My wife has just had an ultrasound at 30 1/2 weeks. Her cervix measured
by internal ultrasound was between 2.75 and 3 cm, but there was some "funneling" of the cerivx. The baby is healthy--very active,not breech, about 3.5 pounds and my wife has had no complications, contractions,discharge
Her doctor recommended but did not insist on bed rest and for her to stop working. She is also scheduled for an exam every week and an ultrasound every week to watch the cervix.
Is this overly agressive treatment or is it something to be very concerned about?
My wife is doing fine, I am going gray by the hour!!
That is NOT overly agressive - in fact it is the best course of action. Funneling can correct with bedrest. Without, she runs a very real risk of premature delivery - even if she is not having contractions. It is a sign that the cervix is weakening. THe fact that her cervix is also a bit on the short side is also a good indicator for taking agressive action.
She could try for modified bedrest - meaning getting up to shower, bathroom, eat; but trying to mostly stay reclining or laying down (couch or recliner works as well as a bed) and NO strenuous activities. Surprisingly, that includes things like laundry and cooking dinner! She should be able to find her comfort level with what she can and cannot do.
I had funneling, then full dialation, beginning at 29 weeks and even with bedrest I still delivered at 36 weeks. I had other factors (contractions, premature membrane rupture) but it is still best to do the conserative thing. You do NOT want that baby coming early! Even tho mine did not have to stay in the NICU, he had several issues related to his prematurity that made his first month difficult for him and us.