cervical length in twins

From: Charlie Chambers (cchamber@gorge.net)
Thu Jan 29 14:21:12 2004


Curious how others would manage this patient. 24 year old with twin gestation at 28 weeks otherwise no risk factors including no preterm deliveries. To date, pregnancy has been uneventful and diamniotic twins remain concordant with good growth. Comes in for routine clinic visit. She has absolutely no complaints.

Question 1. Would you do cervical length measurement routinely?

Question 2. If done, and measurement is 1-1.5 cm, and patient still denies contractions, what would you do?

Question 3. You are in a small hospital that handles 36 weeks and greater, would you transfer care immediately if upon digital exam, she is found to be 1 cm dilated?

We were debating this topic and came up with a few hypotheticals. Wanted to see what others would do.

************************************************************************ ****** Charlie Chambers

--
Hood River, OR  USA
cchamber@alumni.rice.edu

"All good things...come by grace, and grace comes by art, and art does not come easy."

Norman Maclean ************************************************************************ *******





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