QuestionSorry to bother you again but i guess i'll be doing the cerclage next week. I am very afraid i'll like to know if there are a lot of risks in doing a cerclage, and which are the risks. do i have to do bedrest after the cerclage. Well i'll be waiting for your answer thank YOu.
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hello i am sorry i have a new question i still have my hematoma now is 27mm by 15mm and i am 14 weeks pregnant. Now my new question is because one doctor tells me i have to do a (cerclage "to sew my uterus neck" in spanish is cerclaje) and the other tells me not to do it. To help you remember my situation i tell you a had 1 cesarea 8 years ago, 1 natural labor in the 34 week because the baby had a problem (otosephalia) 5years ago and afterwards as it was difficult for me to get pregnant they made me a surgery in the neck of my uterus because i had had a rent or laceration "desgarro" , then i got pregnant and i had a natural labor 2 years ago in that last pregnancy they made me a "cerclage". they took it one friday and the next tuesday i had 2 of dilatation and next friday (one week after they took me the cerclage) my new baby was born in an excellent natural labor thanks god. But now i am afraid because one doctor talks me about the risks of not doing the cerclage and the other one about the risks of doing it. i am sorry to bother you but please i beg you to give me an opinion. Thank you very much Sorry for my english. i ll be waiting for you answer. Natalia
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i ll like to know how long it can take this hematoma to disappear, is there anything i can do to acelerate the process. I am taking utrogestan 400mg(progesterone)
Is it too big 5cm? My problem with the bedrest is my 2 years old kid.
Somtimes i worry because i have more bleeding and then less and then more again. always brown.
another question can i take a plane and continue my rest in another place or is it a risk?
and i'll also like to know if there is a cause?
Sorry for my english and for all my questions, but i'll like to know the answers because i am worried
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i am 34 years old. I have two children one of 8 and one of 2 in the middle i lost a baby in the 34 week pregnancy the baby had (otocefalia) Know my last menstrual period was 18 november 2004. THe 9 january i start bleeding blood and the told me with an ecography i had an hematoma of 6cm then they sent me to bed for two weeks. During those weeks i was always bleeding a little of brown blood. I went to another ecography or ultrasound the 21 of january and they told the hematoma was 5 cm thanks god the baby was ok. Now i am still in bed, and i am bleeding the same brown blood. I am a little afraid for my pregnancy, and i also need to know how much important is the bedrest. And how long i will have to be in bed. i am sorry for my english. But i am very worried and i ll like you to give me your opinion. How long to you think this hematoma will take to dissapear, and the bleeding too And how dangerous is this for my pregnancy. I'll be expecting your answer thank you ver much.
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You have a condition called "subchorionic hematoma" which occurs in the folds of the placenta as it is forming. This hematoma will resorb gradually and it will not cause any harm to the baby or to the pregnancy. YOu should stop bleeding within a few weeks, as the hematoma gets smaller and smaller. We usually ask women who have any bleeding to stay in bed. However, studies have shown that bedrest does nothing to help or hurt. It does, however, sometimes make you feel better. Be patient but don't worry.
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The subchorionic hematoma is formed within the folds of the placenta and usually does not interfere with your pregnancy at all. It can take from a few weeks to a few months to disappear totally. As I said before, you don't have to stay on bedrest if you want to do other things. Bedrest does not make it disappear any faster. Bedrest only allow you to be more comfortable. You can take a plane to another place or do any of your usual activities, as long as you don't mind bleeding a bit. The bleeding is not heavy and will wax and wane and may be brown one day and red the next. It will disappear eventually. As long as there is a fetal hearbeat and you are not bleeding very, very heavy with cramps, you have nothing to worry about. This situation is very common.
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I don't know enough of your history or of your pelvic examination to be able to advise you whether to have a cerclage or not. If you have evidence of cervical dilatation, or have miscarried three times in the second trimester in previous pregnancies, that is an indication for a cerclage. If you have two doctors giving you two different opinions, get checked by a third doctor (preferably a perinatologist).
AnswerA cerclage procedure is a simple procedure. You are usually put to sleep and the cervix is grasped with a tenaculum. A thick suture (usually 5 Tevdek)is placed in a "purse-string" manner around the cervix. Another suture is placed behind the first suture, and you are awakened. Usually we keep you at bed rest in Trendelenberg position (tilted)for around an hour. Then you can resume your activities.
