The cervix length after LLETZ during pregnancy

[Persika]

Hello girls!
I’ve had an ultrasound in a private clinic on my 10th week and the nurse told that I have 28 mm length of the cervix. She told it’s ok, but… as I know it should be around 40 at this period.
I just worry because had Lletz 4 month ago. So I don’t know is it ok to wait my nhs scan in 12th week or should I call the midwife immediately because the cervix is so short.
Could you please share if you have lletz what was the length of the cervix during your pregnancy?

Not had a lletz, but I would contact midwife. I'd ask for cervical length to me monitored as you may need a cerclage (cervical stitch). If cervix opens up too much the cerclage is less likely to hold.

I wouldn’t worry - I told my midwife on my booking notes about a previous LLETZ and she booked me in for a cervical ultrasound at 13 weeks - there is plenty of time!

it does involve a consultant referral though so you do need to make sure your midwife knows so she can do that.

I think the minimum length they look for is about 25mm before putting a stitch in but at 28mm they will probably want to monitor you :)

Thanks for your reply. Yes, I told my midwife too and she told to look after the length and maybe later.

I think different trusts check the length at different times, I had mine checked at 20 weeks (also had Lletz), it was 18mm and reduced to 15mm the following week so I now have a stitch in. Definitely worth letting the midwife know what the length is now though I think.

Please ask to be referred to a consultant in my last pregnancy I had lletz nine months previously, I was monitored from 21 weeks and my cervix shortened to 2.3, had progesterone pessaries and regular checks and all was fine, I was signed off at 32 weeks and put on rest as DD was engaged and my cervix very soft, but went to term. Anything over 2.5 is fine, but at a starting point of 2.8 I'd be wanting a referral. This time due to previous history I had cervical length scans from 14 weeks, so far so good, I'm not 24+5 and they're not doing any further scans to check as all ok.

@Persika I had cervical checks every fornight from 16-24 weeks due to history of LLETZ and fertility clinic concerns about short cervix. Everything was totally fine, just monitored in case it became and issue and hasn't. Best of luck x

Thank ypu for ypur reply! Hope everything will be good! Good luck!

So thank you to share your story! Hope everything will be well this time with you too!
yes, I worry because it’s just beginning and it’s already 28:( hope will manage it. My midwife know about Lletz and she told that would refer me to an obstetrician but Not now as I understand.

@2mumlife thanks for your reply and support!

So I had LLETz treatmeant in 2017 think for grade 2, and another last year in October 2022 which was grade3. And now I’m pregnant so being referred to preterm clinic so they can check the length of cervix, I’m proper worrying I’ve read online loads of successful stories. Anyone had more than one them had a successful pregnancy?