Re: Laurie: question for Heidi & others on unresected SU

[Guest guest]

Hi Laurie,

Have you had any other miscarriages beside the twins?

bc a twin loss (even w/o the transfusion syndrome)

would be expected in an uresected SU (but not

necessarily a single embryo). Conservatively, i would

count the loss of the twin who made it to 27 weeks as

1 previous miscarriage in weighing your surgical

options. Have you had other losses and if so at what

times during the pregs.

My treatment plan: ultrasounds at these weeks: 6, 8,

9 12, 15, 18, 20, 22, 24, 26 28 31 33 34 36. i also

saw/ talked to my doctor for every one of those

appointments. wks 6-15 were to monitor growth of

fetus and heartbeat. weeks 8-33 were to monitor for

cervical incompetence. wk 34 was to measure fetal

growth and estimate weight. wk 36 was a biophysical

profile b/c of lack of fetal mvmt.

my cervix was > 3 cm the whole time so a cerclage was

not indicated, however, in cases where it is, it is

best to get them in as early as possible (18-22 wks).

they should not give you cerclage if your cervix is

not shortening/funneling, but it should be monitored

closely. cervical incompetence is more likely with

MAs but not necessarily associated with MAs, and it is

also not the only cause of preterm pregnancy loss in

MAs- but probably is the most well understood,

monitorable and treatable potential cause of losses-

which is why we focus on it. my doc told me the risk

period for cervical incompetence really occurs i

believe from weeks 18-29/30.

this is a tough decision for you and many prayers in

figuring it out. my final question is as usual (i

sound like a broken record im sure) do you have a

defnitive diagnosis that you are confident in before

proceeding with this surgery.

xoox

heidi

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