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Re: 2 different ob/gyn and 2 different opinions. What shall I do?

From: Don Shuwarger, M.D. (anonymous@obgyn.net)
Sun, 27 Dec 1998 22:27:16 -0600 (CST)


At Sun, 27 Dec 1998, James Connerth MD wrote: >
>At Sun, 27 Dec 1998, Naureen wrote:
>>
>>Last year I had a miscarriage at 16 weks. This was my 2nd preg. The
>>1st resulted in a girl born 4 years ago. The miscarriage was diagnosed
>>as incompetent cervix (went into hospital when I noticed the amniotic
>>sac bulging into the vagina. No pain. Was more than 4 cms
>
>We all like to avoid unnecessary surgery during pregnancy;your history
>,however is very compelling for dx of inc. cervix---if sono shows
>normal cervix length and no funnel of membranes into top portion
>----would follow quite closely with either exams and/ or repeat scans.
>
>--
>JConnerth md facog

Another school of thought....some recommend placing a transabdominal cervico-isthmic cerclage either prepregnancy or at about 10 - 14 weeks gestation. Others recommend a McDonald's cerclage at 12 - 14 weeks if there is sufficient cervical length in the vagina. The transabdominal approach is very successful in those persons with a short intravaginal portion of the cervix.

--
Don Shuwarger, M.D.
obdoc@inmind.com



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