TTC after a preemie- advice please!

Sherrey - posted on 01/28/2010 ( 2 moms have responded )

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My son was born at 33 weeks due to PROM. He is 3 now and we want him to have a sibling but we do not want to drag him through the NICU experience. They don't know why I had PROM. My OB suggested a cerclage and P-17 shots this time around. He is just guessing that I could have an incompetent cervix. He said it is normal now but it could have changed during pregnancy. Is there a way to tell? I am just scared of cons of the cerclage and the cost. He neglected to tell me it would have to be done in the hospital. Any advice would be appreciated.



Sherrey

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Lindsay - posted on 01/28/2010

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My daughter was born at 27 weeks due to an incompetent cervix and preterm labor. She just turned 2 last week! I am currently 29 weeks pregnant with baby #2. I had a rescue cerclage placed at 22 weeks. It really wasn't that bad. The procedure itself took all of 5 minutes, and I was only in the hospital for 8 hours total. Our insurance did cover the procedure, since I had been diagnosed with IC and without the cerclage the pregnancy would not have made it this far. My cervix was fine until my 22 week check-up. I have had my cervix monitored by transvaginal ultrasound every 2 weeks since I was 9 weeks.



I have also been getting 17P shots since I was 16 weeks. They have been great! I was having a lot of BH contractions really early on and once I started getting the shots the contractions stopped. I have been having more and more actual contractions these days, but was told I would be having a lot more without the shots.



I hope this helps out...if you have any questions feel free to ask! I also have started a new group call The Not-So-Perfect Pregnancy for moms that have had or are experiencing a high risk pregnancy, I know a few of the other moms have had cerclages and other interventions as well.

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Erin - posted on 01/31/2010

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My first (now a healthy 3 year old) was born at 30 weeks. I am now 28 weeks with our second and on limited activity (essentially bed rest) because my cervix started to thin out too much. We assume that's what happened with my first, but since no one was monitoring my cervix before he was born, we wouldn't have known that was happening. My doctor and I though it might have been IC the first time around, so I have been monitored with bi-weekly ultrasounds since pretty early on in this pregnancy. My cervix didn't start to thin until 26 weeks, so that was too late for cerclage, but so far the bed rest has been helping. I know it's scary to contemplate a second baby after going through the NICU experience, but since you had a preemie the first time, you should be much more closely monitored in subsequent pregnancies and whatever caused your PROM the first time can hopefully be caught before that happens again. Make sure to discuss all of your concerns with your doctor, and if you'd feel more comfortable, switch to a high risk OB (this is what I did after I felt like my regular OB wasn't taking my history seriously enough).

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