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  1. #1
    MizzB
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    17P Shot

    Has anyone been prescribed the 17P shots for a short cervix?

    From what I have read, it looks like the 17P shot works best for women who had preterm labor and a premature birth in their first pregnancy. Basically, they were experiencing contractions which lead to cervical change.

    From what I understand, the 17P shot may help relax the uterus and prevent preterm labor in 30% of women who are high-risk to have a second preterm birth.

    This is my first pregnancy past 8 weeks, the other one was due to a tubal pregnancy, and I have a cervix which has been measuring at 23mm since my 13 week cervical length measurement check. I had a LEEP and cone biopsy over 7 years ago and have always known that my cervix would measure short due to the cone biopsy. The good news is that I have been standing fast at 23mm since 13 weeks and I am experiencing no funneling. My Peri tells me that they are more concerned with the inner area of my cervix and it seems to be holding fast so far. Hence, he prescribed me the 17p shot weekly and cervical length checks appts every 2 weeks.

    Has anyone else been in my situation?

    Thanks,
    Ailese
    Me (34), Dh (37)
    2 Miniture Dachsund Furbabies
    Tubal Pregnancy- AUG '04
    TTC since '05
    Dx: Tubal Infertility/Endo
    Corrective Tubal Surgery
    Numerous Failed IF cycles-(Clomid, Follistim)
    IVF/ICSI- (Womack)- SEP '08- BFN
    FET- (Womack)- FEB '09- TWINS!!




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  3. #2
    vesta
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    MizzB,
    I'm almost in the same boat, I have a short cervix as well and my last pregnancy i measured as low as 1.2mm of cervical lenght. I was placed on bed rest from 20 weeks on. At 34 weeks I was already at 1CM and ready to go. A day and a half later my water broke and i deliverd at 35w0d. My little one was only 4lbs 8 oz. With my current pregnancy they have already identified me as needing the P17 shots. I have researched it a bit and found the same results as you. I'm really hoping that it works. I refuse to have a cerclage placed, once you do that... you will have to do it with ALL pregnancies.

    good luck, and i hope you find someone that has actually gotten the shots with GOOD results.

    Shannon
    12w1d


  4. #3
    MizzB
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    Hi Shannon,

    I am sorry to hear about the early delivery of your last pregnancy and especially how much your lil one weighed.

    I am optimistic about the 17p shot and have heard positive feedback on other boards. So far, so good. I think the real challenge will be once I get to 20 weeks. I am carrying a twin pregnancy and am hoping that I will not have to have a cerclage. I am seeing a high risk doctor who is also against me having to have a cerclage unless it is absolutely necessary. I didn't realize how controversial the "cerclage" is until both of the high risk doctors at my clinic began discussing the pros and cons with me.

    It looks like you and I may be two of the few ladies on this forum who are being treated with the 17p shot for a short cervix.

    Best of Luck to you too!

    Ailese
    Me (34), Dh (37)
    2 Miniture Dachsund Furbabies
    Tubal Pregnancy- AUG '04
    TTC since '05
    Dx: Tubal Infertility/Endo
    Corrective Tubal Surgery
    Numerous Failed IF cycles-(Clomid, Follistim)
    IVF/ICSI- (Womack)- SEP '08- BFN
    FET- (Womack)- FEB '09- TWINS!!




  5. #4
    vesta
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    My specialist actually recommended the cerclage, but my GYN talked me out of it. I'm glad i did not do it. I will be on bed rest anyohow for the shortened cervix, I dont want to deal with stitches in place and possible bleeding too. It just seems to me that if i can keep my cervix in place long enought to keep a healthy baby than that will be my route. Remember that once you get a cerclage, you will always need one for future pregnancies. that was enought to make me reconsider.

    good luck with the big decisions.
    shannon


  6. #5
    sweet73
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    Hi, I am in a similar situation too. When I was pregnant with my DD I suspected I may have issues due to procedures from way back when. Once I hit 18-20 weeks I started to notice a tightening feeling, my cervix had been measuring 3.5 until about 22 weeks, when they put me on a monitor, it turns out I was experiencing contractions. I was immediately told no more work, bed rest w/bathroom & shower only. My cervix measured 2.4 at that point, and I was put on meds along with the 17P shot. At that point, I was no longer a candidate for getting a cerclage (stitch) due to my contractions + the further along you are, the higher risk the procedure becomes. I had a few hospital stays during my pregnancy, and went into labor at 32 weeks, which they were able to stop with Magnisuim, a very awful drug! I was 3cm dialated from that point on, but went on to deliver my daughter at 39 week 3 days! She was almost 8 pounds.
    I am not pregnant again, but wanted to take any precaution I could and had a preventative cerclage placed at 14 weeks, procedure itself was nothing, and it really helped to put my mind at some ease when I hit the 18 week mark - as before, I am on bed rest since 24 weeks, but am still experiencing contractions, I get the 17P and Procardia to control the contractions, but my cervix & stitch seem to be holding up as long as I am off my feet. I did have some funneling a few weeks ago, but it somehow is no longer there? I don't know how it alll works, but all I can tell you is, listen to your body, it knows more than any Dr can tell you. If you feel something is not right, demand to be checked.
    My current Dr is not as aggressive as I think is needed, so I am very strict with myself, I even have 1 inch blocks of wood under the foot of my bed to help take the pressure off of my cervix! I believe in my heart that helped the funneling go away!
    I wish you all the best for a healthy pregnancy.
    -Sweet
    Me (35) DH (31)
    DD - 06/20/07
    EDD 09/06/09
    It's a Boy




  7. #6
    MizzB
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    Hey Ladies,

    I just wanted to update you all on my recent cervix length measurement after only 2 shots of 17P. I jumped from 23mm to 32mm in 2 weeks! I couldn't believe it when the u/s tech told me. Hopefully, my cervix will continue to lengthen so that I won't become a cerclage candidate.

    I hope that you ladies are doing well and enjoying your pregnancies,
    Ailese
    Me (34), Dh (37)
    2 Miniture Dachsund Furbabies
    Tubal Pregnancy- AUG '04
    TTC since '05
    Dx: Tubal Infertility/Endo
    Corrective Tubal Surgery
    Numerous Failed IF cycles-(Clomid, Follistim)
    IVF/ICSI- (Womack)- SEP '08- BFN
    FET- (Womack)- FEB '09- TWINS!!




  8. #7
    vesta
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    Cerclage needed oh no!

    Well my whole idea of not getting the cerclage is out the window. My cervical length is at 2.98 at 16 weeks. My specialist said there is not way I'll make it without the cerclage. My 1st pregnancy I went into labor/water broke at 34 weeks. He stated that if I dont get the cerclage that i will most likely try to deliver at 20-25 weeks...... fetal survivability of 0%. I have to trust his opinion and do everything i can to keep the baby. Monday is my surgery date, I'm scared to death, and praying that all will go well. We did find out that we are having a BOY....! Caden is his name. I will let you know how the surgery goes and if the P17 shots help.

    Shannon
    16w1d baby boy


  9. #8
    sweet73
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    you will do fine! I had mine at 13 weeks, never had it in my last pregnancy because my cervix did not drop under 3 until 22 weeks, but I remember my dr saying that if it were 2 weeks earlier (20wks) he would have done the stitch. at this point, I think 16wks is still considered a preventative cerclage. The procedure itself is no big deal, they gave me an epi & a shot of something to help me relax, the also had the table on a slight tilt so the uterus is far back while doing the procedure - he said my cervix was at 2cm at time of stitch, but it measured over 3 for weeks after the procedure. I think it can really be a life saver for baby, and there was no question that I wasn't going to do it this time around. Expect some bleeding after, and make sure you rest up for a good week, no lifting, and stay laying down as much as possible so the area heals nicely. I am happy your Dr is being proactive about it, it sounds like you are in good hands. Wishing you an easy pregnancy.
    Me (35) DH (31)
    DD - 06/20/07
    EDD 09/06/09
    It's a Boy




  10. #9
    vesta
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    Hi Sweet73
    Well cerclage is in place, and wow the epidural hurt like all get out. They had to try 3-4 times to get it just right. I did measure 3 on my ultrasounds a week earlier, but doc said when he was in there i did not have anywhere near 3cm remaining. I could feel my cervix pulling a few days prior, so it really did not shock me too much. My cervix feels like a 20 lb brick, so heavy. Baby caden seemed to handle it better than I did. I have not seen much bleeding at all, not even real spotting to say, as of yet... doc gave me Motrin and perocet. I'm a little scared to take the percocet with the baby, rater just keep on the Motrin. Thank you for your words of encouragement. I think if I would have waited any longer it would have been a rescue cerclage... that would have been bad.


    shannon


  11. #10
    whitley
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    Good that you got it sooner rather than later since I was told and have read that most OBs like it done between 12-14 weeks. (I had mine done at 12 and a half.) Not sure at what week it becomes "rescue" but the important point is to rest up and not do too much. Is this your first pregnancy? Just curious as to why you thought there might be a need for a cerclage and opted not to get one? For me, the loss of my son last pregnancy (which was my first) made it a no brainer because I wanna make sure this one stays put!

    As for the original topic of this thread...I am also doing P17 shots (well, I will start them at the end of this week because my OB begins at week 16). She was careful to say that P17 is NOT indicated for IC but more so for "irritable uterus" which could cause early contractions and pre-term labor. The loss of my son is speculated to be several factors...so she just gave me every precaution in the book (both P17 and the cerclage) which I happy with.


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