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Re: Cervical length questionFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Thu May 20 17:54:28 1999
> >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.) I hope that this doesn't sound like I'm overreacting, but with beaking, and a shortened cervix (granted, it may have been that way a month ago) she is at imminent risk for hourglassing them, or ROM. Since she may be a bit further along than thought (when the cervix was measured, did we do the full scan with dates? Hope so!), I believe that hospital bedrest in trendelenberg, probably prophylactic tocolysis with MgSO4, and likely ultrasound guided rescue cerclage using a 30 cc foley to push up the membranes. Well, that's what the perinatologists at my place would do. Garry
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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