Hello, and I hope I can help you today.
The fact that you have a cerclage in place will make
preterm labor have different symptoms in you than in someone without a cerclage. You can tear your
cervix if you have contractions and you physically cannot dilate, or rarely you can even rupture your uterus, which can be life threatening for you and the baby.
Becaue of the risk of this serious complication I have to advise you to go to labor and delivery. I know you do not want to be admitted to the hospital but at 26 weeks it would be a very bad time to deliver at 26 weeks and they can give you medications to stop the contractions and help prevent complications if the baby is born early.
I am concerned about your
abdominal pain and the rare complication of
uterine rupture or abruption. Please go to the hospital for evaluation to help prevent serious risks to your and the baby's health.
I hope i was able to answer your question today and that my advice was helpful.
Best wishes for the rest of the
pregnancy, Dr. Brown