Guest guest Posted September 29, 2005 Report Share Posted September 29, 2005 , Trust me, I think EVERYONE on this site has been through the obsessive internet surfing phase. Information seeking is a natural reaction to the unknown, - its just important to draw the line at a cerain point bc at a certain point its not at all helpful to you. Our baby- i still feel there are no guarantees (there are none for any pregnancy) but we have been more able to get a little excited the past few weeks. Its in Gods hands and we are just praying every day like crazy. Cerclage (cervical stitch) could also be performed w/o history of miscarriage if the cervix begins to change in 2nd trimester. its most successful if performed early (i think around 18-20 weeks). It does carry risks but depend on the situation. This is all the more reason for you to be seen by a good high-risk ob who can monitor you and make this decision intelligently. Do you have a major medical center that is affiliated with a major medical school near you? Id like to see you go there for additional workups and perinatal care. Very important thing to consider: im quite skeptical that you doctor is going to " figure out " if your BU or not during the pregnancy. The fact that he/she thinks she can gives me pause. Pregnancy changes the uterus so much its going to be very difficult if not impossible to get an accurate diagnosis now. They cant (and shouldnt) perform procedures that would be necessary for accurate diagosis either (i.e, HSG, lap/hyst- and this includes MRI, I wouldnt recommend it, I do MRI research and we dont know very much about effects on the embryo and fetus-- MRI should only be performed on pregnant women when absolutlely necessary for medical reasons. Yes, the docs will tell you they do it all the time but thats a load of ****). The only thing youre docs can/should do is 3d-ultrasound, (are you getting that, -- not just regular ultrasound? if not, you should) but again, this isnt the best time to make the diagnosis very accurately, and a rule-in or rule-out diagnosis should NEVER be made on the basis of a single procedure like ultrasound. If you doctor is supportive he/she should refer you to high risk ob / perinatology on the basis of rationale " suspected bicornate uterus " in order to protect the pregnancy. If they dont, I would go to a doctor who WILL give you that referral. Where do you live? Best Heidi > > Heidi Thermenos heidi_thermenos@...> wrote: > Dear , > Its very unlikely that an implantation in the septum > (if you are SU or BU) would result in a continued > preganncy so i think as your doc said it is most > likely that implantation occured in the endometrium > (and if not, the preg wouldve already ended). > > You need to take it very easy, -- and try to hand > over > everything else to God or some spritual something, > bc > this is not in your control and being stressed is > not > going to help the situation or the baby. Worrying > is > not going to change the outcome, and you need to > focus > on being hopeful and taking the best possible care > of > yourself (which includes not obsessing and not being > stressed). The statistics on rates of carrying to > specific points in the pregnancy are not well known > bc > the research is spotty, sample sizes in each study > are > very small, and the b/c it is very likely that many > women with BU or SU or other MAs who have normal > pregnancies do not ever even find out they have the > condition, and thus the majority of research on MAs > is > done on women who have a history of multiple > miscarriages or infertility (the ones who seek > special > treatment/ intervention). Thus, unfortunately, the > answer is that we dont know the exact (or even a > good > range of the) odds and your body is different than > everyone elses. > > You should be thrilled the baby is measuring normal > to > date- that is a good sign that the baby has good > access to blood flow. > > Try to relax, I would advise not excercising except > for gentle walks- let your fiancee do more of the > household work/cooking, and PLEASE dont try to take > the bar or go on psycho-job searches until after the > baby!!! It is ok and important to let yourself be > somewhat hopeful and have a good outlook and just > focus your energy on what you can control (taking > care of youself) and NOT reading the web obsessively > and worrying yourself sick with what is likely > mis-information. Get yourself a nice book on > pregnancy and focus on having a normal (albeit very > activity-limited) pregnancy. And cut out all the > coffee and other junk and stress in your life. > > B/c of your risk status you should be seen at 8 > weeks > by maternal and fetal medicine practice/ > perinatologist (not a regular obgyn). > > Im 31 wk 2 days preg in a non-resected septate > uterus. > I had ultrasounds a 6, 8, 12, 16 weeks, amnio at 18 > weeks with fetal measurements, then had cervical > length monitoring by ultrasounds wk 20, 22, 24, 26, > 28 > and 30. from here on in i will not have u/s (as im > out of risk zone for cervical incompetence) but will > go to doc every 2 weeks until 34 wks and then every > week after that. MAs are at increased risk for > cervical incompetene which is an important > component > of 2nd trimester loss and you should be monitored as > above to check that cervical length is > 3cm. > > Best wishes and many prayers for the health of you > and > your baby and a long healthy preg > Best > Heidi > > > > > --------------------------------- > > Yahoo! for Good > > Click here to donate to the Hurricane Katrina > > relief effort. > > > > [Non-text portions of this message have been > > removed] > > > > > > > > Share bookmarks: > http://groups.yahoo.com/group/MullerianAnomalies/links/ > > Share files: > http://groups.yahoo.com/group/MullerianAnomalies/files/ > > The Congenital Uterine Anomalies Home Page: > http://www.wegrokit.com/uterineanomalies/ > > > > es/ > > The Congenital Uterine Anomalies Home Page: > http://www.wegrokit.com/uterineanomalies/ > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2005 Report Share Posted September 29, 2005 Do you have a major medical center that is affiliated with a major medical school near you? I live in Washington, DC and actually go to town Law School. Although they have a medical center connected with the medical school, I found it very difficult to get an appointment there - when I called for the initial appointment when I was having spotting, they told me they couldn't see me until 12 or 13 weeks. I really didn't feel like floating around from Dr. to Dr. until I found a good one, and i've been with this one for quite some time now, but if you know of any good ones in the area, please let me know! Thanks, Heidi Thermenos heidi_thermenos@...> wrote: , Trust me, I think EVERYONE on this site has been through the obsessive internet surfing phase. Information seeking is a natural reaction to the unknown, - its just important to draw the line at a cerain point bc at a certain point its not at all helpful to you. Our baby- i still feel there are no guarantees (there are none for any pregnancy) but we have been more able to get a little excited the past few weeks. Its in Gods hands and we are just praying every day like crazy. Cerclage (cervical stitch) could also be performed w/o history of miscarriage if the cervix begins to change in 2nd trimester. its most successful if performed early (i think around 18-20 weeks). It does carry risks but depend on the situation. This is all the more reason for you to be seen by a good high-risk ob who can monitor you and make this decision intelligently. Do you have a major medical center that is affiliated with a major medical school near you? Id like to see you go there for additional workups and perinatal care. Very important thing to consider: im quite skeptical that you doctor is going to " figure out " if your BU or not during the pregnancy. The fact that he/she thinks she can gives me pause. Pregnancy changes the uterus so much its going to be very difficult if not impossible to get an accurate diagnosis now. They cant (and shouldnt) perform procedures that would be necessary for accurate diagosis either (i.e, HSG, lap/hyst- and this includes MRI, I wouldnt recommend it, I do MRI research and we dont know very much about effects on the embryo and fetus-- MRI should only be performed on pregnant women when absolutlely necessary for medical reasons. Yes, the docs will tell you they do it all the time but thats a load of ****). The only thing youre docs can/should do is 3d-ultrasound, (are you getting that, -- not just regular ultrasound? if not, you should) but again, this isnt the best time to make the diagnosis very accurately, and a rule-in or rule-out diagnosis should NEVER be made on the basis of a single procedure like ultrasound. If you doctor is supportive he/she should refer you to high risk ob / perinatology on the basis of rationale " suspected bicornate uterus " in order to protect the pregnancy. If they dont, I would go to a doctor who WILL give you that referral. Where do you live? Best Heidi > > Heidi Thermenos heidi_thermenos@...> wrote: > Dear , > Its very unlikely that an implantation in the septum > (if you are SU or BU) would result in a continued > preganncy so i think as your doc said it is most > likely that implantation occured in the endometrium > (and if not, the preg wouldve already ended). > > You need to take it very easy, -- and try to hand > over > everything else to God or some spritual something, > bc > this is not in your control and being stressed is > not > going to help the situation or the baby. Worrying > is > not going to change the outcome, and you need to > focus > on being hopeful and taking the best possible care > of > yourself (which includes not obsessing and not being > stressed). The statistics on rates of carrying to > specific points in the pregnancy are not well known > bc > the research is spotty, sample sizes in each study > are > very small, and the b/c it is very likely that many > women with BU or SU or other MAs who have normal > pregnancies do not ever even find out they have the > condition, and thus the majority of research on MAs > is > done on women who have a history of multiple > miscarriages or infertility (the ones who seek > special > treatment/ intervention). Thus, unfortunately, the > answer is that we dont know the exact (or even a > good > range of the) odds and your body is different than > everyone elses. > > You should be thrilled the baby is measuring normal > to > date- that is a good sign that the baby has good > access to blood flow. > > Try to relax, I would advise not excercising except > for gentle walks- let your fiancee do more of the > household work/cooking, and PLEASE dont try to take > the bar or go on psycho-job searches until after the > baby!!! It is ok and important to let yourself be > somewhat hopeful and have a good outlook and just > focus your energy on what you can control (taking > care of youself) and NOT reading the web obsessively > and worrying yourself sick with what is likely > mis-information. Get yourself a nice book on > pregnancy and focus on having a normal (albeit very > activity-limited) pregnancy. And cut out all the > coffee and other junk and stress in your life. > > B/c of your risk status you should be seen at 8 > weeks > by maternal and fetal medicine practice/ > perinatologist (not a regular obgyn). > > Im 31 wk 2 days preg in a non-resected septate > uterus. > I had ultrasounds a 6, 8, 12, 16 weeks, amnio at 18 > weeks with fetal measurements, then had cervical > length monitoring by ultrasounds wk 20, 22, 24, 26, > 28 > and 30. from here on in i will not have u/s (as im > out of risk zone for cervical incompetence) but will > go to doc every 2 weeks until 34 wks and then every > week after that. MAs are at increased risk for > cervical incompetene which is an important > component > of 2nd trimester loss and you should be monitored as > above to check that cervical length is > 3cm. > > Best wishes and many prayers for the health of you > and > your baby and a long healthy preg > Best > Heidi > > > > > --------------------------------- > > Yahoo! for Good > > Click here to donate to the Hurricane Katrina > > relief effort. > > > > [Non-text portions of this message have been > > removed] > > > > > > > > Share bookmarks: > http://groups.yahoo.com/group/MullerianAnomalies/links/ > > Share files: > http://groups.yahoo.com/group/MullerianAnomalies/files/ > > The Congenital Uterine Anomalies Home Page: > http://www.wegrokit.com/uterineanomalies/ > > > > es/ > > The Congenital Uterine Anomalies Home Page: > http://www.wegrokit.com/uterineanomalies/ > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2005 Report Share Posted September 29, 2005 , I just sent you an email. I live in DC too and called the G-town hosp at one time, but they didn't have any REs due to the Catholic mission statement--just not worth it for them I guess, but they gave me another name or two I can send your way if I can find them. GW might work for you if you don't want to drive to s Hopkins where my RE is ( Kolp). GW told me their head of ob-gyn has expertise in MAs and he's a laparoscopic surgeon ( Lin I think). Also it's possible your ob-gyn could refer you to someone. a 33, UU w/noncommunicating rudimentary horn > Do you have a major medical center > that is affiliated with a major medical school near > you? > > I live in Washington, DC and actually go to town Law School. Although they have a medical center connected with the medical school, I found it very difficult to get an appointment there - when I called for the initial appointment when I was having spotting, they told me they couldn't see me until 12 or 13 weeks. I really didn't feel like floating around from Dr. to Dr. until I found a good one, and i've been with this one for quite some time now, but if you know of any good ones in the area, please let me know! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2005 Report Share Posted September 29, 2005 OOops. Sorry! My mistake. , you can just file that last email away until AFTER your pregnancy! Suzanne Bathgate at GWU is a good high risk ob-gyn on the Washingtonian top docs list, but I'm sure there are good ones at Gtown. a > > Do you have a major medical center > > that is affiliated with a major medical school near > > you? > > > > I live in Washington, DC and actually go to town Law School. Although they have > a medical center connected with the medical school, I found it very difficult to get an > appointment there - when I called for the initial appointment when I was having spotting, > they told me they couldn't see me until 12 or 13 weeks. I really didn't feel like floating > around from Dr. to Dr. until I found a good one, and i've been with this one for quite some > time now, but if you know of any good ones in the area, please let me know! Quote Link to comment Share on other sites More sharing options...
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