Category Archives: Incompetent cervix

22 week ultrasound…

So my cervix measured longer at 3.8 to 4 this time! Thank goodness.

I’m beginning to realize my anxiety about appointments is contributing to my symptoms and seems to increase my Braxton Hicks contractions and cramping. Apparently I need to do a better job relaxing in general. I am ok until a few days before the appointment and then I start to let the anxiety take over. Any suggestions?

Next step is a another cervix check at 24 weeks and the gestational diabetes test. Yay! And the ever so exciting viability at 24 weeks (which I hope to goodness I don’t have anything close to a 24 weeker)!!

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20 week ultrasound

So in my true blogging form I am late to the game once again. My 20 week ultrasound was a week and a half ago and I’m happy to report that everything looks within normal limits with the baby! He is measuring on track with dates so far, which is a huge relief. And we confirmed that he actually is a he.

My cervix is measuring 3.2cm which is still in the reassuring range, but of course I’m concerned that it’s been shortening every two weeks. I started in the 5cm range, down to 4cm and now closer to 3cm. I held steady around 4cm for my last pregnancy. Hopefully my cervix check this week will show no change and I can stop worrying about it (yeah right, I am a huge worrier).

Next up is my last cervix check at 22 weeks, and then I will have a growth scan around the 30 week mark. With baby A, the growth scan at 30 weeks was where the IUGR was diagnosed so I’m hoping that history doesn’t repeat itself.

I’ve been feeling movement since 15 weeks but over the last week it’s become very frequent and it’s getting stronger. I even saw a kick through my belly the other night. My husband has been able to feel him this past week as well, which has been great for bonding.

My Braxton hicks contractions have been increasing in frequency over the past week as well. I hate that I feel them so early. I’m always concerned they are going to turn into preterm labor. I’ve also had some period-like pain that I’ve been attributing to round ligament pain (this has been my norm for weeks). It’s been way worse this pregnancy but luckily it’s only severe for 10-15 mins before subsiding.

I finally started telling people at work, and it’s certainly time because I cannot hide I anymore. Hilariously enough I have a co-worker who is due 2 days before me! She also waited until the 20 week mark to say anything. I know she and her husband had a hard time conceiving (although I don’t know the details) so I am super ecstatic for her! Sadly, I have another co-worker who is currently experiencing her third miscarriage in a year. She had a late miscarriage at 18 weeks where her water just broke out of nowhere, followed by two first trimester miscarriages. I’m so sad for her and I did my best to offer her support yesterday when she told me (I disclosed my five miscarriages to her) but I’m still unsure how much support she wants from the pregnant girl so I’ll just keep checking in.

In other news, we are potty training A. She is still in diapers for naps and nights but she’s doing great otherwise. She still poops in her diaper but has also pooped in the potty several times as well. I initially didn’t want to bribe but my husband started giving her 3 chocolate chips if she poops in the potty and that has helped immensely. She doesn’t need any bribing for pee. We had one day this week where she peed herself FIVE times in an afternoon and I though we had completely regressed, but it’s now been almost 4 days and no accidents since then. She is also doing great at daycare using the potty. I hope it keeps going well.

Wishing everyone all the best in the new year!

16 weeks and the cervix checks begin…

I had my 16 week appointment yesterday and everything looks good so far! My cervix is measuring 5.15cm which is fabulous. Thank goodness! (Side note, I went in around 14 weeks for intense pelvic pressure and my cervix measured 3.2cm so I am very happy with the longer measurement). My uterus is also measuring on track for 16 weeks.

I asked if she could try and estimate the baby’s gestational age and he is measuring right at 16 weeks 3 days, so perfect growth. I am super concerned about IUGR after last time. It didn’t show up until sometime between my 20 week ultrasound and my growth scan around 28-29 weeks. So I’m reassured that things are fine now but not entirely convinced it won’t happen again. Baby A was somewhere in the 30th percentile at 20 weeks and <3rd percentile at the growth scan so we shall see.

I’m still taking the vaginal progesterone twice a day which is messy and not my favorite thing but I have no interest in seeing what happens if I stop. I took it though the entire pregnancy last time and will be doing the same this time. The new pack of pills are red, which is lovely because it looks like blood when it comes out. I was reading about this on google and someone pointed out that if it was real blood, it would turn brownish on your pad, while the red progesterone stays a bright red. That was extremely comforting and so far only bright on the pads!

I’m also still on the baby aspirin. I’m not sure when I will stop that. Last time I stopped at 28 weeks. I have my doubts that the aspirin actually helped the blood flow later in pregnancy because of when A was diagnosed with IUGR relative to when I stopped the aspirin. We shall see.

I’ve been feeling flutters since 15 weeks which is amazing! I never had flutters with baby A because of my anterior placenta. Only pokes. This time my placenta is partially anterior so better for movement. I’ve also been having some intense round ligament pain. Feels like really bad period cramps only on the right side (the side my uterus is on). It’s not daily thank goodness but several times a week. Very uncomfortable. Otherwise feeling good!

Lastly I’ve already put on 12 pounds so not good! I blame the holidays and needing to eat when I felt crappy. Hopefully it gets a bit better now that I’m feeling better. But I really have to watch it.

Hope everyone is well!

My First Trip to L&D and the Anatomy Scan

Last weekend my husband I were out of town visiting my grandparents and I began experiencing some intense on and off pelvic pressure. Finally after enduring it for about 24 hours, I decided to go to the ER for some reassurance. I was hoping it was nothing serious but with my cervix risk factors I just wanted to be sure. Plus there was no way I could enjoy the rest of my trip with this fear weighting on me. 

Apparently in Southern California you go to L&D anytime after 16 weeks so the triage RN in thr ER sent me up there (here in Northern California it’s anytime after 20 weeks). I was put into a monitoring room almost immediately and gave a urine sample, which was negative for a UTI. Then the RN put the contraction monitor on me. I was not having any contractions. The OB did a cervix check and a vaginal ultrasound to check the cervical length. Thankfully it was closed and measuring at 4cm. She could tell from the pelvic exam that I had a yeast infection…joy! I haven’t had one of those in YEARS! I am taking 7 days of Monistat cream, and the abdominal pressure and other symptoms were gone within a day. 

It’s funny but I’m glad something wasn’t right because I didn’t want to seem like I’m overly paranoid. My husband reminded me that I’m usually  in-tune with my body and I know when something isn’t right. I’m so glad he was there with me. So I think I need to get over those paranoid feelings and go with my instincts!

Now onto my anatomy scan, which I had today at 19w5d. Surprisingly I was not super nervous about it until yesterday. I had a little bit of insomnia and a nightmare that we were running late to the exam. The exam itself took about an hour and I had to pee so badly by the end. There was no extra monitor for me to watch so I used a hand mirror to see the scan, which put my arm to sleep! Also, I specifically requested a vaginl measurement of my cervix for consistency, and I think the tech thought I was a little crazy. It was a little bit hard knowing the technician couldn’t tell us anything and we would have to wait for the radiologist to read the report and then for my OB to email the results. We did not get any vibes of something being wrong, although she spent a lot of time on the heart, and the scan of the face looked like the baby was missing her left eye. Fortunately we got the results within two hours of the scan being completed!

The scan results were great, thank goodness! Little girl is measuring in the 37th percentile (I’m super worries about IUGR with my unicornuate uterus as that is a potential complication) so that number is important to me. Otherwise she was within normal limits for everything (and still a girl). She was moving a TON and I felt none of it…come to find out I have an anterior right placenta so that is probably why I feel no movement. I have been feeling some kicks/flicks since 16 weeks, and they are more frequent and harder over the past few days and fairly high (just below belly button) or in the center just about half-way above my pubic bone. The placenta location is probably why I feel her kicks but not her wriggling. She’s head down so fingers crossed she stays that way (another fun unicornuate uterus thing is babies run out of room to turn as they get bigger, thus I have an increased risk of c/s). Cervix is nice and long/closed at 4cm thank goodness. 

I told my husband I will try to finally start relaxing now that all looks good. Hopefully I will be able to. We have started cleaning out our room, and creating a baby registry. It’s getting so much more real. Next milestone is my 22 week cervix check, and then viability at 24 weeks. It is a little surreal that I’m at the half way point (although realistically I will deliver early so I’ve already past half-way). 

Hope everyone is doing well.

A Cervix Check, A Mini Gender Reveal, and A DopplerĀ 

I had my 18 week (at 17w5d) cervix check today and all looks well. My OB is not great at the checks so she came in with another doctor. The average length was 3.4cm (my doctor got 2 lower lengths around 2.9 and the other doctor got two over 4cm so I’ll take it). 

After they were done I got to see the baby! He/she is so big now and was moving all over the place, but I couldn’t feel any of it. I do think I’ve felt a few light kicks over the past 10 days but I have no idea what I’m suppose to be feeling so who knows! They feel like someone is flicking my lower pelvic area, or kind of what I would imagine popcorn popping inside me to feel like (a strange visual, that’s for sure). She was able to tell if it’s a boy or girl, so I had her write it on a card and put it in an envelope. 

I then headed over to Car.ter’s and picked out a boy and girl outfit, my first baby purchase. I left both outfits, the envelope, a box, ribbon, ultrasound pictures, and cash at the register. The woman and man working were so excited to ring it up for me in secret (I left the store) and wrap everything up in the box. My husband and I will open it tonight and finally know what we are having! I could totally wait until the delivery but my husband is dying to know and after everything we’ve been through I think it’ll help me bond better with the baby. I’m guessing it’s a girl!

  
 We have our anatomy scan in 2 weeks and another cervix check in a month. It’s really flying by and I’m forgetting to stop worrying and just enjoy being pregnant. In other news I bought a Doppler and I certainly have an opinion on it! I first used it at 16w3d and after watching a fantastic video highlighting all the sounds I may hear (http://www.babybeat.com/doppler-sounds.html), I found it fairly easily! Then I used it again at 16w5d and 16w6d and only found it both days very briefly, no matter how hard I tried. It scared me and I was wondering if it was really the heartbeat or if I was totally wrong. I then tried again at 17w1d and found it right away, and my husband tried at 17w3d and also found it on his own (with a little coaching from me).

So my conclusion is that if you’re going to buy one, you should wait until later in your pregnancy to start using it to maximize your chances of quickly finding it and not freak yourself out. If your OB will let you come in for heartbeat checks and reassurance scans, do that instead of getting a Doppler. Also, if you panic easily, don’t get one. It causes a lot of anxiety that you may not be able to handle. But to each his/her own, this is totally my opinion.

Hope everyone us doing well. I’ll update soon to give you the gender result (which is a big deal for me as I am not a very regular blogger)! 

Cervix checks have begun and a few thoughts on Mother’s Day and death…

I had my 16 week appointment last Thursday (at 15w5d) and I got to have another vaginal ultrasound to check the length of my cervix. One of the more common complications of women with a unicornuate uterus is incompetent cervix. Because of that, I will be having cervix checks every two weeks from 16 until 24 weeks. 

My OB warned me before the scan that she is not the best at cervix measurements, and she ended up grabbing another OB to help her (I really appreciated the honesty). They took an average of three measurements and came up with 3.75cm. For someone with risk factors (like me), they start to worry at anything less than 2.5cm. So far so good! Fingers crossed this continues to be a non-issue. 

The baby is getting so big! It’s really crazy to see the growth progression since I have had soooo many ultrasounds. I also finally bought a Doppler to check the heartbeat at home. I’m just in need of a little extra reassurance and I feel like now that I’m this far along I shouldn’t have a hard time finding the heart beat (famous last words….). I’ll let you all know how it goes once it arrives. 

I also want to say a little something about Mother’s Day. To every women out there trying for their little miracle, you are a mother and I respect and admire you with all my being. To those mothers who have suffered pregnancy loss at any stage, my heart goes out to you. And to those mothers who have lost their baby or child too soon, I send you so much love. Life is not fair, and we are all mothers, no matter where we are in our journey. 

Today at work, a mother and father lost their little one. It’s a painful reminder that there are no guarantees in life, and I am honored to have cared for their baby. My heart is heavy for their family tonight.