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Re: Prognosis of Ultrasonically Dx Cx Incompetance From: Jason Gardosi (jason.gardosi@nottingham.ac.uk) Wed Dec 27 11:01:16 1995 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jason Gardosi: "Re: Empowering and uplifting??" Previous message: Gordon M. Goldman: "Re: fetal monitoring--response to Dr. Nagey" Maybe in reply to: Theresa333@aol.com: "Prognosis of Ultrasonically Dx Cx Incompetance" >On , 23 Dec 1995, Dr. Khaled Homouda wrote: >>my experience with this is that routine U/S examination of the cervical dimensions give a very high incidence of diagnosed cervical incompetence with the resultant high cerclage rate and high SROM and vaginal infection >rates. >>when I stopped routinely checking the cervix, every thing went back to normal and preterm labour with typical incompetence characteristics went back to 0.6%, in my very case, I had this experience with my sister who was diagnosed as having cervical incompetence as a primip with U/S,(and because of the issues you are talking about) I performed her cerclage , she had a SROM at 28 weeks and the baby died 2 days later after CS. in the next pregnancy the U/S showed inner to inner int. os dimensions to be 1.0cm and length 2.6cm but I didn't perform the cerclage and she delivered at 41 weeks vaginally. Dr Hamouda, Thank you for sharing this. In view of the foregoing statements here on this subject, I hope you will considering writing up such experiences, even if only as a case report or an observational series. What the literature most seems to need - today more than ever - is some healthy scepticism and sobering reports to balance enthusiastic claims on new techniques. jason.gardosi@nottingham.ac.uk Ob/Gyn, Queen's Medical Centre University of Nottingham, UK Next message: Jason Gardosi: "Re: Empowering and uplifting??" Previous message: Gordon M. Goldman: "Re: fetal monitoring--response to Dr. Nagey" Maybe in reply to: Theresa333@aol.com: "Prognosis of Ultrasonically Dx Cx Incompetance"

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