Friday, February 11, 2011

1cm/50%

Just to be on the safe side of the fence, I gave my OB a call this morning. I told them I had been throwing up on Wednesday, and had had some significant cramping, which subsided (but not totally gone) as the day went on yesterday. When I awoke this morning, the cramping was almost gone (though not completely - is it ever with me?), but I still had some pressure down there...so, they said they wanted to check my cervix, which was fine considering it has been 2 weeks since I've had an ultrasound and I wanted some reassurance.

Well, I am back, and I was able to see one of my favorite OBs in the office. She's just great...anyways, she checked my cervix and I was 1cm/50% - Yes, at 27 weeks....but, I am not really that concerned and either was she. I was 1cm fairly early on (by 30w) with Clara, and stayed there until my cerclage was removed at 36 weeks with Clara. Now, you may be asking yourself "I thought you cannot dilate with a cerclage???" Well, the answer is, you can - to a point. The cerclage isn't pulled so tight that the body cannot dilate, because even with certain movement and activity, there has to be some (and just a little) give in the cervix, so, some women are able to dilate a tiny bit, and probably not much more than 1cm. I would think if my body tries to dilate more than it is now, I will notice spotting and/or bleeding with heavy cramping and pressure.

All I have to say is that I am so glad I have a cerclage. These are the times when I ask myself where would I be if I didn't have one? Would I be more than 1cm? What would be the scenario? Bed rest? Premature delivery? Good or bad outcome?

The OB did place me on the monitors just to make sure I wasn't having any more cramping/contractions than I usually have, and sure enough after about 30 minutes on the monitor, she let me go. I did have a few, but nothing that was concerning to her or unusual for me. Phew! The baby sure was active though!

I go back in a week for a recheck. Since I was seeing my favorite OB, I brought up the gestational diabetes test again. I asked if I would be an "Irresponsible patient" if I declined the test. She laughed, and said no, and asked me a few questions about my history with the girls. She said I didn't have to do it if I didn't want to (after looking through chart), and I could just do a simple blood test for A1C, which is a test to indicate blood sugar control over long term in the body......I didn't decline that, why would I? I was just glad someone finally offered me a reasonable alternative rather than "suck it up" to the nasty test.

So for now, I'm hanging in there, and just trying to rehydrate myself!

2 comments:

  1. I have to say the title had me a bit worried, but I was relieved that nothing is of high concern. You are an amazing woman! I love that each of your children have their own unique story!!! And let me add a BRAVO to you for getting out of the gestational diabetes test! I am going to ask about the A1C myself-something David has to do once every 3 months as he has diabetes.

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  2. Thanks, Jen! :)

    Yeah, most people freak a bit when they hear I am already 1cm....but, I'm not too worried. Yet. :)

    Yes, I thought it was awesome she gave me some REAL alternatives instead of saying "suck it up" to the nasty drink!

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