The last time they checked my cervix I had improved significantly. I had gone from 0 cm (no cervix) to 2 cm (a very short cervix). This is what had given me hope that over time things would continue to improve and I would be well on my way.
On Tuesday he checked me again. I had gone from 2 cm to 1.6 cm. Not a drastic change...but it was a change in the wrong direction.
Wait a minute. I'm sure most of you don't do some sort of google search containing the word cervix on a daily basis like me :) After all, why would any half-way sane person be so obsessed?!?! I'll take a second and educate you...
The length of the cervix is expected to shorten as a pregnancy progresses, but a length of 3.0 cm to 3.5 cm isn't expected until 32 to 36 weeks:
At 16 to 20 weeks, normal cervical length is 4.0 to 4.5 cm
At 24 to 28 weeks, normal cervical length is 3.5 to 4.0 cm
At 32 to 36 weeks, normal cervical length is 3.0 to 3.5 cm
Source: FamilyPracticeNotebook.com
Recap: My cervix is 1.6 cm and not any where near where it should be for 24 weeks.
So, what does that mean? Well, it means that I am getting my first steroid shot tonight when Brian gets home. Getting and giving shots from the one you love is such a bonding experience!! This steroid (wait...want to be impressed? I can even tell you what it is without looking: Celestone Solsupan Betamethasone...give or take few letters. Seriously, this has become my life!) Back to the steroid: This steroid is a one time (two shots in 24 hrs) thing. I was under the impression that you get the shot and then the baby's lungs are great until delivery. Not so. The reality of it is that the steroid is most effective if given 2 weeks before delivery. Say what? Yeah. That's right. It works for 2 weeks. So, why, oh why am I getting this shot at 24 weeks? I guess you could say that good 'ol baby doc doesn't have a ton of confidence in my cervix. In his words he said my cervix is "fragile" and his advise was to "stay down and pray" for the remainder of my pregnancy. Now do you see why I was such a mess on Tuesday? A wreck I tell you.
The next day I saw my OB and I told him how disappointed I was in the news I had heard from the high-risk doc. I needed the reality of the situation. So I asked him, realistically, what I could expect. He explained that, medically speaking, no significant changes in my cervix was a good thing. I shouldn't expect it to get any better than it is..so we want it to stay close to where it is now. It won't get better, and we don't want it to get much worse. That's the reality. I also asked him how long I could expect to carry Little Princess. He said that if I continue to do what I've been doing, and things stay as they are, I could expect to carry her full term. Wahoo!
As far as the steroid shots go, he also said that babies given the shots early on still seem to have an added benefit to those who don't receive them at all. If, by chance, I go into labor after 26 weeks, but before 32 weeks, they will give me a booster shot of steroids if there is time.
Reality: I will be on bed rest for the rest of the pregnancy. I've already been down 3 weeks (I went in to the hospital on March 1st and have been down since), and made it to our first milestone of 24 weeks. In 4 more weeks I'll be 28 weeks. Another huge milestone. 4 weeks later will be 32 weeks...at which point the doc says I'm "golden!"...and every week after that will be an added bonus. 1 week in the womb is worth 2 in the NICU.
I will miss seeing Wicked with my friends. I've seen it before and I'm sure I'll have chances to see it again. A bit of a bummer, but not a big deal at all.
I will miss my brother-in-laws wedding. I'll just catch the next one....JUST KIDDING BRADY!!!! No, I am super-de-duper bummed about missing this event, and it is a huge deal, but what can I do? Nothing. So, I'll be happy to see the pictures and hear about the big day from those that are there.
Sometimes I think about all the things that I can't do and all the things I'm going to miss out on, but then I think about everything that I am doing for Little Princess and I wouldn't change a thing. After all, being a mom is the hardest, most rewarding, life changing calling ever. I really am the lucky one.
My new favorite scripture, and my new motto in life, which I want in HUGE vinyl lettering all over my house (okay, maybe not all over!) is found in the Doctrine and Covenants. It says:
"Let us cheerfully do all things that lie in our power,
and then may we stand still..."
So in my case I will cheerfully do as little as possible for as long as possible as I sit/lay still!!