Open cervix and bulging waters at 23w. Would you go for rescue cervical stitch?

[Decafplease]

Please only respond if you have experience of this. I was admitted yesterday after check showed an open cervix. This is was to be my miracle baby after 4ivf tries and 1mmc. I have been offered a ‘rescue cervical stitch’ but with grave warnings that the procedure itself is very difficult & could cause rupture and infection meaning immediate miscarriage. If it worked though could help maintain pregnancy for a few extra precious weeks that could make a massive difference to outcomes. Other option is to wait, which could be hours or days or weeks as well. Not sure if i would regret more potentially doing something harmful or doing nothing if things dont work out. Has anyone been in this situation? Please please tell me what you decided and what happened? We have to decide tonight and i am desperate. No judgment from me just desperation.

Just wanted to wish you the very best of luck OP

Good luck

Wishing you the very best of luck in a tough situation. Hope all goes well and they're able to do it

Thinking of you

Oh no @Decafplease. I am so so sorry to hear this!! I have everything crossed for you!!

Be kind to yourself.

@Decafplease, I found this article, v supportive of doing a stitch for better chance for delaying delivery and improving outcomes for the baby.

Two other studies in support are here: www.ncbi.nlm.nih.gov/pubmed/28141950 and a random control trial, which is meant to be the best type of evidence: www.ncbi.nlm.nih.gov/pubmed/26041325

Have everything crossed for you xx

My cervix had shortened by 1cm in a week at 24 weeks, I had steroid injections and progesterone pessaries and was told if no improvement by 25 weeks then I was to have the stitch, the consultant did say to me that doing it at a later stage would be risky and that he would have insisted I stayed in hospital on bed rest until baby could be born safely in case of early rupture of membranes. I already had a slow leak from the hind waters, all was ok in the end and I didn't have the stitch, but I do remember at the time discussing it with my DH and saying that if it could buy me a few more weeks then I would absolutely get it. Hope all goes well for you, such a stressful time

Thanks everyone. I am on overnight fast in preparation. They will asses in the morning if the can still offer me the stitch. So scared, but trying to stay calm and get some sleep.

Hope things are going ok Decafplease.

Best of luck, thinking of you

So on assessment this morning they hsve decided its too risky to do the stitch after all. Feel shattered

I'm sorry it's not an option for you @Decafplease. Wishing you all the best on your journey now

Have they said what the next step is? Bed rest at hosp?

Keeping everything crossed for you OP.

Thinking of you

Thinking of you and hoping your baby is able to stay put just a bit longer. X

Sorry to hear you are going through this, hope baby and you stay safe and well ❤️

Just to wish you the best of luck! I lost my baby at 21 weeks due to bulging membranes but this was because I also had an infection and so I couldn't have the stitch. I have since had a DD and am pregnant with another thanks to a preventative stitch. Hopefully they will keep you on bed rest and the antibiotics will limit infection. I am thinking of you and I know how tough this is. A few people I know had babies at 24 weeks and they are thriving! Rest assured that you are also in the best place xx

Thinking of you. Hoping baby stays put for as long as possible.

how scary, OP. But I also know some 24 weekers who are doing fine including some who were born a good 20 years ago! Every day your baby stays in is another huge leap in development and strength. Everything crossed for you.

Hope you are ok op

What's the plan of action decaf? I had DC1 early (30 weeks) so had a cervical stitch with my second, who eventually went overdue. They put the stitch in at 12 weeks and gave me progesterone suppositories which worked wonders (although I may have gone to term anyway; no one knows why my first child was premature).

Is bed rest an option?

We're thinking about you... hope you're coping ok.

Hi all. Thanks for your kind messages. Unfortunately the worst happened for us. Despite the bed rest and progesterone my waters broke and i went into labour on Saturday. My little one was only 23w 1 day. He was so perfect, just too little. He passed away shortly in our arms. It has been the most devastating week of my life. My body and heart ache for him. The doctors could give no explanation for why this happened. There were no signs of infection, i had no risk factors, our scan just 2 weeks ago was perfect. One minute we were joking about names, next the doctors were telling us suvival stats for extreme premies. It feels like i am in some sort of nightmare, but i cant wake up.
We are grieving now for our little boy, for the awful decisions we had to make and for the fact we will never be mum & dad. After the horror of last week neither of us can imagine doing this again.
Wish you all the best, and thanks for trying to help me.

I am so so so unbelievably sorry. I can't even begin...

Be kind to yourselves.