So then we met with the nurse and went over all of those boring mundane questions, and then my doctor came in. She went over all of my questions....
I asked about bedrest, and surpringly she said she does not recommend it. She said they are many things that can go wrong on bedrest like blood clots, pneumonia, depression, etc. She said it has not been proven that bedrest does any good so she doesn't order it. I won't be telling my brother and girlfriend this, haha. I won't give them the satisfaction that they were right, lol. But there is a difference between following advice people tell you, and what your doctor tells you. It does make me a little nervous because I'm curious about the whole gravity thing. When you have a weak cervix, it does make sense to me to take the weight off of it by being on bedrest. I'll ask her about that next time, but she is a specialist, she does cerclages a lot I am sure and I trust her. So if she says I won't be on bedrest then I feel pretty confident. It's also a bit of a weight off my shoulders. I had accepted that I would need it and was dealing with it, but of course not being on bedrest solves a lot of problems.
She also cleared us for travel until around 23 weeks. So we've decided we need to take a babymoon so I think we'll go to Vegas at for our anniversary at the end of October/beginning of November. I'll be about 20 weeks by then...I do plan to ask her again at my next appt because we didn't have a destination in mind, just to make sure she realizes how far we want to go and that I'll be flying. We'll also make sure to book a refundable trip just in case. I'm excited.
So my next appointment is in 3 weeks on September 10th which will be my NT scan and I'll see my doctor again after that. Then the next week I'll have my cerclage put in. She went over the risks and rewards with us. She said my case is not absolutely cut and dry that I have an incompetent cervix. Since they did not see my cervix shortening, I just showed up in labor, they cannot say for sure whether my cervix opened because it was incompetent or if I got the infection which caused it to open. But she said she is absolutely fine with doing it to err on the side of caution.
She explained that since we aren't certain I need it, we could wait and monitor my cervix and if need be, we could do an emergency cerclage when and if we see shortening or funneling. The issue with that is, once the cervix starts to shorten it can be more difficult to put the cerclage in place and it does up the risk. All surgeries come with some risk, and she said the risk of a miscarriage from the cerclage goes up to about 30% if done later in the game. Plus, she didn't say this, but I would assume there is always the gamble that you won't get it in in time. I have no idea how long it took my cervix to dilate to 4 centimeters, but what if at one appointment it was fine, and the next it had shortened significantly and we're just too late getting it in. That makes me extremely anxious.
So she said she is absolutely fine with doing it at 14 weeks, it will be easier to put in and the risk of a miscarriage from the procedure is less than 1%. I like those odds a lot more. I guess I can see if someone is very against surgery, it would make sense to wait since we aren't 100% sure I have an IC, but for us it just makes sense to put it in earlier so that's what we're doing.
So overall an excellent appointment. We got a lot of questions answered, have a lot of stuff scheduled for the next month and I loved seeing Boo and hearing his heartbeat. Hopefully this will tide me over until my NT scan, and I hope I can find the HB with my doppler in the next week or so. Without further ado, here is Boo!
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