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Cervix length

(46 Posts)
Alexandra6 Tue 28-May-13 10:27:47

Hi, I just had another cervix scan at 14 weeks and it is measuring 24mm now, no funnelling. I'm seeing two consultants and one recommends a stitch but it's up to me, the other I'm seeing again tomorrow but his approach seems to be wait and see. It also says the 'intravaginal cervix is somewhat short anteriorly, less than 1.5cm'. Does anyone know what to make of these results? Has anyone else had scans at this stage and what were your results? I know over 3cm is what they like to see and am feeling anxious about it.

Pizdets Tue 28-May-13 10:49:37

Hi Alexandra,

Sorry to hear this is still ongoing. My cervix at 14 weeks measured about the same - 2.3/2.4. I feel quite lucky in retrospect that there was no discussion about it really, they just told me I needed the stitch and booked me in for it, so I didn't have to think about it. They told me they recommended the stitch for under 2.5cm, didn't mention 3cm at all, so you're very close to the cut-off, which is prob why they're not jumping straight in.

Since the stitch they've been taking 2 measurements - I think for me it's above and below the stitch, but I also get the impression it relates to the part of the cervix which goes into the uterus and the part which pokes down (if that makes sense). Not sure I can interpret your results, though, sorry!

Is there a midwife or someone you can talk this through with at the hospital who might be able to advise you?

Piz

Kelly1814 Tue 28-May-13 10:53:38

Hi Alexandra (hello Piz!)

Am also sorry to hear this is still ongoing and at 2/2.3 i was also just advised to go for it.

as it happens, when they actually saw my cervix during surgery it was much less in places so i'm even happier that i had the stitch.

is there a reason why you're particularly reticent about having it done? i do undertand that it is surgery and obviously hugely daunting, but any risks are miniscule and the benefits are huge.

the surgery itself is actually very straighforward, i feel completely fine and forget i have the stitch! (apart from when abstaining from sex and exercise!)

K

Alexandra6 Tue 28-May-13 10:55:00

Hi piz still ongoing and so hard to know what to do!! I am now wondering if not getting the stitch is the worst decision I've ever made sad Seeing the other consultant tomorrow and he will measure too and give his view again, he's the one who says I should wait and see and he's meant to be really good - but then how do you know?!

Alexandra6 Tue 28-May-13 11:02:49

Hi kelly it's the other consultant at a different hospital (meant to be one of the best) saying I shouldn't just get a precautionary stitch that's making me hesitate. He's seeing me again tomorrow. I did read online about infection risks and I'm worried about aggravating things with an unnecessary stitch but if the medical opinion was a unanimous "get a stitch", I would go for it. I don't know who to listen to, will quiz this other guy tomorrow. Today I had a word with the woman in the room with us (think she's a midwife) and she said she thinks I should wait and also listen to my gut. Am just sitting in the hospital coffee shop crying as I'm feeling so confused, I don't know what to do! The first consultant also wasn't pushing for a stitch today and said if I leave it, my chances are quite good and he'll measure me again at 17 weeks but I'm not sure if he's just saying that now due to pressure from the other consultant who he knows I've seen. I'm googling and it seems that measurement is short enough to act and what if I leave it and it's my fault I lose my baby?!

Pizdets Tue 28-May-13 11:04:16

Hi Kelly, fellow member of the Short Cervix Club (we should start our own thread on here for ongoing questions!)

Alexandra, it sucks you've not been given one definitive answer to just go for, I think the differing opinions is making it really hard for you. I agree with Kelly, now my stitch is in I really don't notice it at all and I'm even being fairly active, taking the dog out twice a day, doing yoga etc. The procedure to have it in is horrible but the benefits make it worthwhile. Maybe you can just be really honest with the consultant tomorrow and tell him what a hard time you're having and see if he can give you some well-rounded info?

Thinking of you!

Piz

Kelly1814 Tue 28-May-13 11:49:42

I am loving the Short Cervix Club idea!

Alexandra, the risk of infection really is very small and I was given antibiotics which I took just in case, I never had any problems. is the consultant giving this as a major reason why not to bother?

If you are on the low side plus 1.5 cms in some places, I think this qualifies you for the stitch for sure. before i was scanned to make sure of length, they thought 2.5, and even before the scan they all said, inclduing the sonographer at the Fetal Medical Centre, that 2.5 meant a stitch was best. it was never in doubt.

Agreed it is a shame your advice is so confusing. In the States they tell you bed rest after a stitch, in the UK they say no need at all! So there is conflicting advice every step of the way.

i also remember the tears when i was told i had to have the stitch, i really do. 4 days later i'd had it done and it was over with. 8 weeks later and am completely fine.

best of luck and thinking of you (and you piz!)

Alexandra6 Tue 28-May-13 13:40:06

Thanks, I've just been reading this healthymother.wordpress.com/2008/07/16/what-is-cervical-shortening/
- I guess it explains why at my length they might wait and see before stitching but am not sure why there seem to be differing medical opinions on this.

I've also looked back at another recent thread on here and read this post about the FMC so really confused why this advice is different (this does seem to back up waiting before stitching at 2.5cm although mine is slightly under). Do you pay to go there Kelly? Am wondering if it's worth me getting a third opinion?

"Nobody seemed (or seems now) especially concerned about my cervical length. Prof Nicolaides at the FMC did mine at the 13 wk nuchal (at my request) and said 2.8cm was within normal limits. I did mention stitches and he told me they wouldn't even consider it (in his clinic at Kings I am presuming?) until under 2.5 with evidence of funnelling and serial shortening"

diege Tue 28-May-13 14:29:30

Hi! Was me who was just quoted re: my experience at FMC. This was at 13 weeks (requested when having nuchal) and measured by the prof. He told me that 2.8 was 'within normal limits'. 2.5 seems to be the magic number, so I'm guessing anything under, even 'just under' might prompt a stitch. Think this fits with Kelly's account?
Remember too that any judgement will take individual circumstances into account. So for me personally the fact I have had 3 children AFTER 2 very large LLETZs was important for the prof. in reaching his judgement. I think if I had had a 2nd tri loss after measuring 2.8 in the past he would have suggested a stitch. I am lucky that my cervix at the last scan (18 weeks) measured a very greedy 4cm so they can and do 'grow'.
Personally in your situation I would be thinking of the stitch as it is relatively risk free at this stage in pregnancy. If I was 20 plus weeks I might hold on a bit as the surgery is riskier/less successful then. I think you will be in a better position to make a judgement after the consultant appointment tomorrow - try to be totally honest and get everything out, including the anxiety you are feeing. Regardless of any medical evidence/anything people post in here, if you are anxious now you are going to be a nervous wreck by 20 weeks unless you reach a decision and are as happy as you can be with it. Please let us know how you get on xxx

Kelly1814 Tue 28-May-13 15:21:27

I live overseas and there's a Fetal Medical Centre here, yes I paid (through the nose) but all is private healthcare here.

i do think that Diege makes some very good points, if you are this anxious about it now, this is only going to get worse.

and for me, any worry of the stitch would be way less than worrying for the rest of my pregnancy about my cervix not holding out.

best of luck, will be thinking of you.

Alexandra6 Wed 29-May-13 10:50:15

Thanks so much, it's been really difficult. I saw the second consultant again today and was measured by two people at his hospital. They said my cervix actually looks ok to them, their measurements were around 3 and just above which makes it longer?! I really get the feeling scanning the cervix isn't an exact science especially when we're talking about a matter of mm. Their advice was to not stitch as there is the potential of causing problems to the cervix when in their opinion, it's doing ok on its own. I'm well aware that these specialists can't predict how my cervix will perform but I think on balance, it's probably best to wait until my next scan in three weeks and see how it's doing then (am praying it lengthens like Dieg's did). The whole thing is so confusing and feels risky, putting so much faith in what is essentially guess work and I get the feeling they're leaving the decision with me precisely because it's hard for them to predict.

My gut feeling is to leave the cervix alone for now and keep being scanned but I will never forgive myself if it fails! Some sensitive girl in my office made a comment about my baby coming out funny due to all the scans but it sounds like regular scanning isn't rare so hopefully no problems there! I actually wish more people had cervix scans so I could compare experiences!

RainboxFX Wed 29-May-13 11:15:52

Hello Alexandra, I think we have crossed paths on a short cervix thread before! I am sorry this is still ongoing for you and you are getting such conflicting advice.

I don't think my experience will be helpful to you really as circumstances are so different. My first child was born at 24 weeks due to suspected IC. So, this time round when they scanned at 14 weeks and found I had a cervix of 2.5 they advised me to have a pre-emptitive stitch in. So if you needed any information or experiences about the procedure itself or pregnancy afterwards then I'm your girl! Am now 30 weeks.

Be kind to yourself. This is a tough decision that they have not really made easy for you, but both sides have pros and cons and you know yourself best.

I'm also sorry about your awful colleague. And quite angry on your behalf actually. There is no evidence whatsoever to show that scanning does any harm at all. And I have been scanned roughly every 2-3 weeks since 8 weeks pregnant!

Thinking about you

ExpatAl Wed 29-May-13 11:59:07

I can't believe your stupid colleague. Helpful, not.
My first was born at 25 weeks with suspected IC so I am having regular checks of cervix with this pregnancy. Am 25, 5. My ob told me that 2.4 is the cut off but that they scan regularly to see if that's just the way the cervix is or whether there is serial shortening. I get checked every two weeks, now moved to weekly. My ob told me that the intraviginal section is largely disregarded and it's the other bit of cervix and funneling that matters. So you are okay for the moment it seems? I am based in Belgium now but my OB here is english and he told me that the UK stance is to do no harm, which is basically not to do a preemptive stitch. So that might cause some of the confliction in opinion. I'm so sorry you have this worry. Wouldn't it be lovely to have a trouble free oblivious pregnancy!

Alexandra6 Wed 29-May-13 19:48:08

rainbow I'm really glad your pregnancy is going well smile yes they def take previous IC loss into account as a big indication you need a stitch so am glad yours is working well. I said to my consultant that I can't afford a late loss before we're cautious but at the same time I do understand they don't know how the cervix will act as I've never been pregnant before.

expat that's interesting, how have your measurements been as you've gone along? So true about the worry, I remember a little gap between my 12 week scan and my cervix scan where I was really enjoying the pregnancy and am jealous some people get that feeling for the whole second trimester! Thanks for replying as it's good to hear from people who didn't have the stitch and it's going ok.

I am hoping my cervix is longer at the next scan as that seems to be possible from Diege's experience.

Gingerbreadpixie Wed 29-May-13 20:22:40

Hi Alexandra. I have some experience in this area as I was under the preterm clinic due to a past cervical cone biopsy. I had a measurement of 2.9cm at 16 weeks, which then "grew" to 4.0cm at 18 weeks. It was back to 3.0cm at 22 weeks. So they can "grow" , as well as reduce. I had something called a fetal fibronectin test along with my scans. Is this something you could have? It's a swab from around the cervix that can detect if you're likely to go into preterm labour within the next two weeks. It looks for signs of a leak of the "glue" that holds the baby in (in simple terms!). It's a pretty accurate test too. It might help you relax in between scans if you're now to be scanned every few weeks? I'm not sure if all hospitals offer it but worth enquiring about.

Also with regards to the scans. I'm diabetic, had a big clotty bleed at 12 weeks plus had all the extra cervical scans on top so at 27 weeks I've already had 10 scans or so and got another 3 booked. You're not having them for your own amusement, you're having them for medical reasons. Don't feel bad over that!

Good luck with everything x

Alexandra6 Wed 29-May-13 20:32:28

Thanks gingerbread that's so interesting, where did you have your fibronectin tests as I'm signed up for that too! From 20 weeks, so after my next set of "normal" cervix scans at 17 weeks. How far along are you now?

Gingerbreadpixie Wed 29-May-13 20:58:40

Oh thats good you're going to have ff tests. Could you possibly ask if you could bring your first one forward by a few weeks? I had my first one done at 18 weeks i think. i had my tests at the hospital I'm due to give birth at. They have their own preterm surveillance clinic. I'm not sure all hospitals have this.

I'm 27 weeks along now. I've been discharged from the preterm clinic now, though whenever I have a scan in another dept I usually cheekily ask "how's my cervix looking?" and they will usually have a quick look at it for me.

MoominsYonisAreScary Wed 29-May-13 21:06:32

Hi everyone, I have ic and had a stitch placed at 14 weeks during my last pg. I was also given progesterone suppositories as studies have shown it can help prevent pre term births for those who's cervix have shortened

Op hope the pg goes smoothly, I know how worrying it can be

Alexandra6 Wed 29-May-13 21:08:00

Oh ginger I REALLY wanted to start that at 18 weeks but stupidly I booked a holiday for weeks 18-20 (before all the cervix stuff when I was looking forward to a nice, relaxed second trimester) and it's all paid for. Apparently you can't do the FF tests before 18 weeks. I was going to cancel anyway despite the fact I could really do with a break, but the consultant said why don't I have a normal cervix scan just before and then start the FF tests when I get back. I am now doubting if that's the right decision to still go on the holiday, the baby is so much more important sad but at least I would get the scan just before and if it looks any shorter at all, I could always cancel last minute? Oh god, maybe I'm going away right at the key time that could make all the difference?

Gingerbreadpixie Wed 29-May-13 21:22:54

Oh I'm so sorry if I've inadvertently put more doubt in your head! sad
I went through real mental anguish when going into 2nd tri with all the cervix stuff, I had to work full time (work stopped my company sick pay) and every day I was in tears wondering if I was making things worse.

Why don't you follow the consultant's advice on the holiday, have a scan just before you go, then if any problems or doubts at all, just cancel the holiday if you feel you can't go. But you might go to the scan, be measuring a really good length and get a bit of confidence back.

Xx

Alexandra6 Wed 29-May-13 21:36:45

Thanks ginger and yes that's true, it could be a reassuring measurement just before and if it isn't, then I cancel. I really appreciate the support on here, finding it hard talking to people in real life properly about this and how anxious I'm feeling, wondering every minute of every day if it's shortening! It's so good to hear that both yours and Diege's lengthened x

Gingerbreadpixie Wed 29-May-13 21:51:49

No problem. It is a very stressful and worrying situation and its good to talk to others that are going through the same x

RainboxFX Thu 30-May-13 11:00:05

Chiming in again, I think the holiday is a great idea. It is so important to get a break from all the stress and worry if you can, and like you say if the measurment worries you at all you could always cancel. Now I just need to take my own advice... smile

I am another who had increasing cervical length as the pregnancy went on. Mine grew by about a centimetre between 14-18 weeks and has stayed pretty steady since then. I also had progesterone suppositories, might be worth asking the doctor about them?

Thinking about you today x

ExpatAl Thu 30-May-13 11:16:29

Hi Alexandra, my cervix length has been good so far with no issues and has recently got longer so am feeling cautiously optimisitic. Am also on prog. supps. I would go on holiday if I were you. The vitamin D, downtime and change of scenery would be great for you. You could have a scan just before you go and when you retun to keep your mind at rest. If it helps you my ob told me that it takes 2-3 weeks for a cervix failure to be catastrophic, from the beginning of funnelling to the cervix opening and then going into labour.

Kelly1814 Thu 30-May-13 12:57:30

HI alexandra

just to echo others. i've also been on progesteron suppositories since 12 weeks. my consultant says I will be until the day i give birth. they are supposed to really help - and i'm 21+2 now, so here's hoping! perhaps something to ask about.

one more thing - every time i get scanned (which has been every two weeks so far) they check my cervix, and it has never lengthened - they told me that after my surgeries it's just physically impossible. the good thing is that it hasn't shortened or funneled since the stitch.

expatal, that's really interesting about the 2-3 week thing!

Alexandra6 Thu 30-May-13 13:09:19

Thanks, that's interesting you're all on progesterone as it hasn't even been mentioned to me!! I might try and ask my consultants. I've been googling foods that increase progesterone so at least I feel like I'm doing something!

kelly I was also told by one consultants that it can't lengthen. However there are others on here and the Internet who have had lengthening! So it either goes to show just how inaccurate these scans are or it must be able to happen??? I'm hoping the latter and our consultants are wrong. I can't remember for definite but I THINK the other consultant told me they can be dynamic (shorten/lengthen).

rainbow did your cervix lengthen due to the stitch or would that have happened anyway I wonder? Obviously I'm hoping the latter again as I'm not having the stitch now eek! I guess there's no way of knowing?

Kelly1814 Thu 30-May-13 13:17:25

i think the lenghtening depends on whether you have a short cervix via birth/nature or if it is caused by having most of it hacked away during surgery!

for mine to grow my body would have to regenarate tissue a la the Terminator!

ExpatAl Thu 30-May-13 13:17:29

Kelly, the 2-3 week thing is probably the only thing that stops me going into meltdown seeing that a scan every 2 weeks would spot things unravelling in time. I've asked him many neurotic questions - such as what if I start funneling the minute this scan is finished etc and he always replies that it would be caught in time.

Alexandra6 Thu 30-May-13 13:21:22

diege had two LLETZ and hers lengthened though? Maybe we start off at a shorter length after our treatments but it can still act like a normal cervix, just at shorter measurements because of the parts missing?

sw25 Thu 30-May-13 14:37:18

Hi Alexandra. I'm in a very similar position but a few weeks ahead of you. Had first cervical scan at 21 weeks (history of cone biopsy) when I measured 28mm. Consultant not concerned but I insisted on repeat scan two weeks later, which was yesterday. It took two sonographers to agree on a measurement -I must have a tricky cervix! They stated it was 23mm, which I was very upset about. But then when I went into see consultant she had a print of scan in front of her with a measurement of 25.7, so I am beyond confused.

Anyway, another scan next week and if it's reduced to worrying thinness, then a stitch will be discussed.

I totally understand how you feel about making right decision for the baby and not forgiving yourself if it goes wrong. My consultant is very hesitant about stitches too and is also supposed to be very good. I think she will only do it if it goes below 20mm with evidence of funnelling. Also wondering about getting second opinion but feel I'm running our of time now as I'll be 24 weeks next Weds. Please keep us up to date with what's going on. It's such a horrible worry isn't it, particularly when friends seem to sail through with minimal issues. Anyway, take care and hope all goes well over next few weeks. And enjoy your holiday!!!

MoominsYonisAreScary Thu 30-May-13 17:22:51

I was on the progesterone from 18-30 weeks last time, although my case is different as my cervix is just weak probably not short. Although it's never been measured

Alexandra6 Fri 31-May-13 17:08:42

Thanks sw25, did you see I posted on your thread too before I saw this smile

I'm not sure about your tricky cervix as I have had the same with two sonographers looking and saying what they think it is - I honestly think it's hard to measure on the scans and they're estimating from what they can see. I had two scans this week - both different measurements and only a day apart!

Definitely keep me up to date please - when is your next scan?

I've asked about the progesterone and was told the evidence of benefit is still unclear and side effects can be unpleasant. Hmm. It is hard to know what to do - as why do some consultants/hospitals recommend it then?

RainboxFX Fri 31-May-13 18:28:39

Sorry, missed your question! My consultant told me that cervix can be very variable, so it may well have grown and shrunk on it's own if I had had the stitch or not.

Again, with the progesterone, my doctor said that there was some evidence to show it could help and certainly no evidence it did any harm. Using them made me feel better, as it felt like a positive step to help. As far as side effects go, the only thing I had were some headaches in the first fortnight of using them. These were annoying, but certainly not unbareable. I started these at 12 weeks, and am still on them at 30. I will keep using them for another 4-6 weeks.

Kelly1814 Fri 31-May-13 20:58:02

Side effects of progesterone, none for me, other than occasional constipation which I think is par for the course when pregnant anyway!

Could any reluctance to prescribe them or do the stitch on the doctors part come from a cost point of view? Just a thought...?

Alexandra6 Fri 31-May-13 22:03:01

Hmm I don't think so kelly as that's the consultant who suggested the stitch. It just seems different consultants and hospitals have different strategies. Just so hard to know if the advice is right for you, I guess it's hard for the consultants to predict things too in their defence.

Thanks rainbow I am keeping everything crossed that my length increases by my next scan!

worley Fri 31-May-13 22:09:39

can i just add as a sonographer; It is really hard to get a good accurate measurement of a cervical length. (I am assuming they are measuring it via the internal scan.!)
They are one of the worst things I have to do and take about 6 measurements then compare all image to decide on most accurate measurement.. but then I do have OCD when it comes to obstetrics!

ExpatAl Sat 01-Jun-13 11:24:50

Worley, OCD is a trait definitely appreciated in sonographers!

sw25 Mon 03-Jun-13 09:19:34

Hi Alexandra, hope you're ok. Just thought I'd update you as to what's going on with me. So my last scan was last Weds, when it measured 25.7 mm ( two weeks earlier it had been 28mm). The sonographers took ages measuring and printed out 6 different sonograms for the consultant to look at. The lowest measurement recorded on those scans was 23mm, but the consultant explained that that particular scan wasnt accurate as the whole cervix couldn't be seen. She still seemed unconcerned about 25.7 and said it wasn't enough of a reduction to consider a stitch. She also said there was no sign of funnelling either at this stage.

The following day I felt very anxious, weird crampy pains (one of the sonographers was really rough!), and I was still concerned about the 23mm measurement, so I emailed my consultant with my concerns. She actually called me back within hours and arranged for me to see another consultant for second opinion last Friday ( I've been so impressed so far with the consultant care I've had on the NHS - almost like private care).

Anyway, new consultant was also lovely. She reassured me that 25.7 is still a decent measurement for someone who's had a cervical procedure. With regards to a stitch, she said at the moment, my cervix did not look like it needed one and that she wouldn't normally put one in until it measured under 2cm - usually 1.5. I asked if 24 weeks was the deadline for placing stitch, but she said she's done them as late as 28 weeks. She also explained that at nearly 24 weeks, I am almost approaching a stage where the baby has a chance of survival if it was born. If he can just stay put for the next month I think I'll feel a lot more relaxed. It's so stressful though - every little twinge or cramp panics me and I've been having some crampy pains that are worrying me. I may pop down to the EPC later to be checked out! I just want my body to hold him in until 30 weeks at least - keeping fingers tightly crossed!

Oh, and consultant also said that bed rest is only really helpful once you've had the stitch. She said I was fine to do moderate exercise, have sex, baths/swimming etc (although of course I'm abstaining from all of those to be on the safe side). Still pottering about in garden and doing moderate housework, but making sure I sit/lie down for substantial periods each day (lucky enough not to be working at the mo). I spent months in bed at the beginning due to hideously awful nausea/morning sickness, so I really don't want to go back to bedrest again! My pregnancy has been so awful so far that I doubt very much I will do it again, which is why I desperately want to protect this one.

When is your next scan? Mine is on Thursday and I've requested that the consultant performs it, to which she agreed which is fab. I'm at Frimley Park Hospital in Surrey - are you in London? I am really hoping that we both have a positive result this time and that we can both start enjoying our pregnancies, rather than obsessively worrying! Xxxxxx

Alexandra6 Tue 04-Jun-13 15:12:00

Hi sw thanks so much for that update, can't tell you how good it is hearing from people who understand! All sounds very positive and I'm hoping my cervix length doesn't shorten much at all by the time I'm at your stage. I'm in London, I am now 15 weeks but there is a 3 week break between my scans so I'll be scanned in 2 weeks time, at 17 weeks. How often do they think you'll be scanned in the next month? I totally understand the feeling anxious about any twinges/cramps, I'm like that already. I'm also not doing anything like exercise, sex etc, and making sure I'm not on my feet for long periods of time, it just feels like the common sense thing to do. Keep me posted on everything if you don't mind! Glad you're doing ok, just think, one more month and every day it's getting safer and safer smile

What's making it even more difficult is getting people to understand I need to take it easy. I'm working full time and some people have said the best thing in pregnancy is to live as normal and be active, but logically I feel like the best thing is to have my feet up as much as poss and to take it really easy to avoid cervix pressure. I feel paranoid that people think I'm milking it or trying to make a drama out of my pregnancy - just wish they knew I would LOVE to not be worrying about this and enjoying my pregnancy more. Oh and I now have a urine infection and might need antibiotics which I REALLY don't want to take when pregnant but apparently it's dangerous not to. Again something I could really do without! I'm hoping it's cleared up naturally, waiting for results.

worley thanks for your note above, I also appreciate OCD in a sonographer! I suspected it was tough to measure and difficult to make a call on it, I had that feeling in my scans. I don't suppose you can give a rough estimate of how many shortish cervix stories you see work out well?!

diege Wed 05-Jun-13 09:52:05

Hplacello! Back from hols and reporting in with a further instalment of cervix news after 20 week scan yesterday at FMC in London.
Soooo, to cut a long story short, all well with baby but placenta looking a little low, so she did an internal scan just to get a really good look at it. Also looked at cervix internally as I had mentioned I had had it measured at 18 weeks (NHS abdominal scan : 4cm). She measured 2.9cm internally which I was happy with but then of course worried that it had somehow reduced in 2 weeks by what would be quite a bit. Anyway, turns out that she doubts it ever really was 4cm as that scan was abdominal and my bladder was full-ish and while you can get away with tummy scans for cervix early on, internal scans are far more accurate. She said in general you could knock off a cm from a abdominal scan at 20 weeks. She stressed that 2.9 was not short at all, and that 3cm is actually as much as it could ever be after 2 lots of cervical surgery (apparently 4cm is top of range for not-messed-about-with cervixes). She also told me that the guidelines for cervical measurements had changed in the last few mths and that anything above 2cm was no longer considered 'short'. She said I should be very pleased with my cervix <proud moment> and not to worry. Hope this helps a bit!

Alexandra6 Thu 06-Jun-13 09:56:22

Hi diege I love your posts smile this fits in with my second consultants non-panic approach at my cervix measurements and am keeping my fingers crossed that in two weeks, they are about the same. I feel like then, if I can be monitored regularly and make it through July and August and take it easy, things are looking good! I hope I can be proud of my cervix too! I start my fetal fibronectin tests at 20 weeks hopefully too so another way of monitoring.

So will you get scanned again to make sure now or do you now carry on as a normal pregnancy would? Glad things are going well for you and thanks for giving me lots of hope!

diege Fri 07-Jun-13 14:00:01

Hi Alex! Well I had a consultant's appointment yesterday and they say they're not at all worried about my cervix and it's no longer being measured. She said the 4cm measurement was unlikely to be very accurate as it was done abdominally with a full bladder, which can artificially lengthen cervical length after about 14 weeks. My 2.9 was good enough for her though so I'm not going to worry about it anymore. That's ok though, as I have a low lying placenta to worry about now hmm grin.
I think the fibronectin tests and serial scanning is the way forward for you - you will get great reassurance from the tests, and it seems that this fits too with your most recent consultant's appointment. Keep us updated!

Hollygolightly77 Mon 10-Jun-13 10:33:30

I am sorry to jump in in your thread, I hope you don't mind as I also have a short cervix and have many concerns and questions.

I have surgery [LEEP] on my cervix in 1996, but the notes were not clear on how much was removed. After much difficulty [a whole other story] I am currently 18 weeks pregnant, I have had 2 cervical scans so far, the first was at 14 weeks and I have a measurement of 3.2, the next one was last Thursday where the measurement had changed to 2.7.

After a weekend of worry and tears, I am trying to be calm and find out more.

I saw a consultant who did not seem concerned yet, and did not think a change of 5mm was a lot be concerned about.

I have seen loads of information from people in the USA where there seems to be loads of progesterone, bed rest and stitches but in the UK, there appears to much less intervention...

Any advice, reassurance or tips would be so appreciated smile

Pizdets Mon 10-Jun-13 19:19:35

Hi Holly,

Sorry to hear you're stressed but congrats on your pregnancy! Your cervix measurements sound good to me - I was told they'd only put a stitch in under 2.5cm and other people on here have been told 15cm!

What did the consultant say? Will they scan you again soon? I think I'm going to start a 'short cervix club' thread now in ante-natal clubs and hope that we can create a sort-of database of info which people can share to reassure a bit. There are a few of us on here freaking out and it's not fun!

I wouldn't worry too much with your measurements, sounds like they're keeping an eye on you. Do keep us updated and ask any more questions you might have!

Piz

Pizdets Mon 10-Jun-13 19:29:55

Link to the Short Cervix Club here - hope it's useful!

Pizdets Mon 10-Jun-13 19:30:36

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