Today was my weekly appointment with the MFM to check my cervix. I went in for the ultrasound and they surprised me by making this my my "growth" ultrasound. The Little Cannoli is weighing in at 11.81oz. and is just over 10 inches long. I am exactly 20 weeks 2 days today and EVERY measurement was within 3 days of that. Actually, the only measurement that was three days off was the femur length, and they allow that measurement to be off by almost two weeks so that is not bad at all. Considering I am barely 5'5" and my husband is only 5'9", I really don't expect that I will be giving birth to a future NBA star. So, taking into account all of the measurements taken today, collectively we are only measuring behind by one day which is excellent. The Little Cannoli is currently in the 40th percentile (hadlock).
My cervix was unfortunately another story. Last week my cervix measured in at 2.64cm with no funneling or dynamic changes with fundal pressure. This week it is down to 2.25cm but there still isn't any funneling. I was pretty upset to see that it has thinned out even more but the MFM who did my ultrasound was pretty reassuring. He said that out first goal is to make it to 28 weeks. Normally people think 24 weeks is a great goal but he said babies born at 28 weeks have a 90% survival rate and generally don't have any lasting effects from prematurity. I asked him if he thinks we will make it that far and he said that he feels pretty good about it. He said that after we hit 28 weeks we will take things in two week increments. Once I hit 32 weeks, they will not go out of their way to prevent labor as we are in the "safe" zone...that and I don't think that they expect me to make it much past that anyway. I will show them!!
It is very scary to hear all of this as I would like to make it to at least 36 weeks. Given the fact that my cervix has shortened (again) and that I had 10 hours worth of contractions on Monday and more contractions today when I was on my feet for a while, they have taken me out of work. I was not happy about this but I need to do what is best for this baby. They told me that if my cervix lengthens or stabilizes that they will consider letting me return to work after I hit 24 weeks as the risk for incompetent cervix lessens as the weight of the baby is lifted of the cervix around that time. For now they want me off of my feet and to stay generally close to the medical center. I will stay on weekly appointments as they want to keep a close eye on things. If my cervix shortens to 2cm or less I will have a cervical pessary placed and be placed on strict bedrest. Right now they have me on modified bedrest which means that I don't have to stay in bed, but they don't want me on my feet for more than 10 minutes at a time. If I go out to the store I have to use a wheelchair or one of the electric carts. I am happy that I am not confined to my house but things will still be difficult. I have a shower to go to on Sunday and I asked if I could go to that. They said it was fine if my husband drove me, I sat immediately upon arriving, and I agreed to stay off of my feet for the rest of the day. If I am having contractions I cannot go. I am hoping to make an appearance as it is for family, but I will not put this baby at risk.