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Dynamic cervix


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#1 miss_heidi

Posted 09 January 2013 - 01:38 PM


Anyone have/had this?

I had a scan yesterday and found out that i have a dynamic cervix that was shortening/lengthening as the scan was being conducted.
I am currently 29 weeks pregnant and have previously had laser treatment to the cervix (LETS).  In the past couple of days I have had some pain/twinges in the cervix when the baby has changed position, one day it was so bad i could hardly walk.

This has scared me a little - i have my ob appointment next week, but in the meantime have been told to not do anythign too strenuous or load bearing, including my pregnancy weights/cardio class or any squats.

Does anyone have experience with this and did it result in preterm labour for you?

#2 elmo_mum

Posted 09 January 2013 - 01:46 PM

what length r u at???

i was monitored with fortnightly scans - from 12 weeks
i was 2.4

at 1.6 i had a cerclage placed

i was then on bed rest

i birthed at 24w3d - i had other complications
my friend went full term

both of us had cerclages placed

Edited by elmo_mum, 09 January 2013 - 01:48 PM.


#3 miss_heidi

Posted 09 January 2013 - 01:49 PM

I dont know.  I know when it was long she said it was 3.4 and that they wouldnt bat an eyelid at that measurement, however the first measurement was short so thats why she was concerned

ill find out next week at my appointment.  I have the DVD on hand of the scan, so i could go through that and see if i can glean any information.

#4 elmo_mum

Posted 09 January 2013 - 01:53 PM

based on the fact that you arent seeing your ob till next week, doubt its "that" short

just stop exercising and heavy lifting

and after seeing my scans each week, they dont mark the cervixlength on the scans....







#5 miss_heidi

Posted 09 January 2013 - 02:38 PM

Yeah thats what I thought, if it was really short they would have pulled my appointment sooner (i already had the appointment booked as its my 30 week checkup), the did take down my number to call me if they wanted to see me sooner

i figure they'll do more frequent scans to check if it changes




#6 elmo_mum

Posted 09 January 2013 - 03:26 PM

f it was an issue, the sonographer would have automatically booked you in again.

an average cervix is between 3-5cm

3.4 is not short.
that would never have thrown up a red flag for them

if you are 2.5 and under, then she would have arranged extra scans. im assuming you have gone to 3...

yours is not a dynamic cervix. you have a slightly shortened cervix...

i had a dynamic one...
it would go from 1.8 to 1.2 then back to 1.6


#7 miss_heidi

Posted 09 January 2013 - 04:23 PM

She called it a dynamic cervix and went and showed the results to my OB immediately who was in the ultrasound area (I am at a public hospital)

I also dont know what the shortened length was, but i believe it was under 3.  Her very first measurement was short, it was later that it thickened again to normal range.

It was not as short as what you are talking about, but enough for her to be concerned and for them to recommend i dont do my classes!  

Have you had LETS or something like that in the past?  Thats why they were looking at it to begin with.

#8 miss_heidi

Posted 09 January 2013 - 04:25 PM

She also mentioned that if she hadnt have seen it short, the 3.4 wouldnt even cause her to bat an eyelid.  It was the initial short measurement that concerned her, and the fact it shortened again during the scan, so was changing during the scan.

She said it was a better position to be in than a static short cervix (in my case).  So yes, definitely dynamic.

#9 elmo_mum

Posted 09 January 2013 - 04:31 PM

yep
i had the leetz procedure years ago and my ob thought thats what caused it....
mine was diagnosed at my first us and we had fortnightly scans - private, and yes it was expensive, but worth it!

call your ob and demand an earlier appt - u seem to be worried with everything, so maybe they can help. if they wont give you an earlier appt, then i would keep demanding an earlier one.



#10 Wacky Wobbler

Posted 09 January 2013 - 04:35 PM

Mine was 2.5 at 12 wks. At 22 wks I stated having fortnightly scans. At 24 wks I had to finish work and go on progesterone pessaries ( I was on these for 10 wks). At 31 wks I was admitted to hospital as my cervix was 0.8cm and funnelling, I was also haing contractions. I ended up being induced 1 day before my due date. Not sure what length it got down to as we stopped doing scans when I went into hospital at 31 wks. I was on strict bedrest from 24 wks.

Mine never shortened or lengthened during a scan though.

We are not sure what caused mine.

#11 miss_heidi

Posted 09 January 2013 - 04:38 PM

Im working from home all week and i planning to take it easy across the weekend.

I dont think anything will happen this weekend, especially given it is moving between normal and short rather than short and short, but am curious as to whether or not I should be prepping myself for earlier birth than i originally thought!

Currently im working until 37.5 weeks, pretty stressful job.

I think for these sorts of things private can be better - you have the continuinity of care, I am in GP shared care and the message got lost somewhere so i didnt get referred to a 24 week scan... They tested at 20 weeks and was supposed to retest at 24 and 28, but missed the 24...


#12 weepingangel

Posted 09 January 2013 - 04:40 PM

I do have what is termed a dynamic cervix, mine caused trouble early in 2 of my pregnancies where i had pPROM twice.

During my last pregnancy i had a cerclage placed at 14 weeks and carried to term.

Being 29 weeks you are in a good position. I'm sure your OB will monitor you. But i'm sure as you can now gather a dynamic cervix changes so quickly, so it's not really something you can judge if and when anything will happen, if that makes sense?

I too have seen my cervix change on ultrasound and it's quite freaky!

It is more of a concern if the internal OS is funnelling etc, which i'm sure they would have told you if they had seen in.


ETA: An dynamic cervix is not an Incompetent cervix (IC) but you can have both.

Edited by pukeko~ponga~tree, 09 January 2013 - 04:45 PM.


#13 elmo_mum

Posted 09 January 2013 - 05:05 PM

you need to see someone who can talk to you


getting "answers" from others is fine, but...... i think you should get an appt with your ob for answers specific to you



#14 Soontobegran

Posted 09 January 2013 - 05:31 PM

QUOTE (miss_heidi @ 09/01/2013, 05:38 PM) <{POST_SNAPBACK}>
Im working from home all week and i planning to take it easy across the weekend.

I dont think anything will happen this weekend, especially given it is moving between normal and short rather than short and short, but am curious as to whether or not I should be prepping myself for earlier birth than i originally thought!

Currently im working until 37.5 weeks, pretty stressful job.

I think for these sorts of things private can be better - you have the continuinity of care, I am in GP shared care and the message got lost somewhere so i didnt get referred to a 24 week scan... They tested at 20 weeks and was supposed to retest at 24 and 28, but missed the 24...



miss_heidi has your GP referred you to be seen by an obstetrician at the hospital you are delivering at? You certainly don't need to be a private patient to be cared for in a higher risk pregnancy, in fact I think public care is  often more suitable as it is generally public hospitals that provide the special care for pre term babies.
I wonder whether you need to be more prepared for the fact that you may well deliver pre term?

#15 miss_heidi

Posted 09 January 2013 - 07:31 PM

soontobegran - yep I have been seeing a obstetrician (well actually her registrars!) since the start, i had my first hospital appointment with a midwife but I had some kidney issues (have had micro hematuria since the start with a history of kidney stones) so after that all of my appointments have been with doctors.

however I have never actually met the obstetrician herself!  Always registars or residents in her team, and someone different each time.  Last time i was there i asked if i could start seeing midwives again, partly because I have to wait over an hour every time I have an appointment! Midwives much shorter wait times, but I think with this new dedvelopment that it will be doctors for the rest of the pregnancy...

#16 Emmaleee

Posted 10 January 2013 - 08:17 AM

At my 20 week appointment mine measured just under 3 cm, she said sometimes the position of the baby makes it hard to get an accturate measurement and bub had its head nestled snugly over my cervix and wouldn't budge, this made it hard for her to see exactly where the end of it was. On the same day she did an internal ultrasound and it was 3.8 i think. She said the internal is more accturate and often measures longer than the normal scan.

#17 miss_heidi

Posted 10 January 2013 - 09:10 AM

QUOTE (Emmaleee @ 10/01/2013, 09:17 AM) <{POST_SNAPBACK}>
At my 20 week appointment mine measured just under 3 cm, she said sometimes the position of the baby makes it hard to get an accturate measurement and bub had its head nestled snugly over my cervix and wouldn't budge, this made it hard for her to see exactly where the end of it was. On the same day she did an internal ultrasound and it was 3.8 i think. She said the internal is more accturate and often measures longer than the normal scan.


Mine was an internal scan, thats where she was seeing the changes...
Kinda nice having an "excuse" to put my feet up for a few days anyway!  normally id be going at 100 miles an hour original.gif  (though id definitely rather a different kind of excuse, like a holiday perhaps!)

#18 miss_heidi

Posted 14 January 2013 - 05:22 PM


OK - 1.8cm cervix with internal funneling sad.gif

I am on limited activity (not bed rest) but no more weight bearing exercise, lifting etc, and working from home.  They told me signs to watch for.

I need another 7 weeks....



#19 Soontobegran

Posted 14 January 2013 - 05:59 PM

Good luck miss_heidi. It is cold comfort but you are nearly 30 weeks and if the worst thing happened and you came into labour your little one will almost certainly do well.
Take it easy and do not hesitate to call the hospital if you have any of the symptoms they described. It is great you can work from home, it will be something to keep you occupied.
Take care.

#20 miss_heidi

Posted 14 January 2013 - 06:20 PM

Thank you soontobegran

i got home and had a big, big cry.  A few times today.. Can just wait and hope.. A few more weeks at least....

#21 Wacky Wobbler

Posted 15 January 2013 - 03:11 AM

Just do what the Doctor tells you to do. I did nothing but lay around from 24 wks onwards. Sure it was boring but worth every minute.

I honestly believe that bedrest helped and I ended up having to be induced.

Good luck and remember that this doesn't necessarily mean you will going into pre term labour.




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