I'm in the middle of processing lots of new information right now that I have obtained via meeting with different professionals. Do we have a decision? No way. Are we close? Maybe. Here is my original list and some of the information I have "gathered":
1. get a 2nd opinion about whether I have an incompetent cervix or not (and in the process find a new OB because I'm not going back to my current one)- Yesterday I met with an OB who sees high risk patients, preformed many cervical cerclages, and is currently doing some work in infertility. She said that my situation is not classic for an incompetent cervix but the x-ray suggests that I do have one. She was missing a sono that would help her further diagnose and we are hoping that she will get a hold of that in the next couple of days. The clinic will help me find an OB here in town when that time comes, for now they will take care of me, even if it means driving an hour away.
2. find out actually what an incompetent cervix is and what it would mean for a future pregnancy (this really concerns me- IF I get pregnant again, will I be confined to breathing, eating and sleeping for 8 months???)- So I still don't know exactly what one is, but this is how it was explained to me: the cervix is too weak and begins to open too soon, causing a rupture of membranes. As far as we know, mine did not open. Again, she says that my case is not classic and therefore is why I "fell through the cracks", all seemed to be fine. A pregnancy would consist of having the cerclage following by limited activity (but fairly normal lifestyle). They would carefully monitor to see if anything is happening through ultrasound. Bedrest can be expected around 20 weeks. A perinatalist would be consulted and make those calls.
3. Weigh our options about how aggressive we want to be with getting pregnant again such as if we want to use meds or do IVF again- Seeing that nothing else worked, we will skip everything and go right to IVF, if we chose to do something. Meds and other procedures can be even more draining than IVF because they can drag on for months while they try to get everything right. And, again, they didn't work before. If we are going to invest time, money and emotions into something it will probably be in what we know worked. Of course, there is always the chance that it won't work this time around.
4. Research different adoptions options. Begin to make a decision on whether we want to proceed with adoption even if we decide to "try again." - This would probably be the step where we have "gathered" the least. We have met with one social worker and were going to attend an info meeting tonight but instead will be going to Jonah's open house (just found out about THAT).
Summary and Conclusions: I lied about the conclusion part, I'm still missing that part. But to summarize: its likely that I have an incompetent cervix, professionals agree that my chances of carrying a baby to term after the cerclage are somewhere between 8 and 9 out of 10. Those are not fabulous odds, but good enough for us to consider it. Adoption is still an option but we are in need of more information. Next week we hope to talk to the nurse prac after she consults with the OB about the sono (the missing info) and to talk to with 2 other local adoption agencies.
Gathering Information Part 3
Thursday, September 04, 2008 | Posted by JennT at 2:19 PM
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