Posted on

20 Week Anatomy Scan – Good & Bad

First the good…

Baby is perfect!  It was so fun to watch her wiggling around during the ultrasound, sticking out her tongue and swallowing some of the amniotic fluid.  She was sure busy!  The technician was very detailed, measuring each organ and body part and explaining all in detail.  She estimated baby’s weight at about 14 oz. today which is right on track developmentally for 20 weeks.  We received several cute pictures, but I’ll post those separately once I have a chance to upload them.

I did ask about movement, or rather my lack thereof, being it’s been on my mind so much.  The tech confirmed I have an anterior placenta, meaning it’s in front of the baby closest to the front of my abdomen and thus the reason I haven’t felt much movement yet.  My doctor confirmed that since I have an extra barrier between baby, I might not feel definite movement for a few more weeks, but that I shouldn’t worry.  The ultrasound confirmed baby is healthy and active.

So now the not so great…

One of the measurements the ultrasound tech needed was the length of my cervix and whether it was closed or open (dilated).  Thankfully it’s still closed, not dilated, but it is much shorter than it should be at this stage of pregnancy.  Basically the cervix should be about 4cm throughout pregnancy and shorten (efface) during labor.  Well, mine is already effaced to 2cm, which is apparently not good.  At first the tech thought maybe she just wasn’t getting a good view of it, so out came the dildo cam.  Yes, and here I thought I was finished with ‘those’ ultrasounds.  Oh the memories!  The second ultrasound showed the same though…

My doctor explained the risks of a shortened cervix at 20 weeks, mainly miscarriage and pre-term labor.  My regular OB contacted a high risk physician and it was decided that for the time being we’ll try progesterone suppositories, as they have been known to stop effacement (further shortening of the cervix).  The problem though is, nothing has been known to increase the length, so getting to 40 weeks could be problematic.  Side note, I’ve heard from fellow IVF bloggers that progesterone suppositories are nasty messy, but in this case going back to the injections isn’t an option, as we need the localized effect of the vaginal suppositories.  My directions are to use them nightly, beginning tonight.  I’m sure I’ll have some great stories for you all soon!

So going forward…  I pray the progesterone stops the shortening of my cervix.  In three weeks I’m to return for a repeat ultrasound to check my cervical length.  If it’s the same, I assume I’ll stay on the progesterone.  If it’s shorter we’ll have to be more aggressive.  My doctor mentioned perhaps bed rest, steroids, stronger medication to deter labor, etc.  I didn’t ask a lot of questions about what’s to come, maybe I should have.  For now, I’m going to focus on the next three weeks.

Eric was with me today during our ultrasound and appointment, and thank God, as he understands all this medical stuff so much better than me.  Problem with him sometimes though, is that nothing serious really seems to phase him, as serious to him is about dead.  He did seem worried today though…  As we walked out of the doctor’s office he said, “We just need to get to 30 weeks for baby to be healthy, that’s only 10 more weeks.”  Um, frankly, I’m still holding out for my 20 more weeks.  I am not about to assume at this point she’s coming early, nor am I ready, on any level, for her arrival in 10 weeks!

47 thoughts on “20 Week Anatomy Scan – Good & Bad

  1. You know, my best friend had a short cervix. Unfortunately, i’m not sure about the numbers. What I do know is that her doctor made her start maternity leave earlier and she had to stay in bed with minimal activity. She wasn’t very good about sitting at home doing nothing – plus she already had a toddler at home. Hang in there, at the end of the day, my girlfriend had to be INDUCED as her baby didn’t come out until 41 weeks. I’ll be thinking of you, but know that you can do this!!!

    1. Induced, ha, how ironic, right?! Hopefully one day I’ll look back and think all this worry was for nothing. Thank you for the thoughts 🙂

  2. I hope those suppositories do their job and baby girl stays put! Will be thinking of you.

    1. Thank you so much 🙂

  3. There is another blogger I follow and her cervix is doing the same thing, however hers definitely keeps lengthening and shorting. So there is hope that it could move a little, at least that’s what I’m praying for 🙂 I am so glad babe is perfect and doing so well and that your hubs was able to come and enjoy seeing babe as well! 🙂 XO

    1. I meant to search out other bloggers with this issue… Good to know there is hope!

  4. Glad baby girl is looking good. The shortened cervix sounds scary but I’m glad there’s a plan. Prayers the suppositories work!

  5. If you know enough of my history, you know that with Bella my cervix was shortened to .6 at 26 weeks and I managed to hold her in until 39 weeks. Glad they are at least being proactive with the progesterone!

    1. Very good to hear a great outcome, always nice to be reminded of such. I so hope I can be in the same boat 🙂

      1. Mind you I was on bedrest for 9 weeks, but that is because mine was so short plus positive fetal fibronectin plus contractions so they were convinced she was coming imminently. But in the end a very good outcome!

        1. 9 weeks! I don’t know how people survive bedrest! Props to you!

  6. Glad to hear baby girl is doing well but what a shock on the cervix length! Sending so many good vibes your way that the progesterone helps!!!!

  7. Prayers for you for at least another 17 weeks of pregnancy. Anecdotally I have heard good things about progesterone and preventing preterm labor.

    1. Yes, I’m really putting a lot of faith in the progesterone. Thank you for the prayers 🙂

  8. Bedrest means you can’t go to your super fun job! Praying baby girl stays put though.

    1. HAHA, true! While bed rest sounds nice for a day or two, I have a feeling it would get really old fast!

  9. hoping she stays nice and cozy for another 20 weeks!!

  10. Oh my goodness….so glad all is well with your baby girl and that her growth is right on track! But I’ll be keeping my fingers crossed for you that the progesterone does the trick…I can only imagine how nervous you must feel. Prayers for the full 40 weeks!!

    1. Thank you for the prayers, they are very much appreciated 🙂

  11. I’m really sorry about the bad news. I hope hope hope the messy suppositories help. I agree with Eric, 30 weeks is workable and only 10 more to go. Hang in there. I am thinking of you and hoping all continues to go well and little girl stays put! Are they going to do another scan to track this?

    1. Yes, I can do 10 more weeks, right? They are going to rescan me in three weeks to make sure it’s not any shorter. I can only imagine how nervous I’ll be for that ultrasound!

      1. No kidding, that will be a tense appointment. Is it in 3 weeks becaise that is how long it should take for the progesterone supplementation to show effects or because that is a reasonable time for length to change if not responsive to the progesterone? I am so sorry you have this to worry about but glad they are watching you closely.

        1. Honestly, I’m not sure why 3 weeks. My regular OB consulted with a high risk physician, but over the phone and just relayed the plan back to me. Obviously I should have asked more questions 😉

          1. No. It seems reasonable.

  12. Glad everything is okay with the baby girl. I hope the progesterone will help stop the shortening. Praying for you to keep her in there 20 more weeks.

    1. Thank you so much, I really hope so too!

  13. It looks like we are in the same boat! I go to MFM today to get my cervical length checked again. Last Tuesday at 25w1d I was measuring 2.1 – so I hope today I am the same.

    My doctor didn’t mention any progesterone supplementation – I will be asking MFM about it today if they don’t mention it.

    Did they say anything else to you about pelvic rest or not working out? I am worried that I have been overdoing it with my crossfit the whole pregnancy. But it is in the past & I can’t do much about it now.

    I am definitely anxious!! Fingers crossed for both of us!!

    1. So first I swear I was following your blog, but this things tells me I’m not! Hum… Darn WordPress!

      For the time being my doctor did not say I had to limit activity. She did say we will reassess in three weeks and if my cervix is even shorter at that time than it is now, we will have to consider more actions, including bed rest. I’m kind of at a loss on whether or not I should actually be worrying.

      I have not been working out, other than walking, which is required for my work since this place is so huge and even getting lunch is a ways away from my office.

      These next three weeks can not go fast enough for me! I’ll be praying your appt goes well today!

      1. Word press has done the same to me a few times – rather frustrating I think!! But no worries!

        I hope that the progesterone is doing it’s job for you!! Hopefully the next three weeks will fly by.

        Gosh – it is always something, isn’t it?

        Thank you – I will let you know what MFM says after my appointment today. It is at 2pm EST.

      2. Oh – do you have a cervical length from pre/early pregnancy to compare to? I do not.this is one reason I am hoping my cervix is just short not to getting shorter. Mostly only because I do not have anything to go off of as far as how long it once was.

        1. Good question… If they did measure mine at some point they didn’t tell me…

          1. OK – I asked this question yesterday & the doctor said if we knew the measurement it would be irrelevant because the cervix is always changing. They don’t want a measurement until 16 weeks because it isn’t accurate until then. I hope that the progesterone is doing it’s job for you!! I got good news yesterday – I don’t know if the first measurement was inaccurate or what – but the MFM dr was happy with my measurement yesterday & said if we keep measuring the cervix will definitely get shorter as pregnancy progresses – because that is what it is supposed to do.

            1. Hum… all very interesting. I should have asked more questions I guess as I didn’t get the impression it can change in length since my OB said it won’t get longer. But maybe she doesn’t know since she doesn’t specialize in high risk… Or maybe she just doesn’t know, as so many doctors are clueless I have learned! I get it’s supposed to shorten as we get closer to delivery, but again, I got the impression that isn’t supposed to happen just yet. Thank you for sharing though, the more I know the better!

              1. I didn’t think it was supposed to get any longer either. I think it was probably a measurement error last week…? The MFM doctor wouldn’t confirm or deny it, which I get. It wasn’t her staff that did the ultrasound last week. I appreciate my doctor being concerned and sending me to MFM.

                Are they sending you to MFM? Or just monitoring in your OB’s office?

                1. I think the plan is for me to see the MFM if it’s shorter in 3 weeks. So far my OB just consulted over the phone with the MFM, but it was the MFM who recommended the progesterone.

                  1. The MFM yesterday did ask me if my dr had put me on any medications – I assumed she was referring to the progesterone. But mine hadn’t & it had only been a week – so I am not sure what it would have done in that time frame anyway. I hope your cervix is steady if not longer in 3 weeks!!

  14. Sending you loads of good thoughts and hopes that the progesterone suppositories do the trick!

  15. Glad to hear your baby girl is doing good. Sending lots of prayers your way that the progesterone does its magic!

  16. Very glad to hear baby girl is healthy! Prayers that the lovely progesterone does the trick and keeps her cooking for a long while yet!

  17. Glad to hear everything is ok. Fingers crossed that the progesterone does its job.

    1. Thank you, me too!

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.