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marie on "length of cervix - advice?"

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(X-post with the PG/Parenting NY board)

Hello ladies:

I'm a serial lurker on these boards (mostly because I'm afraid if I start posting I'm going to jinx my pregnancy), but now I'm in a situation where I really could use advice, so I thought I'd put myself out there.

I'm currently just over 15 wks with twins. I had a completely uneventful first trimester, thank G-d, but at 13 wks I had to go to the ER with bleeding and clots. According the resident that examined me, my cervix was open. However, the bleeding stopped quickly and luckily my doctor, Dr. Sharma with Cornell MFM, was there that night and examined me. She said my cervix was soft but closed, and sent me home. The next day I had an u/s, which offered no explanation for the bleed, and the babies were doing fine. They measured my cervix, and it was 3.5cm. Dr. Sharma said that was a great number and that nothing needed to be done because anything above a 2.5 is great, but that I should take it very easy and come back in 2 weeks for a cervix check. I asked her about a cerclage, but she said that in twin pregnancies it increases the chances for preterm labor and is generally not a good idea given the risks. At that time she also mentioned possible progesterone shots, but said we would discuss it at the next appointment.

So I went in again yesterday, after one week of modified bed rest and another week of taking it reeeeally easy, and my cervix now measures 3.1cm. Again, Dr. Sharma is not concerned at all; she says it's fine since it's above 2.5. She thinks the progesterone shots are not warranted. She thinks I should continue to take it easy, but did not say bed rest.

So of course, I've been googling this stuff non-stop since then and it seems to me that 3.1 is kind of iffy so early in the pregnancy. Not only that, I'm freaking out about the fact that it is shortening. However, Dr. Sharma just doesn't seem to think anything needs to be done about it--she just wants to monitor it every 2 weeks. I'm just afraid that things will change before 2 weeks and that I may enter the danger zone. And it's still so early!

Has anyone had a similar experience and carried to term without a cerclage? Should I get a second opinion? The Cornell MFM group is well regarded, but it seems to me they don't care about you much until you reach viability.

Thanks in advance!
Sara


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