No, I am not currently pregnant. (LONG)!!!!!!January 23 2012 at 3:13 PM
|Whitney (Login Whitney32)|
Response to Info on the TAC (warning...long!)
My Perinatologist once me to have the TAC placed before conception. He also wants to start 17HP shots at 14 weeks and see me weekly starting at 14 weeks for transvaginal u/s and be a scheduled C-section at 36 weeks. I do have twins that were born IVF-ICSI that are now 17 months old. I delivered at 26 weeks and 4 days and they spent a long 4 months in the NICU. So here is the thing, I had debris in baby As sac. Dr Iams explained it this way to me. Everyone has living microorganisms in there body. They typically dont ever bother you, but in some women when they get pregnant they feel invaded and start looking for a way out. Hence, the debris in baby As sac and why I failed my Fetal Fibronectin test at 22 weeks and 4 days. They had caused a break in the membranes. But this not the only issue they can cause. They can also cause inflammation in the cervix which causes the cervix to shorten very quickly, which also happened to me. We truly dont know if I have IC cervix. Dr Iams feels a TAC would much safer, because he fears a TVC could only make things worse if this happens again the second time around. He said there is a good chance it will because this how my body reacts to pregnancy. He said there a very very small chance that the debris was left over from my HSG test, but probably not. I am really torn about what to do. I know it is his job to educate me with the risks associated with a second pregnancy, but he really scared me when he told me the thing I need to remember is that my uterus will be like a balloon with the end tied(TAC). You have a vertical incision scar that has like a Band-Aid over it and if you start to labor it will take the path of the least resistance resulting in a uterine rupture. He also said if it happens at home it could be fatal to me and the baby.
Cervical length measurements as follows:
16 weeks and 4 days (38mm)
18 weeks and 4 days (33mm)
20 weeks and 4 days (24mm)
21 weeks and 4 days (9mm) Debris in baby As sac. Put on complete bed rest at home
22 weeks and 4 days (4mm) Admitted to the hospital for the rest of my pregnancy. A Positive Fetal Fibronectin test and given first round of steroid shots.
23 weeks and 4 days I went into preterm labor. I lost my mucus plug, dilated to 4cm and 50% effaced. They were able to stop labor with the magnesium sulfate.
26 weeks I took another trip back over to L&D. Dilated 6cm and 100% effaced and baby As sac bugling. Given second dose of steroid shots and another round of magnesium sulfate and the contraction stopped.
26 weeks and 4 days I started bleeding and I was dilated to 9cm and baby A was 1 ½ engaged and baby B was lying traverse. They needed to stop the contraction to get me prepped for an emergency C-section. The thing is, you would think a 2pd 2oz baby would come out easy vaginal, but there heads tend to get stuck in the birth canal which can result with a brain bleed and CP. Once in the OR I went under general anesthesia which resulted with a classical C-section.
- re: - Amy on Jan 23, 3:38 PM
- Hey Amy, thanks for chatting with me. - Whitney on Jan 23, 7:48 PM
- GL whitney!! Nt - Alli on Jan 24, 10:00 AM
- Thanks Alli! - Whitney on Jan 26, 2:31 PM
- no problem whitney - Amy on Jan 24, 10:23 AM