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Re: 13 weeks and worried about incompetent cervix issuesFrom: R. Daniel Braun, MD (anonymous@obgyn.net)Thu, 29 Nov 2001 17:03:33 -0600 (CST)
At Thu, 29 Nov 2001, anonymous@obgyn.net wrote: > >Hello, >I am 13 weeks pregnant today. Had a good u/s performed last week, fetus >appears healthy HR 160 BPM. >I am now worried about second trimester loss. I used cervical position >to help me get pregnant. I occasionally still check it, although just >once a week and I thouroughly wash my hands. >My cervix seems short, it is closed, but the narrow bit at the bottom >doesn't seem that long. >Am I correct in thinking that this is the bit measured by u/s, manual >exam? or is it the whole cervix? >Should I worry that it seems short? >I am living overseas, so I am unable to get u/s measurement of my >cervix. >Thankyou for your time. Until the cervix actually dilates, nothing can be told about incompetent cervix by examination. The length of the cervix is from the internal os to the external os. Examination does not allow you to feel the internal os until after the cervix is dilated and that is too late. No one should worry about incompetent cervix unless they have had a previous late 2nd trimester loss where first the bag of water ruptured and they were found to be several centimeters dilated and then started having contractions after that.
-- R. Daniel Braun, MD FACOG FOG
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