PREGNANCY-BIRTH Messages for March, 2001: Re: incompetent cervix

Re: incompetent cervix

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 18 Mar 2001 09:03:28 -0600 (CST)

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In reply to: Kathy: "incompetent cervix"

At Sat, 17 Mar 2001, Kathy wrote: >
>I'm a little confused. My first child was born at 36 weeks after being
>treated for PTL beginning at 34 weeks. My second pregnancy was lost at
>20 weeks due to an incompetent cervix. My ob believes my first preterm
>delivery was probably due to a weakened cervix which was further
>weakened during my delivery. What I don't understand is this: does an
>incompetent cervix dilate in the absense of contractions, just by the
>weight of the growing fetus or are there uterine contractions that are
>imperceptible in the second trimester? Doesn't the uterus contract
>throughout pregnancy? When does one normally begin to feel those
>contractions? When I was dilating prematurely in my second pregnancy I
>felt no contractions. In my first pregnancy I felt lots of
>contractions, but had only dilated 2cm until I went into labor. Thanks!
>
>Kathy

Kathy

Unfortunately, it is not so cut and dried. It is probably a combination of the weak cervix and the contractions. Some cervices are just by nature weak, and only a stitch will help them. good luck

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: Alisa: "Re: low temps an progestrone"
Previous message: anonymous: "sharp cramping"
In reply to: Kathy: "incompetent cervix"

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