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Re: Cervical length questionFrom: DoctorJoe@aol.comThu May 20 08:46:58 1999
In a message dated 5/19/99 9:55:09 PM, elishyde@connix.com writes: << 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.) >> Pelvic rest, antibiotics, rescan in a week... if cervix "cleans up" and remains short and open, might want to cerclage. No evidence of contractions? Joe P. P.S. I would place this lady at risk for incompetent cervix because of multiple SABs.
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