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  1. #1
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    Default Incompetent Cervix - Cervical Cerclage - Best DR in Sydney/Wollongong

    Hi Ladies,

    I have a history that means that I am at risk of having an Incompetent Cervix. I am having the first of a few extra scans next week, and need to try and find some info regarding Cervical Cerclage insertions in the Sydney Wollongong area. I am 13 weeks pregnant tomorrow.
    Has anyone had one done in the Sydney Wollongong area?
    Who completed it?
    Was it successful?
    Any recommendations would be really appreciated as I have a few trust issues with Doctors in general.

    Thanks again :-)

  2. #2
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    Hi, I'm also high risk and in Wollongong.

    I had a letz procedure before my first pregnancy. i carried to 36 weeks despite some amazing shortening. Can I ask how long your cervix is?

    I see Doctor Coleman through the public hospital although he also does stuff at figtree private. He's abrupt and no nonsense and a lot of women don't like him because of that BUT he's fantastic at what he does.

    I'm on my second pregnancy and again we've decided to skip the cerclage as my real 'failure' wasn't until after 30 weeks with my first pregnancy.

    There's definitely pros and cons for cerclage and I would make an effort to get a few different opinions before I went ahead with it. At the same time, I would want it done NOW if you're already quite short, as emergency cerclage is so risky.

  3. #3
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    Thanks Cakeish,

    That is good to hear that you got to 36 weeks yourself. I'm not sure at this stage what the length is. I had the 12 week NT scan on Thursday but didn't know that IC is a common problem with post Ashermans pregnancies until over the weekend. I will have the report for the scan on Wednesday when I go in for my first appt at the High Risk Unit at Wollongong Hospital.

    I had realised from the little bit of research that I have done that sooner is preferable to have it done if it is needed. Just hoping that all is good.

    The OBS here in Wollongong don't have any experience with post Ashermans pregnancies so I haven't bothered seeing any of them. I will see Dr Coleman for his opinion before anything going ahead if i do have issues. Usually the scans are done at 14 weeks, 16 weeks and 20 weeks, after surgeries to fix AS to check for IC. Then if no issues another at 26 weeks.

    How often were they checking you in your first pregnancy and again in this one?

    How far are you... and are you being managed by the High Risk unit as well?

  4. #4
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    I've had 2 vaginal cervical cerclages (1 successful birth & 1 unrelated m/c at 15 wks) & recently a trans abdominal cerclage it's s permanent stitch, a step up from the v cerclage). Unfortunately our baby was still born 2 weeks ago, also unrelated to the stitch. My ob is in Sydney. Feel free to PM me if you have any questions.

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    I'm currently 16 weeks and sitting nicely at 2.5cm(*just* high risk). Which is about the same as I was at this stage last preg. But then dropped a few mm each scan. I can't remember when my last scan was (I think it was the normal scheduled growth scan?) and I was only 4mm then. Was fully effaced and dilated 5cm when my waters broke at 36 weeks. But my labour was fine, and besides some jaundice dd was perfectly fine.

    From memory I had 7 weeks dating scan, 12 weeks NT, 16 weeks CL check (last attempt at deciding on a cerclage), 19 weeks morph scan, CL checks at 24, 26, 28 and 30 (crucial weeks if I was starting pre labour) then just the last scan that's normally scheduled. I THINK this was 32. Wollongong can take you anytime from 32 weeks so once we reached that date we were relaxed.

    I go through the midwifery group practice at Wollongong base, which means I have one midwife the whole way through and only see Dr Coleman for important things (like approval to stay in the program). However if I start to thin or shorten significantly at any stage they bump me straight over to high risk. This preg I have the same midwife as with dd which is great.

    I haven't heard of ashermans before but I will have a google

    Would be great to stay in touch - bit of support for either of us if it turns upside down!

  6. #6
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    Quote Originally Posted by Jenga View Post
    I've had 2 vaginal cervical cerclages (1 successful birth & 1 unrelated m/c at 15 wks) & recently a trans abdominal cerclage it's s permanent stitch, a step up from the v cerclage). Unfortunately our baby was still born 2 weeks ago, also unrelated to the stitch. My ob is in Sydney. Feel free to PM me if you have any questions.
    I have no info about the stitch, but I just saw this post and wanted to say sorry to hear about your losses. Hugs.

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    Yes for sure we should keep in touch Cakeish. We aren't very far apart in dates either.

    I hadn't heard of the Midwifery Group Practice. Getting information is like getting blood from stone sometimes lol. I will ask about them on Wednesday if they don't mention it.

    That is fantastic that you are sitting at 2.5cm. When is your next scan for this pregnancy? So 16 weeks is the cut off for a Cerclage. I didn't know that bit so thankyou! Do you/did you feel stressed from the 16w to the 19w scan?

    Then at your last growth scan you were 4mm?? Oh wow! I think that is about 32 weeks. That is amazing that you lasted until 36 weeks still. Our bodies are amazing things aren't they??

    Ashermans is scar tissue in your uterus. I got mine from the D&C for my first miscarriage last year, as they don't routinely give antibiotics, and don't use an ultrasound to guide the procedure. It then caused my miscarriage this year. The surgeries remove the scar tissue for 6 months, as it grows back. So this is our miracle bub. There will be more risks later, and a good chance that I may need to have a Hysterectomy at the birth, and as we have decided no more surgery for me, this is our last try.

    That being said I am hoping that my cervix is and stays nice and long so i don't need to decide either way. This has been a miracle bub so far so another one isn't too much to ask of my body I don't think lol.

    Sorry for the gazillion questions. It's just really nice to have someone to ask.

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    The MGP is hard to get into, only because there are only 4 midwives and they have a limit to how many they can take. I booked in with them at 3 weeks this time, and last time only got a place because someone had to go into high risk.

    Grr husband interrupted me and now I can't remember what else I was going to reply!

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    Do they change you out of High Risk if they don't believe you are 'At Risk' enough? Lol. I only got put in there because I pushed it and think that I should be there. I haven't actually been assessed by any of the OBS at the hospital.

    Sent from my GT-I9505 using The Bub Hub mobile app

  10. #10
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    Okay I remember now that I've re-read your post!

    Firstly, I am really sorry for your losses. I mc'd prior to dd and it is heart breaking. I can't imagine having to go through it a second time.

    I remember what ashermans is now - its the reason my GP and I decided against a d&c when I mc'd. I'm sorry that you have that stress on top of the heartache of your losses.

    I hope that your next scan shows a nice long cervix. From what I just read on ashermans, your cervix might only be an issue if it was damaged in the procedure so I hope it wasn't!

    Did they do an internal with your 12 week scan? Its the only way to measure CL and its not routine until 19 weeks. For any of your scans, make sure your care provider writes it on your referral. Even if its not written, I always ask the techie to do one anyway - sometimes I have to push for it, sometimes the nice ones do it straight away.

    16 isn't the cut off really for stitch, but its when I felt we had to make a decision between regular stitch and emergency stitch.

    If you decide you want a stitch and you're not happy with Dr Coleman or Dr Davis (the two obs at Wollongong hospital) please let me know. My bf has had two very successful stitches after losing her first little boy around 25 weeks. Her CI has no reason, or at least no reason that I know of. But I can ask her who did hers at Figtree and you could meet him/her for a consult at least.


 

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