So yesterday I went for my 12 week scan and to meet the alternative obstetrician I might be seeing for the rest of the pregnancy. It was a spectacularly unsuccessful meeting.
The scan went fine. Everything is normal, nuchal fold seems a normal size, heartbeat present, blah blah blah. I have seen it all before. I don't even want the photos they hand out after a scan.
"Here is a lovely photo of your baby, Mrs. H. Look, you can even see the hand and the little fingers," says the ultrasound technician, very proud of the shot.
Meanwhile all I am thinking is, "Six centimetres, it's only six centimetres and there are miles to go before it is viable."
We have photos of a perfectly healthy baby at 19 weeks and that all went to hell.
Anyway, so the scan went well and then I went to meet the doctor who has my huge file on his desk. He's read my file and he thinks a cerclage is likely. I explain that I don't want a cerclage, that last time things went very badly and that this time I would like to observe the pregnancy and see how things go. He explains that cerclages are usually performed at this clinic when there are two antecedents and I have two antecedents; one: the cone biopsy and two: the loss of the last pregnancy. I explain that as I understood things, I lost the last pregnancy as a result of an infection probably brought on by the cerclage which, as every doctor never ceases to tell me, is a foreign body and therefore increases the risk of infection.
"Well," he says, "It's your decision but we will discuss it."
We then proceed to stare at each other for two minutes. Neither of us breaks the stare. Neither of us says anything.
We move on with the consultation. He explains that I am at an increased risk for:
- premature birth because of the short cervix
- high blood pressure because of diabetes
- preeclampsia due again to the diabetes which raises my risk to 12%
I feel that I was a fool to even contemplate falling pregnancy with such a slim chance of carrying a child to term and have been in a blue funk ever since.
I just wonder what doctors think. Do they imagine that I skip into their consulting room, with diabetes and having lost a pregnancy at 19 weeks, and blithely imagine that everything is going to go hunky dory because now I am pregnant again? Do they think I read nothing about the risks of pregnancy with a short cervix, not to forget the diabetes? Does he think I went home and slept like a log and now imagine everything will go fine between now and next year when my supposed due date is? I just wonder.
H says it's his job to inform me of all the risks. I think there are ways of doing that less upsetting than listing the myriad of things that can go wrong and pretty much overriding me when I tell him I do not want a cerclage. At least it's an easy decision. He is not going to my obstetrician and if we run into each again, I will take a much firmer hand. We are so not amused.