WOMENS-HEALTH Messages for March, 2001: Re: 2 losses

Re: 2 losses - bulging sack

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 3 Mar 2001 22:22:11 -0600 (CST)

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I am so sorry for your losses.

Sounds like an incompetent cervical os and the recommended treatment is a cerclage (stitch in the cervix to keep it closed) after the first trimester. Many do this stitch soon afgter 13 weeks pregnant. Follow up is needed in case additional bedrest in necessary as well.

Hope this helps and write back anytime for more information.

HSM

At Sat, 3 Mar 2001, Neva wrote: >
>I have experienced 2 prg losses ( at 16wks and 20 wks )... each time I have had NO bleeding, NO spotting, NO leaking of fluids, and NO cramping ( until after my cervix is completely open and the sack is bulging ) ...
>
>For lack of a better way to describe it ... my body simply " drops the ball " .... on an otherwise healthy prg ... ( autopsys both babies show everything developed ok )
>Is this an incompitent cervix ??? ... Could there be other possibilities ?? ...
>
>What signs other than bleeding/ spotting/ leaking/ cramping ( which dont occur ) should I be aware of ....
>
>How quickly can the cervix open ? For the 2nd prg I had exams / ultrasounds to check the cervix and all was ok ...
>
>I have had NO abortions / known exposure to DES.
>
>Thank you for the input

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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