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Requesting a cervical check?


Forum: July 2013 Playroom

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  • 1 Post By Jessifer
  • 2 Post By Lexzmom
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  #1  
March 18th, 2013, 07:14 PM
Twin Mama
Join Date: Oct 2011
Location: California
Posts: 2,230
My DR is the head of OBGYN at the place I go, so hes got lots of experience but honestly I have not had half of the stuff any of you ladies talk about and it's frekaing me out. I am debating emailing and asking for a cervical check on friday because I want to know it's where it should be, that I'm not showing any warning signs of pre-term labor, ect. And as far as I know, hes never checked it!

The last time he did a vaginal check was 10 weeks my 1st appt with him, really quick speculum in and out. Same for blood work, last time was 10 weeks. No detailed 'anatomy' u/s, he measured thigh bones, heads and abdomens and was done. The only thing i do every time i pee in a cup.

I'm high risk due to twins and my weight, he has said so but am I just really lucky that my appointments tend to be boring? Is it possible my tendency to worry early on has caused him to be so non-chalant about my pregnancy so he doesn't worry me? Could it be because I denied all genetic testing/ screenings?

My last appt was cut short by a emergency c-sec so I'm coming with a big list of questions this time and am going to be very forward asking for him to find out the sexes. But IDK I'm starting to feel jipped by his care, hes so calm and "everything fine, on your way" How do you know, all you do is look at them with the u/s, nothing else!

Am I being crazy/strange for wanting him to root around in my lady parts to make sure things are ok?
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  #2  
March 18th, 2013, 07:30 PM
Kiam's Avatar Mega Super Mommy
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My cervix was measured via u/s, chances are he had a squiz at yours then too.

Detailed anatomy is really what you described, measuring bones and things.
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  #3  
March 18th, 2013, 07:38 PM
Twin Mama
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hmmm, I didn't know that. he has never moved the wand that far down since i had my trans vag u/s back at 12 weeks, but idk how far hes got to look to see my cervix. maybe he is looking at all that stuff and is so fast about it i'm completely unaware? that's got to be it then, i thought the anatomy was the heart, brain, just more detailed and thorough...

guess i change my request to a question, have you/did you check my cervix is it fine?

i feel like a nut job sometimes.
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  #4  
March 18th, 2013, 07:40 PM
sethsgirl's Avatar Platinum Supermommy
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If you had an early ultrasound and it was vaginal they probably measured it. Abdominal ultrasound measurements of your cervix aren't very accurate which is why they do it vaginally. I would say if you're really concerned about it mention it at your next appointment or put in a call and leave your OB a message. I brought it up when I met with my OB at my 20 week appointment because of my previous pregnancy and she agreed that I needed one. I will be bringing it up again at my next appt to see if they will be doing another to see if it changed even though it was a little above 3 cm.

And to measure your cervix on a vaginal ultrasound only takes a min. I mean I was literally in there for 5 min at the most including getting undressed from the waist down, the ultrasound and dressed again.
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  #5  
March 18th, 2013, 07:52 PM
.:fearless:.'s Avatar Platinum Supermommy
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I *think* they may of done it when I had my trans vaginal US, but if so nothing was said. In fact, with all 4 of my previous pregnancies, I don't recall every being told about it. I am not one to have someone "up in my business" if not needed, so I probably wouldn't request it. I am sure if they felt it was needed (they already know you're high risk and so on), they would do it.
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  #6  
March 18th, 2013, 07:58 PM
getnthere's Avatar Mega Super Mommy
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I was not checked vaginally but abdominally. This was after a concern my doctor had about too many braxton hicks contractions and some of my illnesses I had so far. I was thick and high. They can tell abdominally too. It does make since to ask if there has been a change if your high risk.
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  #7  
March 18th, 2013, 09:09 PM
MeggysMommy's Avatar 3 + 1
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The u/s tech measured my cervix abdominally at my anatomy u/s. I haven't had half the stuff that some of the other ladies have had either. I think mine has been because of my switching OBs and being at the "boring" stage of pregnancy.
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  #8  
March 19th, 2013, 05:02 AM
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I haven't had any of that stuff either. I have an appointment every month, my anatomical ultrasound, and that's pretty much it (I have my glucose test coming as well as a Rogham shot). I was also told that if everything continues to go well, I won't be having any other ultrasound. That's fine with me - I'm not too keen on being poked and prodded.
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  #9  
March 19th, 2013, 05:14 AM
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It will be measured at your anatomy scan. I wouldn't have him poking around down there if you aren't have any labor indications, especially with twins.
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  #10  
March 19th, 2013, 05:18 AM
-erin-'s Avatar Co-Host of the May2010 PR
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I dont think its part of normal practice to measure the cervix at this point, unless there is an issue or reason for it. It may have been done at my anatomy scan, but I don't know. I don't remember it being mentioned during my last pregnancy either.

I wasn't really told everything that was being measured during my anatomy scan this time around, she was very quick and efficient with it. Most of my appts are very quick and straightforward. Check the HB, ask how I'm feeling, if I have any questions, then I go schedule the next one.
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  #11  
March 19th, 2013, 05:39 AM
tela's Avatar Platinum Supermommy
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i've never had a cervix check. if you're not at risk for a shortening cervix, there's no real need to check! i have a boring appt every month as you described - pee in a cup, out in less than 15 minutes. my anatomy scan was very detailed (~45 min of taking measurements). i won't get any more u/s.
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  #12  
March 19th, 2013, 08:42 AM
keekopeeko's Avatar Platinum Supermommy
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Quote:
Originally Posted by Lexzmom View Post
It will be measured at your anatomy scan. I wouldn't have him poking around down there if you aren't have any labor indications, especially with twins.
^this
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  #13  
March 19th, 2013, 10:09 AM
TerriLF's Avatar Super Mommy
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If you refused the genetic testing and things that is why you haven't had more blood work. I had blood work at my first apt. and then again for the genetic tests. They usually only check cervical length for women who have had past issues or show other signs of preterm labor. I haven't had one done at all and she didn't check during my US, but I didn't think much of it since I've always been atleast 37 weeks at delivery.
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  #14  
March 19th, 2013, 10:23 AM
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Cervical length is usually and most accurately measured using the transvaginal ultrasound. I was told it is routine to check cervical length in women carrying multiples at around 17-18 weeks to check for any signs of trouble. Mine was measured at 17 weeks and that is when we discovered that it was already shortening

I would absolutely ask your doc to check your cervical length. It only takes a minute, and it is definitely a "better safe than sorry" kind of thing...I don't know why a doc would refuse. It is quite possible that if my doc hadn't checked, I would have lost my babies or had micro-preemies. Because we knew there was trouble, we were able to take steps (bedrest, steroid injections for babies' lungs, cervical pessary to reduce pressure, more frequent checks, progesterone suppositories) to keep the babies baking as long as possible. I made it to 33w1d and the babies are the picture of perfect health now

Good luck! I hope you are able to get some reassurance that everything is perfect!
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  #15  
March 19th, 2013, 10:49 AM
Easton's Mommy's Avatar Mega Super Mommy
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My appointments tend to be really boring too... I always have to answer the same old questions... do I feel safe at home, in any pain, yada yada yada. My DR did ask if I wanted a cervical check but I told her no and she didn't seem to worried since my last pregnancy was completely fine minus going to 41 weeks and 2 days. I also turned down all the genetic testing as well so never had a lot of blood work done.
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  #16  
March 19th, 2013, 10:55 AM
Breana_Ashlee's Avatar Veteran
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I recall my cervix being measured during my anatomy ultrasound last week. The tech's where i go are usually good about telling me whats going on. But i for sure remember her saying she was looking at and taking measurments of my cervix
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  #17  
March 19th, 2013, 11:00 AM
bklynfinest77's Avatar Super Mommy
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Bri i agree with KMH .. And i was going to say the same thing as a mom of twins you are a little different from a single pgancy. My cervix started to shorten at 15 weeks and they wouldnt have never known this if my ob didnt send me for a transvag u/s. It always better to be safe then sorry ... so yes i think you should request one just to ease your mind.
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  #18  
March 19th, 2013, 01:38 PM
doodoosmom's Avatar 4 kids?! Who's counting!
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I'm not sure about with twin pregnancy but in my past pregnancies they didn't check until well into the 3rd trimester. With my last 2 babies they only checked when I felt contractions since I was having a scheduled c-section anyways.

I don't think they want to go up there if they don't have to to avoid aggravating anything but I think if it's worrying you then you should bring it up to your doctor. It only takes a minute to do a quick check.
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  #19  
March 19th, 2013, 03:00 PM
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I don't think I have had any checks since a transvaginal ultrasound in the first tri. The anatomy scan was abdominal. I guess it is possible they checked and didn't mention it. I will have more ultrasounds in my pregnancy than a 'normal' pregnancy but they are for specific follow-up reasons. My doc said checks down there usually don't occur until the 3rd trimester unless there is a specific reason for it. That being said, I don't think it's unreasonable for you to ask for an extra check at your next appointment if it makes you feel more comfortable.
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  #20  
March 19th, 2013, 06:15 PM
Twin Mama
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Location: California
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Thank you for all the input ladies, it really helps to hear different perspectives!

I did email my DR and asked if he had checked it recently, if not can we on Friday. If it's a quick thing, I would rather know than not. Work is pressuring me for a date for leave and my stress from projects i'm working on has increased so if things are not looking well with the babies I want to know. I'm going to keep him busy for sure this appointment, I have a note pad with a ton of questions. LOL Now I just hope he doesn't have an emergency to run to at 8:30am.
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