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Cervical length questionFrom: Betsy Hyde (elishyde@connix.com)Wed May 19 21:47:27 1999
G5P0 tab 3, sab 1 (no D&C) calls c/o bloody, mucus discharge x 2 days @ 17 weeks gestation. Pt is late registrant who has iffy LMP, scheduled for US for dates in 2 days. Discharge first appeared following intercourse. No pain. Was advised to be seen. Presents to office w/ normal appearing d/c in vagina, cervix w/ extensive erosion and mucoid d/c. Digital exam cervix long, ext os sl patulous, no extensive exam to feel internal os, but probably closed. Fundal height 1 FB below umbilicus, + FHTs. DNA probe for GC/chlamydia obtained because of cervicitis, mucoid d/c at os. Got cervical length us.....1.5-2.0 cm w/ funnelling/beaking. Placenta not lowlying. S>D by 10-14 days. What would you do? (and, yes, I consulted, and yes, there is a plan in place...I'm just curious how other folks would handle this.)
-- Betsy Hyde CNM Branford, CT
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