are diagnosed after a second trimester loss or prior to pregnancy it is suspected that you will have problems with the strength of your cervix, a cerclage (stitching the cervix closed) can be performed prophylactically at approximately 14-16 weeks. It is said that the earlier you have the cerclage performed the more likely the pregnancy is to continue.

So I guess what I'm getting to, is that whoever that Gyne was at 4am, she could very well have saved me many loses if I do indeed have an incompetent cervix. Somehow it makes me feel better to have what could be an answer.

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