Thursday, July 2, 2009

Cancelled

Some lucky women had their babies today so none of my doctors were around to have the cerclage discussion with me. I met with one of the physicians assistants instead and I got to hear the heartbeat. It's amazing how I can lay there and hear a heartbeat but still not feel like there is a baby in there.

The PA mentioned that she talked to one of the dr's last week about me wanting a cerclage and his reaction was "we need to talk her out of that." Great. I explained to her that if everyone is totally against me doing it that's fine, but I want to be checked every week and plan on being on bed rest. She said "it's not proven that bed rest helps anything either." WTF? I snapped and my eyes welled up with tears. I said "so your policy for women with weakened cervix's and half a uterus is just to go about life as normal?" Should I start having rough sex every night, lift heavy furniture, and take up tackle football? This is crazy. She said she would make another appointment for me to see the doctors as soon as possible....which turned out to be three weeks from now. I do have my 12 week nuchal ultrasound in two weeks and if my cervix has shortened anymore at that time then they said I would be seeing a dr then.

I just don't know what to do. I live in a fairly large city and these doctors are supposed to be some of the best around. I was referred to them from my fabulous RE and she was shocked that I even got an appointment. Maybe I'm just overreacting? I feel like an hysterical pregnant woman. I just want answers.

Some of you have asked why they don't want to do cerclage. They say that a cerclage can cause preterm labor, which it can. But, without a cerclage I run the risk of the baby basically falling out in the second trimester before it's viable. Neither option is good.

16 comments:

Mandibula said...

Well from experience, preterm labor is very possible and I didn't enjoy the scare much. HOWEVER-you can also stop preterm labor most of the time. In my medically untrained opinion the perterm labor is essentially started by them "poking" around your cervix, so you cervix just needs to relax and get used to it. In my personal opinion they are giving you lip service. They said they do stitches at 2.5cm, and stitches are usually only given before 24 weeks-not after. You have a.) weakened cervix b.) half a uterus and c.) a history of miscarriage it's probably safe to assume that you will have lost that .2cm by your next appointment! So I think they just didn't want to commit to something.

And no, you're SOOOO not the hysterical pregnant chick-you're a well informed and rehearsed patient! We're always the worst! My doc tells me that all the time!

Melissa said...

i'd be freaking out too. Honestly, no one is going to look out for you and your baby the way you would. Maybe try calling around and seeing if you can chat with other RE's? or OB's? at my local clinic you can call and leave a message for doctors. Keeping you in my thoughts, and glad to hear the little bean is doing well!

Just Another Infertile said...

Ugh! How frustrating!

From what I've heard about cerclages, they don't like to give them before a certain amount of weeks, because it would interfere in the event of a miscarriage. Your baby is not putting excess weight on it yet so I think you have some time to get the answers you need. I've also heard some women just have shorter cervixes for no real reason. I would think it would be something they would want to do at some point. Maybe they are giving you the run around because they think it's too soon.

Continue to be an advocate for yourself. I would do the exact same thing in your situation.

I'm so glad you got to hear your baby.

Betty Rubble said...

Honestly I would get a second, third and even fourth opinion if that would A. Put your mind at ease or B. A doctor could give you a rational explanation as to why a cerclage would be unwarranted in this case.

Remember the doctor works for YOU not the other way around, thus they have an obligation to make sure that everything is done correctly or at least with valid explanation!

Megan said...

I could give an opinion, but it would be totally uneducated. Just wanted to wish you good luck and I hope you find your answer.

Hillary said...

Ugh, all I have to say is that sucks that your appointment was canceled and you're still haven't gotten answers from your doctors. I'm sorry. :(

UnicornMommy said...

How super frustrating. Ironically enough I am watching Delivery Me. and they are talking about cerclage in two woman.

I hope you get the answers you need.

you are paying the doc. so make your needs and questions known. Call again, daily if you have to.

hugs.

Parenthood For Me said...

I am so sorry you are experiencing such frustration. It sucks but you should go with your gut and do what you feel to be best for yourself and your baby. Doctors do not know everything. You demand answers until you feel satisfied.

sacredandscarred said...

You are NOT overreacting. You have an "untested" UU FFS.

Celia said...

I know we are supposed to not call our RE's after we get released to an ob, but maybe you should try?

My degree may be in food and not obstetrics, but any yahoo could see you are a special case and need special treatment.

Maybe you could call the practice administrator and tell her you are unhappy with the level of communication you are getting.

My thoughts are with you. I know from bitter experience with my Mom that doctors can be not only high handed, but wrong. Nobody cares about this baby as much as you and your husband. So explain very firmly that you want an answer backed up by some reasons.

Erica said...

My God! What a crap ass decision to have to make. I'm so sorry Mary that you have to even think about this. I wish I had some genius set of advice for you, but I don't. Well, other than I agree with the girl who posted before me - call your RE. They are truly trained to deal with IF related stuff, whereas OBs deal with more fertile than non-fertile women, I would think. If anything, the RE docs and nurses are usually better trained at dealing with pregnancy AFTER infertility. They seem to know our hearts better.

As far as hearing the heartbeat and still not believing it, I'm right there with you. My girlfriend (a fertile who just had her 2nd child) said she literally never "felt" pregnant either until she felt the baby move inside of her. So, maybe that's it. Maybe then, we'll believe.

Thinking of you and sending you lots of love. Have a happy, sober (ugh!) Fourth of July!!!

strongblonde said...

hmm....seems like everyone has basically covered what i would say :)

keep us posted :) xoxo

Katherine said...

I work in ob/gyn and we put a cerclage in every patient with a uterine abnormality. You are not crazy! Has your cervix shortened since the beginning of the pregnancy? Maybe you could get weekly cervical lengths. That is usually what we do to monitor patients at high risk for cervical shortening. Good Luck!

Serendipity said...

I still don't understand why they are so adamant about not doing the cerclage, has anyone taken the time to sit you down and explain the reasons why? I don’t think you’re a hysterical pregnant woman at all, in fact, I think you’re handling this a hell of a lot better than I would. I really hope you get to see one of the doctors soon and that they take the time to explain things to you and actually listen to your concerns rather than just trying to talk you out of it.

Stephanie said...

Hey lady! I am so sorry! I know how you feel though...every single day waiting for my next appointment I make myself go crazy! I have one around week 17 (a week and a half) and it seems like forever away. Did they talk to you about 1st trimester screening?

Kriss said...

I have been reading your blog for a long while now. I think I would be getting another opinion with maybe a group that had more time to spend one on one with their very concerned (very rightly so) patient. I have learned with all of my IF issues that sometimes you have to take control and press for the right care you should have gotten from the start. It wouldn't hurt to look for a second opinion. They seem very non-chalant AND knowing that your questioning they should take the time to call you and talk over the phone. Seems like maybe they are too busy. -kriss

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