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Re: PREGNANCY: Incompetent CervixFrom: dr.narayan patel (anonymous@obgyn.net)Tue, 28 Apr 2009 09:00:23 -0500 (CDT)
At Mon, 27 Apr 2009, TMD0781 wrote: > >Hi I am 8 weeks pregant and I went for my first ultrasound last Friday. >My doctor said that I have an incompetent cervix measuring 2.7 cm. She >said that she wants to see me in 3 weeks for another ultrasound and that >I should be on pelvic rest for the time being due to high risk of >miscarrage. I have been looking at information on the internet about >incompetent cervix and read all about how they can fix it. My question >is though, what are the chances of it tightening before my next >ultrasound? Hi, Incopitant os patients have always a history of pre term delivary or mid trimester abortions. Usually it never occurs in first pregnancy. If patient had previous repeted termination of pregnancy, forceps delivar , precipitate labour etc it results in incompetence. I advice you to have rest and at next songrphy shows further shortening in cervical length ,you should go for circalge operation It is a minor procedure and we used Proline no.1 thread for tighting with excellent results. The sututes are to be removes at fetal maturity-36 to 38 weeks or early is you go in labour or abortion. I never do tightnind befor 13-14 weeks of preg. Dr.Narayan Patel M.D.D.G.O. FICS AHmedabd-380014, INDIA
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