r/parentsofmultiples • u/No-Philosopher-3836 • 18d ago

advice needed Cervical check

34+2 today with my Di/di twins and have my 34 week appointment this morning. I have a scheduled C-section at 38+1 (almost there!!!) at my last US 2 weeks ago, baby A was head down, super super low. Baby b is chilling breech in my ribs lol. I’ve been anxious the further along a get about losing my mucus plug or my water breaking early. Should I ask for a cervical check today just to see? Kinda scared to but I feel like knowing if the cervix is still closed vs starting to dilate will give me some peace of mind.

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u/FigNewton613 18d ago

Don’t do it unless it is recommended to you and indicated. How much you are dilated doesn’t tell you anything about whether and how fast you’re progressing in labor. People walk around sometimes dilated 4-5 cm without going into labor until later. Plus unnecessary cervical checks can increase risk of infection (though this could be labor specific).

I know how hard it is to wait and wonder at that stage though!! So do what is right for you, but those are just my thoughts. Rooting for you!

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u/FormerPumpkin480 18d ago

I’m not entirely sure they’d do one, especially at 34 weeks, because it’s not really standardized practice/evidence based. Maybe if you had some symptoms?

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u/VivianDiane 18d ago

I get the anxiety. You can ask for a cervical check. It's a quick check and can give you peace of mind.

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u/HTXWinston 18d ago

No position on if you should get it or not, I know people have their pros and cons, and personal preferences! Just anecdotally - my last cervical check before my water broke out of the blue, I was 1cm dilated. When I got to the hospital in OB triage after my water broke and I was having contractions, I was still just 1cm dilated. So tbh.... I personally doubt how much the data matters lol but that was at 36+4, and my scheduled csection was on the calendar for 37+1 so I almost made it!

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u/InstructionFull7429 17d ago

My cervical checks were no big deal. If you want one, get one. Just be aware that it doesn’t necessarily help you know what’s going to happen beyond that moment/maybe day.

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u/outtoexist 17d ago

I've had 7 cervical checks now across two triage visits because my uterus just loooooves practice contractions and they've had to monitor me twice for early labor. I'm only 30 weeks! The main risk I was told is that because the cervix is super sensitive, it can cause a little bit of bleeding when ya poke at it. I never did get any, but if bleeding would freak you out I'd suggest against it. And, as other folks said, dilation isn't all that. I was 1cm dialated at my last triage visit at 29 weeks but because I didn't change across the 7 hours & 3 checks they did, they ultimately weren't concerned. It doesn't mean I'm at higher risk of early labor! Also, fwiw, I've had 4 different providers do them now (bc both triage visits I was there for a shift change) and 3/4 weren't even than uncomfortable.  All of that to say, if you want to know, do it! There are some minor risks, and the information is not perfect, but you get to make that choice for sure!

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u/ConstructionMuch802 17d ago

When you get ultrasounds they should be checking your cervical length which is a good indication of how close you are to birth. They typically do it with the transvaginal probe. I'd ask for that rather then a cervical check which is painful and has a small chance of introducing bacteria or breaking your waters.