PCOS Messages for November, 2000: Re: incompetent cervix

Re: incompetent cervix

From: Cindy (anonymous@obgyn.net)
Wed, 29 Nov 2000 22:56:12 -0600 (CST)

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In reply to: susan: "incompetent cervix"

Hi! Since you are pregnant here is the scoop on incompetent cervic: The surgical operation is termed cervical cerclage. As soon as a sonogram confirms the fetus is healthy, (at approx. weeks 12-14) under regional anesthesia, purse-string sutures are placed in the cervix by a vaginal route. This is called a McDonald or Shirodkar procedure after the surgeons who perfected it. The sutures serve to strengthen the cervix and prevent it from dilating. With these procedures, the suture may be removed at weeks 38-39 of pregnancy so the fetus may deliver vaginally, or sutures may be left in place and the woman delivered by c-section. Also, women who are discovered to have cervical dilatation but with membranes still intact at a prenatal visit may have "emergent cerclage" sutures placed in the cervix even at that point as prophylaxis against preterm birth. Curently the prognosis for a successful pregnancy is very favorable. The success rate with both types of cerclage techniques is between 80 & 90%. After cerclage surgery, women remain on bedrest for a few days to decrease pressure on the new sutures. Sexual relations can be resumed in most instances agfter this rest perion. Pillitteri, Maternal & Child Health Nursing, Third Edition. Copyright 1999 I am a student nurse so I have the books to look in. As far as what your risk is I don't know for sure what your abbreviations stand for. If you want to let me know what they are I will try to find out for you but please ask your Dr. ! Good Luck Cindy (sorry I am a BAD speller!)

At Wed, 29 Nov 2000, susan wrote: >
>Hi,
>I am ecstatically pregnant at 8.3 weeks and have a question. I have had
>3 TAs, one miscarriage, 4 IUIs and 2 IVFs and am worried that my history
>place me at greater risk for an incompetent cervix. Is this fear valid
>and is there anything I should ask my doctor to do?
>
>Thank you for your help.

--
Cindy

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