Hi Andrea,
Thanks for the query.
I understand that it is difficult for you to sit with all the work around. The issue is that a short
cervix may potentially open up if there is pressure on it. As
pregnancy progresses and baby grows, the pressure inside the
uterus also increases so it may cause labor before the 9 months of pregnancy are completed [
preterm labor in medical terms].
Of the various treatments for this, one is
bed rest that decreases the pressure on the cervix and prevents it from opening. The pessaries are used to treat any infection as infections commonly cause preterm pains. Though these treatments are cumbersome but they do help in decreasing preterm pains.
Unfortunately there is no rule of thumb for how long you need to rest. For similar women in my clinic, I advise that take maximum possible rest, do not stand for more than 15-20 minutes at a stretch. Try to work in sitting position and lie down intermittently. Boating and car trips are not advisable even though exact research as to weather they cause harm is not proven. But potentially the bumps and jumps of the trips can increase the chance of preterm pains. The treatment needs to be practiced actively till at least 36 weeks of pregnancy after which the risk of preterm delivery to the baby is very low.
Another treatment is placing a stitch on the cervix [encirclage procedure] to tighten it. This is used along with medicines that relax the uterus and help to decrease the chances of preterm pains. I suggest that you discuss this with your doctor as soon as possible as the stitch is preferably applied at round 14-16 weeks but may be applied upto 20 weeks if needed. If possible take your husband with you during the consultation so that it will help him in understanding the problem.
Hope I was able to help you, My all good wishes for your pregnancy and delivery. Take care and have a nice day.