Re: Incompetent Cervix Questions
From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Fri, 30 Nov 2001 17:38:30 -0600 (CST)
At Fri, 30 Nov 2001, anonymous wrote:
>
>I have had 3 d&c's due to 3 m/c's. 1 at 11 weeks, and 2 at 7 weeks. I
>am now 11 weeks pregnant, and am seeing a perinatologist as a
>precaution.
>
>My question is: How high of a risk for incompetent cervix due to the
>d&c's?
not high at all, especially iwth first trimester D&Cs
>
>Yesterday, he did a vaginal u/s to get a baseline cervix length, etc as
>he will check this when I come in again.
>
>He told me that there is no way to know if one will have an incompetent
>cervix. For example, it can be closed one day, and open another, and
>boom you lose your child. So, why is this even being monitored if it is
>not a gradual process, and there is no way to prevent it without a
>stitch which they don't give unless you lose a baby????
there are subtle changes that can be picked up on ultrasound
>
>Right now they say my cervix is very long and closed, but that doesn't
>mean anything, right?
it is a good sign, and agian, your risks aren't that high
>
>Thank you for the insight. i just can't imagine making it this far
>after 3 m/c's, and then lose one like that.
>
>Can you tell me how often you see someone lose one due to incompetent
>cervix, and if 1st trimester d&c's usually play a role.
most of the losses due to incompetent cervix I've seen have been after
cervical conizations or LEEPS and not after D&Cs
>
>Sorry so long.
>
>Wendy
--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA
author of "Your Over-35 Week-by-Week Pregnancy Guide"
**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
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