Incomplete cervix

[Loula]

OK so this is a concern that i have due to so many surgeries. My OB however does not think it will be an issue.

I have had 10 D&C in the last 7 years and have bleed with this pg even up to today.

I guess i would like to know if there are any signs or symptoms? i feel heavier 'down there' and feel like i need to pass wind all the time but nothing comes out.

[crumpet]

im not sure if this helps but i have incompetant cervix which basically means i cant carry a bub full term, or even long enough for it to survive.....

i had no symptoms except that on US they picked up it was shortening early....

at 21 weeks it had shortened to much and waters then buldged out of my cervix and i was 3 cm dialted.....

ive googled incomplete cervix and nothing came up except references to incompetant cervix.....
speak to ur OB and find out exactly what the go is coz if ur anything like me u will need a stitch put in to get u close to term.

also try and find out the lenght of ur cervix......
when i had my 12w scan they said it was 2.5cm which is short, not generally short enough for the stitch but short enough that it needs to be monitored!

[Loula]

Thank you crumpet,

The sono ady said at my 12 week scan that it looked within range but some Drs will check again around 15 weeks.

My OB is understanding of my anixety however says that it is rare. However with my history i feel i need to be concerned.

[Mildez]

Loula the greatest risk of incompetant or incomplete cervix is having had a history of prior (especially multiple) late miscarriages or second trimester labour/birth. Multiple D&Cs could increase your risk but not by much and it also increases the risk of scar tissue which generally will keeps the cervix shut not make it open under pressure. The other thing that can increase your risk is having multiple LLETZ procedures (which is where they take a small bit of cervix to get rid of cancerous or pre-cancerous cells usually caused by HPV) even still the risk of this happening (unless it has before is very low)
As for knowing it might happen usually unless diagnosed on ultrasound that the cervix is shortening and or funnelling then there is no warning it is going to happen until labour starts or membranes rupture. At this stage I would agree with your Obby that the risk is low of this happening. An ultrasound at 15weeks like you said your having and then the usual morphology scan at 18-20weeks should show the cervix been shorter then what is considered normal if this was going to be a problem. Also you can have a shortened cervix at one of these scans and go onto deliver at term so its not always accurate at diagnosing who is going to go into labour and who isn't.
Have they been able to diagnose why you are bleeding or where its coming from?

[Loula]

Thanks Emmy. I have a subchronic heamorrage which they believe is causing the bleeding (worse on activity) i am not as concerned about this now that bleeding is spootting.

I guess i dont want to have to wait till i loose my baby due to a weak cervix to get it dx IYKWIM? It has been a long 7 years to get here.

Your post has given me some reasurrance

Thank you

[crumpet]

I guess i dont want to have to wait till i loose my baby due to a weak cervix to get it dx IYKWIM? It has been a long 7 years to get here.

unfortunatly for me it was to late and i did loose my bub, which is why id be making sure u speak to ur OB again to make sure ur measurments are looking ok, but even then it can look fine one week and ***** can hit the fan then next, which is what happened to us.....

at 21 weeks my cervix looked ok, it had shortened but my OB didnt feel any need for concern which was fine and then before we knew it i was in hopsital on bed rest trying to get another few weeks.....

as mentioned above having mutliple D&C's can weaken the cervix as can an laser proceedures and terminations, but also there is a very small percentage of ppl who are born with a congenitally weak cervix, unfortunatly im one of these ppl and we had to learn the hard way....

my OB said my cervix is in the state he would expect to see of a patient who has had a lot of treatments or D&C's, but ive had none, well now ive had to have one D&C after my little man was delivered.....

for ur own sake id be requesting more scans to monitor things and making sure ur OB knows how conderned u are!