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Thread: Stitches while pregnant?

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    Stitches while pregnant?

    One of my employees who is 24 weeks pregnant just told me she needs to have stitches (in her cervix?) because she is beginning to dilate.

    She has had a rough pregnancy. I kind of feel maternal towards her because she is Indian, over here on a visa, and only has her husband here. No family.

    Whenever she talks about her doctor appts I feel like she is having a hard time understanding things and maybe doesn't get all the info I would if I was in her place - asking the right questions etc. (She is super smart and probably my best employee - but I think she is just a little out of her element language wise with the doctor).

    I did a quick google search and what I am reading seemed a bit scary. She is here at work and the stitches (with anesthesia) are tomorrow. I am wondering if she should be home on bedrest.

    I know I am not her doctor and I have conferred with another pregnant co worker who said she would be home with her feet up if it was her.

    My employee also said she thought she would be back to work Thursday. I told her to please please take her time coming back and to make sure she was ok before rushing in here.

    I guess I was hoping I might get some other stories of people getting the stitches and not being on bedrest. I haven't been pregnant for a long time so I am out of the loop.

    I know I can't really do anything but if I heard that it is way uncommon to get these stitches and not be on bedrest I would encourage her to get a second opinion at least.

    Thoughts?

  2. #2
    nolite te bastardes carborundorum stellarfeller's Avatar
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    Yes, I've heard of this, but know very little about it. Hopefully one of our resident nurses will see this soon, and be able to explain it further.
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    Full Sponsor maurinsky's Avatar
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    I'm pretty sure I had a friend who had this done after being diagnosed with an incompetent cervix (oh, how I loathe terms like that!).

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    Premier Sponsor Peanut's Avatar
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    I'll PM you.

    ETA: Crap, no PMs possible for you. I had a cerclage with pg #1 and full bedrest is not always mandatory. Every case is different and a lot depends upon the degree of effacement, funneling, and/or dilation.

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    Unrelentingly Oppositional Andrea's Avatar
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    If she's already dilated, the prognosis is not good although she is technically at viability so that's on her side. Biggest risk is infection and rupture of membranes. If she's contracting, it's highly doubtful it'll work.

    I've had this procedure three times, twice transvaginally and once via abdominal incision. The first was at 17 weeks for a short cervix (7mm) with funneling. That cerclage held. I was on bed rest for the remainder of the pregnancy and delivered at 33 weeks.

    The second cerclage was done preventatively at 12 weeks and did not hold. My water broke in the second trimester and I lost the pregnancy. After that I had a pre-pregnancy transabdominal cerclage placed and had a successful pregnancy afterwards that didn't require bed rest.

    Your colleague is almost certain to deliver early. They are trying to buy her time now because at this stage every day counts.

    ETA: They're going to put her on bed rest. I'm surprised she's not on bed rest now. What are her cervical measurements?

    "When politics becomes a religion, then simple disagreements become apostasies, heresies. And you know what we do with heretics." -- Peggy Noonan


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    Thank you guys. I just talked to her and told her that she should not consider anything at work when thinking about this. We are fine and will carry on till she can come back when it is safe. I think I scared her though - I asked how dilated she was and she said he didn't tell her. I encouraged her to leave today and not come back till Monday at the earliest and only if she is ok, but she said she isn't contracting and feels fine.

    She did say she was thinking about a second opinion and I said yes I would do that if she could.

    I guess what makes me the most nervous is that she said she asked the doctor about work and he said not the day of the procedure and maybe take Thursday off. I guess I would expect him to say something like stay home if you can - it won't hurt. You know?

  7. #7
    Unrelentingly Oppositional Andrea's Avatar
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    She should get a second opinion from a high-risk OB (perinatologist/maternal-fetal specialist). All cases I've heard in which someone was dilating in 2nd trimester were immediately placed on hospital bed rest with uterine monitoring to find out if they are in premature labor. They will not place a cerclage in someone in premature labor. They try to stop the labor with medications.

    She may not be dilated. It may be that she has a short cervix on ultrasound. In any case, I can't understand why her physician is so blasé unless it's that her cervix isn't that bad. If that's the case, however, why place a cerclage since it increases risk of infection/premature labor? In those cases, they usually suggest bed rest with uterine monitoring.

    "When politics becomes a religion, then simple disagreements become apostasies, heresies. And you know what we do with heretics." -- Peggy Noonan


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    Andrea - me too! I am super surprised he told her she could come to work.

    She didn't get her measurements. She said when she got home and googled she realized she should've asked.

    She did hold her hands like the size of an orange and said it had this much more which confused me. I'm assuming it can't be she was THAT dilated.

    I wish I could go to the doctor with her. Maybe I can make her a list of questions? I don't want to butt in bit she seems so lost and I can't imagine being here without family trying to navigate all this

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    Unrelentingly Oppositional Andrea's Avatar
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    Quote Originally Posted by Davidsmommy View Post
    She did hold her hands like the size of an orange and said it had this much more which confused me. I'm assuming it can't be she was THAT dilated.
    I don't know what this means. She's not that dilated. If she was she'd deliver. She needs to see a MFM doctor.

    "When politics becomes a religion, then simple disagreements become apostasies, heresies. And you know what we do with heretics." -- Peggy Noonan


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    I know Andrea. I couldn't tell what it meant either. I think it is the language thing.

    I'm googling for doctors for a second opinion. Just as a suggestion.

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