Question on cervix length

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AK2663's picture
Joined: 09/03/08
Posts: 710
Question on cervix length

So I posted this on my Aug BB but only a couple ppl commented on it so I thought I'd post it here too Smile

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Does your cervix length have anything to do with dilation?

I have been having a ton more contraxs since my last peri appt and I go again Tuesday. I know they will ck my cervix length again (it was 3cm at 28wks last time, said it was ok but didn't want it shorter). Should I request a ck at my next ob appt on Thursday to see if they are doing anything and I need to chill out more?

I dilated early with DD last time (was having contrax with her at this point, went to l/d and was 2cm but they stopped them). I walked around 2cm, then 3cm, then finally 4 stretch to 5cm from 35-37 wks when my water broke.

I am a repeat c-sec and wasn't sure if they would ck me ahead of time bc of this, but I kinda would like to know if the contrax are doing anything so I can relax more if I need to.

zoe08's picture
Joined: 09/09/08
Posts: 665

I can't answer your question because I don't know anything about the cervix length/dilating, etc.

But I was wondering how your contractions are? I have been having them daily, especially in the evenings. Almost going into L&D a time or 2 because they were close and painful, but they finally spread and quit hurting after water and rest. I have been having them at least every evening for the past probably 3 weeks at least, but having contractions off and on since 16 weeks! But at my ultrasounds (last one was in May) they said my cervix was still long and closed.

I told my OB last appointment that I was having all these contractions and she just said if they are 8-10 minutes apart or closer and don't get better after eating/drinking/laying down for an hour to go into L&D even if they don't hurt because contractions that close together can cause your cervix to start to open and obviously this early they don't want that happening.

When is your c-section scheduled? I am scheduled for 39 weeks, but I didn't go early with Mason (I was scheduled for induction on my due date with him).

KittenChops's picture
Joined: 04/18/08
Posts: 201

Cervical length is different than dilation. They may or may not happen together before labor actually starts. Cervical length shortening is also called effacement.

From what I understand, 3cm is still pretty good. I think once you get to 2cm or less and you are not full term, that's when there is some concern about pre term labor. If you are not dilating, you're probably fine, but report any PTL symptoms to your doc right away, especially since you already have a history of it.

boilermaker's picture
Joined: 08/21/02
Posts: 1984

Yep-- what Riss said.

Are they giving you the option for a RCS or a VBAC? With the trouble you had with infection last time, I'm sure you are apprehensive about the section....

Kalee- if you are scheduled for 39 weeks, you can opt to not have that section until you go into labor or 40 weeks. Your body may take a full 40 weeks to prepare baby for the world (my body needs that long...) The longer you can leave baby in the better chance you have of not having any feeding/latch issues, as these are the last few things to develop. GL!

fudd8963's picture
Joined: 12/27/07
Posts: 1630

"boilermaker" wrote:

Yep-- what Riss said.

Are they giving you the option for a RCS or a VBAC? With the trouble you had with infection last time, I'm sure you are apprehensive about the section....

Kalee- if you are scheduled for 39 weeks, you can opt to not have that section until you go into labor or 40 weeks. Your body may take a full 40 weeks to prepare baby for the world (my body needs that long...) The longer you can leave baby in the better chance you have of not having any feeding/latch issues, as these are the last few things to develop. GL!

To the bolded, I saw this with the girls. They were 37 weeks, and while that is considered "full term" for twins (because they usually are pre-term) neither of them had the latch/suck action down. They would NOT latch and we actually had to get bottle with slightly too large nipples because they wouldn't even suck on the bottle. I would say it was about 3-4 weeks before they were really good at sucking... just the time they were "due"!

AK2663's picture
Joined: 09/03/08
Posts: 710

Thanks girls Smile This is pretty much what the ladies on my Aug board said. I haven't been checked for dilation yet, they just checked my cervical length and didn't even this time because he felt like it wasn't necessary now that I was further along and baby was fine. He told me the same thing that Kaylee's doc said about going in if I notice any pattern.

I guess I'm just nervous because with G I had zero pain with them and not even any real pattern, but I obviously dilated early. I also made it to 9cm with pitocin for 2 days only feeling bad period cramps in my back, but nothing I necessarily would have thought of as active labor pains until they broke my 2nd bag of water (then it was a WHOLE diff story lol). I just don't want to be having my baby in the toilet or car last minute hahaha

KAYLEE-I will be scheduling my c-section date on Thursday this week. I was supposed to my last two appt and kept forgetting on my way out because G was ready to get outta there!

AUDRA - I am actually quite nervous about this c-section. Last appt. I was actually crying to my ob because I am so nervous. Both he and the high risk doc have assured me they can see exactly why (In their opinion) I had such issues and feel that all will be avoided, or at least cautioned for this time. Some of my concerns and their assurances are:
Staples- Last time I had a bad allergic reaction to them....new ob says he always stitches bc he doesn't feel staples or glue or steri strips always hold the closure tight enough and tend to rupture more frequently.
Infection- Last time my incision ruptured due to a large infection....new doc says that I likely had such a bad infection (abscess under and on top of muscle) because my water was broken for 2 1/2 days before my section was done. Also, he feels it shouldn't have gotten so bad considering the first night I was home I developed a fever and my old doc never gave antibiotics until a wk later when it ruptured. He said if my water breaks ahead of scheduled day then I just go in and they will do the section right away. They are also considering giving me antibiotics just before just in case.

Large loss of blood- Since I was on pitocin for 2+ days my uterus refused to contract back and clamp during section causing enough blood loss that I passed out right after she came out and almost required transfusion....new doc says that hopefully the absence of pitocin will handle this problem, although they will be ready just in case it happens anyway.

Sorry this is like the longest post ever LOL!

AK2663's picture
Joined: 09/03/08
Posts: 710

oh and in terms of a VBAC- my state only has one hospital, about an hour and a half away, that will allow them....however no doctors in my state are willing to! The explanation I have received is that their insurance premiums are too high when they do VBACs.

zoe08's picture
Joined: 09/09/08
Posts: 665

I can see why you are nervous about the c-section. This is one of the reasons why I am choosing a repeat c-section though, because I feel much more comfortable with a planned c-section than an emergency c-section as a last resort. I think when it is done in an emergency especially after hours and hours of labor and waters already being broken, etc, it does make it much harder and more of a breeding ground for infection.

I am sure that you will have a much better experience with it this time, and I will be praying that you have a quick recovery!

boilermaker's picture
Joined: 08/21/02
Posts: 1984

((HUGS)) girls. I hate that women have their options limited. Makes me furious.

You can just request a section when you go into labor-- that way you know baby and your body are ready, and then they can section you. It isn't an "emergency" bc you typically have hours of labor-- kind of a compromise. GL!

zoe08's picture
Joined: 09/09/08
Posts: 665

I understand what you are saying Audra, but from my experience with Mason if I had waited until I went into labor, it may have been too late. Because I wasn't even "in" labor and his heartrate was dropping down into the 50s (twice within a couple hour time frame, first time was before I even had the cervadil placed, 2nd wasn't even half hour after I had the cervadil and they promptly removed it after that). I hate to think what would have happened had I actually waited until I went into labor.

I think everyone has different experiences which then determines what each person is comfortable with. Had Mason's heartrate been absolutely fine and not had his cord wrapped around his neck and I ended up in a c/s for a different reason, I might feel differently.

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