had cone biopsy in June after having CIN III CIS0. I was told it was ok to have sex 6 weeks later. My husband and I had already made the decision to start a family and fell pregnant in August, I am now 8 weeks pregant! However, I am slightly concerned after reading other peoples comments regarding Gyne care for pregnant ladies in our situation. I have an appointment with my midwife next week and will have my 12 week scan in Nov. This is the only contact I have had with any health professional. My GP has not mentioned any special treatment or that fact that I should be closely monitered.
My husband is away for the next 6 months and don't want to bother him with this if I can help it.
Please help, I'm not sure where to go with this.
CMP75 xx
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8 wees pregant after a recent cone
- By cmp75
- Posted October 11, 2009 at 10:50 am · 3 replies
- In Health challenges after treatment
- Shared with the public
- Edited October 11, 2009 at 10:51 am
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Exercise Cancer Prenatal care Surgery Pain Miscarriage Pregnancy
3 replies
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- By flowershoplady
- Posted October 11, 2009 at 12:34 pm
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congrats on the pregnancy! i would encourage you to see an obstretician asap!
- By shesasourgirl
- Posted October 11, 2009 at 7:59 pm
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I will have to go with FSL and see an OBGYN. midwives are great, but with your histotry you will need to have as much medical care as you can and be monitored. See if your OBGYN and midwife can work together to get the best of both . Best of luck to you! Gratz!
PS also, if you still question the intesity of care you should have for your specific GYN issues, get a second opinion, it will ease your mind and you will feel positive that your doing the right thing
- By PJ2
- Posted October 12, 2009 at 9:34 pm
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Hi there -
Congrats on being pregnant. I am excited that you were able to get pregnant, but mirror the concerns over you only seeing a midwife. You need to be seen by a pernatalogist and quickly, as any good midwife would let you knwo that your standard of care is beyond what is typically handled by a midwife.
I copnsulted several and one of best friends is one and even she declined to take on my care with my first child. She advised me that while she is more than happy to be part of the overall birth and be with me if I decided to deliver naturally, she would not be able to take on my prenatal care.
reason being, you need to have your cervical length monitored for your entire pregnancy, especially after only being several weeks out from cervical surgery. Youare at a higher risk for miscarriage and should be seeing apernatalogist - like this week if possible.
If this was your second child and your first delivery was normal and if you were a few years out from treatment, I would say go for it with a midewife. But, since this is your first, I would say you need to see the regular OBGYN and a perinatalogist.
As for your GP saying nothing special is required, that is because some GPs are not aware of what needs tro be done. I actually educated my GP about cervical issues and pregnancy and now her does refer.
You need to see a OBGYN who handles high-risk patients and start there. Also, discuss whether or not you should see a perinatalogist, but my gut says yes.
Just for background, I had CIS Stage 0, CIN III, HSIL and had a LEEP, D&C and a top hat. Susequently, I have little to no cervix left. I have gotten pregnant twice and have two little boys (6&3), which I had after my LEEP. I am currently pregnant with my third child and due in Feb. 2010. While I have never had issues with my cervix opening during pregnancy, I have gone to the perinatalogist and high-risk OB for all my pregnancies starting at 12 weeks, and pending all goes well, IO will be discharged from perinatalogy care by 28 weeks. I get bi-weekly ultrasounds and have limitations on exercise (walking only at this point) and no sex for the entire pregnancy. I also am not allowed to lift anything over 15 lbs.
Anyway, I strongly urge you to see an OBGYN and get a full profile of what your situation is. A widwife and GP are not equipped to handle your care, at least not solely. I strongly urge you to have your cervix monitored via ultrasound, as chances are you may nbeed a cerclage. You can also talk to you doctor about involving the midwife in your care, as I did and they were willing to work through it together.
In the end, I was unable to deliver vaginally and had to have all c-sections (as I will with my 3rd). Cancer took my ability to dilate and deliver vaginally. However, the doula and midwife were there with me before surgery and helped me manage the contractions and pain until I was less than 1 minute apart in contractions and got my epidural for surgery. The doula also helped me with nursing and getting up and back on my feet after surgery.
I hate to sound so forceful and say you must do this and do that, but really the standard of care for pregnancy after cervical surgery is severly lacking and many GPs and standard Gynos make bad calls, when they should refer them to OBGYN's for high risk patients. There just ins't much info for them to learn from. That is where a pernatalogist is so great - because they know and will share it all with you.
So please at least consider seeing th specialists. If they give you the OK, then go back to the midwife, but really it is better safe then sorry.
Hang in the there and email if you wanna chat.
PJ
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