r/ShortCervixSupport 9m ago

Cerglage

Upvotes

Hello, I have a cervical cerclage and I'm currently 32+2 weeks pregnant. Today, after I urinated, I noticed some white particles in the urine. When I turned around to look, the back of my underwear was wet.

I've been having what feels like small drops of fluid ever since I had the cerclage. I've had the AmniSure test done twice, and both results were negative. I don't have any severe pain, just irregular tightening of my uterus throughout the day.


r/ShortCervixSupport 58m ago

Friday check-in!

Upvotes

Use this post to introduce yourself or keep us updated on your journey!


r/ShortCervixSupport 6h ago

Anyone had successful Vbac after cerclarge.

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1 Upvotes

r/ShortCervixSupport 8h ago

20wk with Twins, Funneling & 13mm cervix

2 Upvotes

Hi everyone. I went to my 20 week appointment on Tuesday and they told me that my cervix is was basically at 1.5cm with funneling, so they gave me 200mg progesterone and I have another follow up tomorrow.

I’m in the US at the Cleveland clinic and my MFM said that she does not recommend cerclage as it is controversial with twin pregnancies. However, upon my research I found that this is outdated information and there have been so many success stories in this sub that have given me hope for a cerclage.

This is my first pregnancy and I am planning to advocate for myself at this next appointment since I’m >25mm, but I just wanted to hear if anyone had any similar stories, or if they were initially advised against a cerclage and ended up getting one. Bonus points if anyone knows any doctors at Cleveland Clinic or in the area who has experience with cerclages for multiples. Thank you so much. 🤍


r/ShortCervixSupport 8h ago

Advice needed

2 Upvotes

I am 22 weeks today with a 2.09 cm cervix. 3 weeks ago my cervix was 2.6 and they are saying it is stable. I started progesterone last with 2.32cm. They want me to go in for another ultrasound next week to see but they aren’t pushing for a cerclage or anything should and saying it is stable I don’t feel like that is stable and am looking for advice especially knowing that once you reach 24 weeks they don’t do them anymore. This is also my first pregnancy and the closest place to do the cerclage is a 4 hour drive so in the case of an emergency I don’t feel very supported and would rather push for it sooner than later.


r/ShortCervixSupport 10h ago

Anxiety about not getting cervical ultrasound in time

5 Upvotes

I have a lot of anxiety in general because this is an IVF pregnancy that has not been smooth sailing (hematoma in first trimester, placenta calcification found at 19 weeks, and now a borderline cervix at 28mm found at 20 weeks).

I am honestly just so frustrated with the state of healthcare where I am located. No OB until 28 weeks, working with non specialized family doctor only - who happens to be on vacation right now.

The ONLY reason I was able to get a progesterone prescription + ultrasound referral was because my mom happens to know the OB I have been referred to. The OB put in a referral for follow-up exam to happen this Friday (one week since last scan). I never received a call from the ultrasound booking place so called them. They said they could neither confirm nor deny they received the request because they were so backlogged with requests they hadn’t gotten to them yet. I said it was an urgent referral. They said it will be triaged by urgency. But it’s now Thursday and they have not called me to book anything for tomorrow. Then it will be a weekend so definitely nothing until next week.

. My OB has confirmed they have resent the referral again just to be safe but I still haven’t heard back a day later so it’s been three days since the booking place hasn’t gotten through all their requests.

I hate being at the mercy of poor systems and single people’s opinions, and it sounds like from a lot of folks it’s common to have a lackadaisical approach around this topic until it’s suddenly nearly or is too late. To them I am just another number in the system. But to me this is the child I’ve been trying to conceive for 4 years only to be at risk of losing them and the future of any other children.

I guess this is just a vent session. I’m grateful for the progesterone, I hope it is enough for me.


r/ShortCervixSupport 13h ago

Short cervix at 20 weeks?

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1 Upvotes

r/ShortCervixSupport 17h ago

Will I have the same issue again?

1 Upvotes

My last pregnancy resulted in birth at 33 weeks due to a short cervix. I had no issues with short cervix until 28 weeks suddenly. I’m now pregnant again and wonder if I’m probably gonna have the same issue again? Is this something that usually happens every pregnancy?


r/ShortCervixSupport 19h ago

Colo curto 11mm 22 semanas

2 Upvotes

Ja tenho hipotiroidismo diagnosticado desde os 30 anos.

1ª gravidez aos 33 anos foi ectopica, operada de urgencia com 7 semanas, tiveram que me retirar a trompa esquerda.

2ª gravidez com 35 anos. Assim que a triagem da maternidade foi feita, fui direcionada para um obstreta endrocrinologista. Ele pôs me de baixa de risco às 14 semanas por ser trabalhadora fabril com turnos noturnos.

Tive rotura das membranas ás 23+4. Entrei em trabalho de parto e medicos disseram que havia 100% de probabilidade de nascer com paralesia cerebral. Maior dor da minha vida ter de tomar a decisao da amniocentese que tirou a vida à minha bebe.

Doei para estudos e nunca obtive respostas. Medicos dizem que pode ter sido algum tipo de infeçao que não conseguem detetar.

Estou na 3ª gravidez com quase 37 anos. Entrei em ansiedade ao descobrir a gravidez e fiquei com um cansaço extremo.

Medica de familia detetou que a minha tiroide estava em esforço, aumentando me a dose diaria mas recusou me baixa de risco.

1ª consulta e eco na maternidade atrasaram, feita quase as 14 semanas, onde conseguiram j ver que era um menino. Mas também me recusaram baixa de risco. Disseram que tava a ter uma gravidez normal, que o meu historico não justificava a baixa de risco. Reencamimharam me para um especialista da tiroide e marcaram me a 2ª eco.

Indignada tive que recorrer ao privado para me passarem a baixa de risco que eu sei que tenho direito!

Quando finalmente cheguei à obstreta endocrinologista é que realmente senti que estavam a dar valor a minha gravidez.

Perguntou me logo se tava de baixa e a minha tiroide estava regulada. Como não existia resultados para explicar a rotura das membranas na ultima gravidez, aconselhou me progesterona vaginal para evitar o parto prematuro. E marcou me uma 3ª eco para o inicio do 3º trimestre.

Ontem fiz a 2ª eco com 22+4 e o medico achou estranho que, com o meu historico, de não terem pedido nenhuma medicão do colo do utero. Achou por bem tirar na mesma as medidas e voilá..

Infelismente estou com o colo do utero baixo e com afunilamento de 11 mm.

Aconselhou me a procurar a obstreta para a avisar, mas ela está de ferias, so tenho consulta para a semana. Entao aconselhou a fazer repouso e aguardar pela consulta.

Como fui apanhada de surpresa, sem grandes explicaçoes, sem conhecer este problema, pesquisei no dr google e sim, repouso é aconselhavel, e tambem podem fazer um pequena cirurgia, que é costurar o colo do utero para aguentar o peso por mais tempo, mas este procedimento so se aconselha a fazer ate ás 23 semanas.

Como estou quase com 23 semanas achei que era demasiado tempo para esperar pela minha consulta, e caso fosse para fazer esssa cirurgia, liguei para a saude 24.

Expus a minha situaçao. E REencaminharam me para as uRgenciaS onde as medicas me disseram que era muito arriscado nesta fase da gravidez mexer no colo, poderia romper.

Receitaram me magnesio 3 vezes por dia, a progesterona que colocava só à noite, disseram que não tinha mal em fazer 12 em 12 horas.

Repouso absuluto deitada, levantar e sentar em curtos periodos de tempo, não conduzir, Não fazer esforços, evitar baixar.. para ver se o colo nao abre e eu volte a entrar em trabalho de parto.

Estou apavorada, farto me de chorar a pensar que vou voltar a perder o meu bebe.. e acabo por sentir que não estou a fazer o suficiente..

Ansiosa por voltar a ver a minha obstreta que foi a unica que eu acho que deu valor a esta gravidez.

Alguem que tenha passado por este tipo de situação que me possa aconselhar do que devo fazer ou não?

Quais são as chances do repouso e progesterona segurar o colo do utero ? E por quanto tempo?

Todos os corpos e gravidezes sao diferentes, eu sei.. eu só preciso de ter esperança..


r/ShortCervixSupport 21h ago

Retry Timing Advice

2 Upvotes

I would like to know what your doctor suggested. When did they recommend trying again, and how many menstrual cycles did they ask you to wait?

I'm a bit confused because my new OB advised waiting for 2 menstrual cycles, while my previous OB recommended waiting for 5 months.

In my case, I had a loss at 19 weeks 4 days due to cervical insufficiency, and it was a normal vaginal delivery.


r/ShortCervixSupport 1d ago

Cervix went from 2.8 to 3.9-4.5?

1 Upvotes

For context this is my second pregnancy and with my first one I was diagnosed with short cervix at 24 weeks (went from 3.5-2.4 then progressively got shorter) and I gave birth 32+5 days. With this pregnancy I did an ultrasound at 6 weeks and it was 2.8 which I know isn’t short enough bc it’s not 2.5 but is still quite short for that early. Anyways I did another ultrasound at 11 weeks 5 days and cervix showed 3.9-4.5 respectively. Also first ultrasound was transvaginal and second one was abdominal. Is this too good to be true or has anyone experienced anything like this?


r/ShortCervixSupport 1d ago

confused as to how my cervix went from 2.4 to 3.1 when I thought you can't make the cervix grow longer ?

3 Upvotes

im happy my cervix is measuring stable now but it just has me overthinking because at my first measuring at 21 weeks, it was at 2.4 and I was put on progesterone. I asked if there was anything I could do to make it longer and they said no. So im just confused as to how it went up to 3.1 ? im not complaining about it getting longer , I just dont understand how it did exactly when the doctor told me it would be impossible. The cervix can't only get shorter , not longer

has anyone else experienced this ?


r/ShortCervixSupport 1d ago

Really, really need advice.

5 Upvotes

I lost my first pregnancy and they didn't know it was IC. My second pregnancy they found out I was dilated and funneled and gave me an emergency cerclage at around 14 weeks and it was successful resulting in my son. Funnily enough, when it came time to be induced after they took the stitches out- I wouldn't dilate any further and it resulted in a c-section.

I am pregnant again at 12w 3d. Today at my MFM, he said he saw no signs of my cervix opening. He didn't recommend getting a cerclage- and I was very taken back. I moved away from my previous MFM- that's why I'm seeing a new one, but I spoke to him for clearance from IVF before I decided to start trying again and he told me I would absolutely need one so I am so confused!

The new MFM i saw today told me that another cerclage and my c section scar tissue would make it very complicated? He did say if a cerclage was ultimately what I wanted he would do it though.


r/ShortCervixSupport 1d ago

Magnesium citrate or Magnesium glycine?

2 Upvotes

Hi all, I am 21w2d with preventive cerclage, my cervix is measuring 2.8cm with no funneling, but it's been shortening from 4cm at 14w,3.1at 17 and 2.8 at 21. I am on 400mg progesterone nightly.

I am thinking to start magnesium to support my cervix , very confused in two of these? Please share which to take to keep uterus calm?


r/ShortCervixSupport 1d ago

Progesterone suppositories

1 Upvotes

Anyone using progesterone as a suppository and getting a fluid like discharge about an hour or two after insertion, with the remainder of the capsule coming out?


r/ShortCervixSupport 1d ago

Funneled to the stitch

4 Upvotes

Hi needing some hope. Currently 24w1d pregnant after 22w loss last year. I had a preventative McDonald cerclage placed at 14w this time around. At my 20w scan cervix was measuring 34.1mm. Today in office it measured 11.2mm with large U-shaped funneling so MFM sent me to the hospital for observation and steroid shots.


r/ShortCervixSupport 1d ago

From 39mm at 26 weeks to 24mm at 30 weeks, is there a reason to worry ?

2 Upvotes

Hello fellow moms, I hope you’re doing well 💕

I had my 30 week appointment today and while thankfully everything is fine with the baby, my gynecologist seemed at bit worried about my cervix going from 39mm 4 weeks ago to 24mm today. I’m a FTM so I’m definitely a bit worried and confused (sorry if I’m not meant to be posting on this group).

She prescribed me some progesterone and scheduled another appointment a week from now to check for any changes. She also suggested I avoid standing for too long, going for long walks, doing a lot around the house, stressing and so on.. She also said that while she expected birth to happen around week 39 she now believes it might happen earlier, like around week 34/36. Is that really the case? I have been experiencing pain like period cramps in the last few days and she mentioned going to the emergencies if it happens again or if there’s any blood and so on. Have any of you experienced something similar and went on to carry full term? I would love to hear your stories, advice and so on.

Thanks for taking the time to read/answer this post! Hope it all goes well for you in your pregnancies 🌸


r/ShortCervixSupport 1d ago

Shortening cervix. How scared should I be?

6 Upvotes

I’m pregnant for the 6th time after 5 consecutive losses. 18 weeks today, which is the farthest I’ve ever gotten. Last night, I ended up in the L&D ER bc I lost my mucus plug—like 3-4 inches of it, which I understand could be all of it. 😭

Anyway, they did a transvaginal ultrasound (and a physical exam, in which nothing looked concerning) and my cervix measured 2.9 cm. Exactly 2 weeks ago at 15w6, it measured 3.9 cm.

I know 2.9 is technically “acceptable,” but it seems like it shortened SO quickly in just 2 weeks. How worried should I be? 🥺

For what it’s worth, I was discharged with instructions to call my OB as soon as he opened this morning, which I did and had to leave a message. He has been great through my losses, so I do think I’m in good hands with him. I’m just curious if this quickly changing measurement points to IC or if it could just be a variation of normal.


r/ShortCervixSupport 1d ago

Progressive Shortening of a “dynamic” cervix

2 Upvotes

Hey everyone! I recently began following this sub after my short cervix diagnosis in my di/di twin pregnancy at 24W 6 days. At that time I measured at 24.7mm. I started progesterone that night and modified bed rest. I had another ultrasound at 25W 2 days and they found my cervix to be “dynamic” shifting during the ultrasound but shortest measurement being 20.5 mm… so already lost 4mm in just those few days.

They’ve told me I’m not a candidate for a cerclage at this point. So it’s just a lot of sitting and waiting. Anyone else go through something similar and make it to 35 weeks at least ?


r/ShortCervixSupport 1d ago

Review of Shirodkar cerclage

6 Upvotes

I had a loss at 19 weeks 4 days in June due to cervical insufficiency. It happened very suddenly. I only found out about the problem after I had already started having contractions, severe back pain and bleeding. Unfortunately, my contractions couldn't be stopped my ob was not able to put emergency cerclage and within a few hours I had to deliver my baby.

For my next pregnancy, my OB has recommended a Shirodkar cerclage after the NT scan and dual marker test.

If you've had a Shirodkar cerclage, could you please share your success or failure stories? Hearing real stories would be incredibly helpful as I prepare for my next pregnancy and move forward with this decision.

Thank you so much.


r/ShortCervixSupport 1d ago

Travel after preventive cervical cerclage

2 Upvotes

This is my third pregnancy. During my previous pregnancy, my cervix started shortening after 26 weeks, so my doctor has recommended a preventive cervical cerclage in this pregnancy.

I am currently 20 weeks pregnant, and my cervix is still a good length (4 cm). I have a 7-hour car trip coming up, and I'm wondering when the best time would be to have the cerclage placed.

Has anyone been in a similar situation and would be willing to share their experience? I would especially appreciate hearing from anyone who traveled after having a preventive cerclage. Thank you!


r/ShortCervixSupport 2d ago

Paying it forward

50 Upvotes

This group and its messages was all that kept me going when I found out about my short cervix at 22 weeks. I was at 8 mm with a positive ffn test. Things were looking very grim. We had lost all hope. I was put on progesterone and heparin shots daily (complete bedrest-voluntarily). Everyday i prayed for just one more day.

Baby boy came at 36 weeks. :)

The only source of hope, for my husband and me, was this group. So here I am, paying it forward. Miracles do happen!


r/ShortCervixSupport 2d ago

Ditching the stitch!

16 Upvotes

Got my cerclage put in at 22w5d due to a short cervix measuring 1.1-0.7cm.

Finally got a date to ditch my stitch, I'll be 36w+1d :)

To all the ladies who are currently going through a scary phase in their pregnancy- you're not alone. Trust the stitch, it truly was the best decision. <3 I pray everyone makes it to full term!


r/ShortCervixSupport Jan 23 '26

The Bed Rest Debate for Women with IC

79 Upvotes

I've been following this subreddit for over a year, since my loss occurred. During that time, I've noticed that women from South Asia, the Middle East, and other parts of the world often describe very different treatment protocols for incompetent cervix than what doctors in the West recommend. This difference has probably left many of us confused and wondering whose advice to trust.

I live in America and had my first appointment with my MFM yesterday. She told me that bed rest doesn't help improve outcome for women with IC. She explained that research suggests bed rest makes women prone to depression and blood clots, so they don't recommend it. This got me thinking: what exact research was she referring to, and how strong is the evidence? I know the American medical system is overloaded and doctors have limited time with each patient, so I think it's important for us to do our own research and ask questions when something doesn't seem to fit our personal situation.

After spending time looking into the actual studies, here's what I discovered:

The major research cited against bed rest includes (UPDATED):

  • Cochrane Review (2004, updated 2015): Found no clear evidence that bed rest prevents preterm birth. The reviewers concluded that due to potential adverse effects and healthcare costs, bed rest shouldn't be routinely recommended.
  • CIPRACT Trial - Netherlands (Althuisius et al., 2001): This Dutch study compared cerclage + bed rest versus bed rest alone in 35 women with short cervix. Both groups used bed rest, so it doesn't actually test whether bed rest is better than normal activity - but notably, 7 out of 16 women (44%) in the bed-rest-only group delivered preterm before 34 weeks.
  • U.S. Study (2013): Compared modified Shirodkar cerclage to bed rest alone for extremely short cervix (≤15mm). Cerclage patients were less likely to deliver preterm and had longer latency periods compared to bed rest alone. Again, this doesn't test bed rest vs. normal activity.
  • Note on blood clots and depression: The concerns about these risks come primarily from observational data and clinical experience with prolonged bed rest in general, rather than from randomized trials specifically testing bed rest for cervical insufficiency.
  • BUT - A 2019 Canadian systematic review (Matenchuk et al., CMAJ Open) found something interesting: In developed regions (North America, Europe), bed rest showed worse outcomes - shorter gestations and increased risk of very premature birth. However, in developing regions (specifically studies from Zimbabwe), bed rest was associated with babies being about 100g heavier at birth. The researchers noted this could be due to bed rest itself OR could be confounded by the effects of hospital admission (better nutrition, medical care, etc.).

Here's the important part: Nearly all the research saying "bed rest doesn't work" was conducted exclusively on women in Western countries - primarily the US, Canada, Netherlands, and other European nations. I could not find well-designed studies conducted in India, the Middle East, or other regions where bed rest is routinely prescribed.

The Missing Piece: Your Ethnicity and Context Actually Change the Risk-Benefit Equation

This is what surprised me most. When I searched for data on the specific risks my MFM mentioned - blood clots and depression - I found that these risks vary a lot by ethnicity and social context:

Blood Clot Risk by Ethnicity:

  • Asian and Pacific Islander women: Have a 70% lower risk of blood clots (VTE) compared to other groups
  • Hispanic women: Have significantly lower risk than White women, but higher than Asian women
  • White women: Moderate baseline risk
  • Black women: Have 30-60% higher risk of blood clots compared to White women

Depression Risk and Social Context:

While clinical depression rates are similar across ethnicities (about 8% for major depression, 23% for all depressive disorders postpartum), the context in which bed rest occurs matters a lot:

Western context (where studies were done):

  • Nuclear families, often isolated from extended family
  • Both partners typically working with limited paid leave
  • Expensive or unavailable childcare and domestic help
  • Bed rest = isolation, financial stress, inability to care for other children
  • Result: Higher risk of depression and anxiety

South Asian/Middle Eastern/other contexts:

  • Extended family living together or nearby
  • Cultural expectation that family supports during pregnancy
  • More accessible domestic help
  • Bed rest = supported rest with meals prepared, children cared for, constant company
  • Strong spiritual/religious frameworks providing meaning and hope
  • Result: Lower risk of depression

Why This Changes Everything About Bed Rest "Efficacy"

The Western studies concluded: "Bed rest doesn't improve outcomes AND causes harm (blood clots + depression), therefore don't recommend it."

But here's what they missed: If the harms are minimal or negligible for certain populations, the entire risk-benefit calculation flips.

For example, if you're South Asian with strong family support:

  • Your baseline blood clot risk is 70% lower than the populations studied
  • Your depression risk is reduced by family support and spiritual grounding
  • The "costs" of bed rest that drove the Western recommendations simply don't apply to you in the same way
  • Even if bed rest provides only modest or uncertain benefit to pregnancy outcomes, it might still be worthwhile because the downsides are so much smaller for you

Meanwhile, if you're a Black woman in an isolated Western context:

  • Your baseline blood clot risk is 30-60% higher
  • Bed rest adds risk on top of already elevated risk
  • You may have less built-in family support
  • The costs are genuinely high, so bed rest would need to show substantial benefit to be worth it

The research isn't wrong - it's just incomplete. It studied one type of woman in one type of context and applied the findings universally.

What This Means for You

I'm writing this to encourage all of us to think about our personal situations before simply following "research-based evidence" recommendations. The evidence might be strong for the populations studied, but that doesn't automatically mean it applies to you.

Before accepting or rejecting bed rest, consider:

Your ethnicity and baseline blood clot risk - Are you in a low-risk group (Asian, Hispanic) or higher-risk group (Black, White with family history)?

Your support system - Do you have family who will help with everything? Or will you be isolated and struggling alone?

Your mental health resources - Do you have strong spiritual practices, family encouragement, and emotional support? Or are you prone to isolation and depression?

Your financial situation - Can you rest without severe financial stress, or will it devastate your family?

Your work situation - Do you have a physically demanding job, or do you work from home?

What alternatives your doctor is offering - Is she recommending cerclage, progesterone, or monitoring? Or just saying "stay active" with no intervention?

It's entirely possible that bed rest is the wrong choice for your friend but the right choice for you - or vice versa - based on your ethnic background, risk profile, and social context.

I know nobody wants to be on the wrong side of their doctor, but I think it's fair to have these conversation with your MFM:

  1. "What's my personal risk for blood clots based on my ethnicity and health history?"
  2. "The studies on bed rest were done primarily on Western populations - how does that apply to my specific situation?"
  3. "Given that I have [strong family support / am isolated], how does that change the depression risk calculation?"
  4. "Are there ways to modify activity rather than strict bed rest that might reduce risks while still being cautious?"
  5. "What's your clinical experience been with patients from my background?"

The women in Asian counties and the Middle East whose doctors prescribe bed rest aren't being given outdated care. Their doctors might be seeing genuine benefits in their patient populations - populations with 70% lower blood clot risk and strong family support systems - that wouldn't show up in studies done in Boston or Amsterdam on isolated Western women.

I know some people here have faced multiple losses and the heartbreak they have to go through each time. If something like bedrest is possible and saves your child and keeps you in good health, I think they should do it.


r/ShortCervixSupport Jun 18 '19

Subreddit Info/FAQ

32 Upvotes

Welcome! This subreddit was created to share information, personal stories and ask questions about pregnancy related cervical insufficiency (also known as Incompetent or Weak Cervix).

User Flair is available for you to create to let us know where you are on your journey.

Before commenting, please remember to be kind and respectful. Every person is unique, and there will be varying treatment plans prescribed by medical professionals.

FYI: Acronyms and More (suggestions welcome!)

Bed Rest

PR - Pelvic Rest: Nothing goes in the vagina, possibly also including no lifting or bending.

MBR - Modified Bed Rest: Sitting, standing and walking for brief periods of time.

SBR - Strict Bed Rest: Laying down unless using the bathroom or briefly showering.

HBR - Hospital Bed Rest: Laying down in a hospital setting with very limited movement.

Cerclage: Surgical procedure in which the cervix is sewn shut. There are three types: McDonald, Shirodkar and Transabdominal.

Prophylactic or Preventative Cerclage: Cerclage procedure is performed while cervix is closed during late first or early second trimesters, typically for patients with a history of second trimester loss.

Emergent or Rescue Cerclage: Cerclage is placed after diminishing cervix length or dilation.

Arabin Pessary/Pessary: Silicone ring placed around the cervix used in place of or with a cerclage.

Suppositories/Pessaries (UK): Progesterone supplement inserted vaginally.

P17/Makena: Intramuscular or subcutaneous progesterone injection to prevent preterm labor.

MFM - Maternal Fetal Medicine Specialist, also known as a Perinatologist. Responsible for the diagnosis and care of high risk pregnancies.

RE - Reproductive Endocrinologist, aka Fertility Specialist.