Quote from sharirobinson
I am currently 30 weeks pregnant with my second child. My first child was born at 25 weeks gestation. At 21 weeks of this current pregnancy, my cervix had shortened a bit from 4cm to 3 cm, and I was experiencing funneling. I had a cerclage placed in my cervix at that time, and my cervix returned to 4 cm. Currently, my cervix has shortned to 2.1cm, and I again have funneling. At this point, what is left to be done, if anything? Does this mean I will be destined to give birth to this child preterm? Unfortunately, the doctor was not present for my exam, and no one has explained anything to me yet.
Thanks in advance for you assistance.
My guess is that strict bedrest will be recommended. I went into preterm labor at 26 weeks with my first baby, but was not a candidate for a cerclage even though my cervix was effaced and dilated, since my contractions could not be stopped. With medications, monitoring and bedrest, I carried my baby to 37 weeks. With my second, my cervix was already 75% effaced at my first prenatal visit. For reasons I didn't understand, the doctor opted not to place a cerclage. By 16 weeks, I started to contract, and by 23 weeks, I was dilating. By then, the cerclage was contra-indicated due to the contractions. I spent 13 weeks on strict bedrest, much of the time in Trendelenberg position, because the baby was so low in my pelvis. I never experienced funneling, though. I carried baby #2 to 36 weeks, and delivered a healthy preemie.
Bedrest, monitoring, and medications for pre-term contractions can go a long way in prolonging a pregnancy. I would also ask your doc about the advisability of steroid injections to help mature your baby's organ systems, should pre-term delivery be likely. Most of all, do not assume that a term or near-term delivery is impossible. Good luck to you!