Cervical insufficiency and loss in your 40’s
Looking for support and maybe advice. I had a spontaneous pregnancy at age 42 a few months ago and lost the pregnancy after having my membranes come through at 16 weeks and got diagnosed with incompetent cervix. I had a rescue calculate but it was too late. I also lost another pregnancy 8 months prior at almost 15 weeks but it was due to chorioamnionitis. That was an IVF baby but it was our last embryo.
I specifically wanted to post to this over 40 mamas group because this was a healthy pregnancy, normal NIPT and it feels so unbelievably cruel to have lost it when in my mind it could have been prevented if it was a standard thing that was looked at during the 13 week scan. But apparently you have to lose a baby previously for someone to even look at that. How horrible is that.
Now at my age, it feels so impossible to get pregnant again. I am a poor candidate for IVF and we are now having the conversation about getting a transabdominal cerclage. However to properly qualify for a transabdominal cerclage in the Netherlands, you have to have failed “preventative” cerclage. So essentially, you lose one baby to cervical insufficiency. Then in the next pregnancy you have to get a preventative cerclage and then have to lose that baby due to a failed cerclage and then they would consider you to be a candidate for a TAC. How cruel is that? To lose 2 babies in the second trimester and then be able to get a TAC.
But also I have so many concerns. It’s still a surgery. Even if I get it, there’s no guarantee that I’ll get pregnant again especially at 43 years old. Is the surgery worth it then. You can get the surgery once you get pregnant too but around 12 or 13 weeks after they make sure the baby is healthy. That feels so scary because one risk would be that the cervix already starts to weaken in someone like me at that point and there could already be an ascending infection by that point. Or that the surgery itself would break the amniotic sac and lose the pregnancy.
My mind feels like a hurricane these days trying to think about the rational decision. Trying to think about how unlucky I feel. I struggled with infertility for so long and then to now deal with this insufficiency and loss.