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Re: 13 weeks and worried about incompetent cervix issues
From: anonymous (anonymous@obgyn.net)
Fri, 30 Nov 2001 20:29:08 -0600 (CST)
Dr Braun are you saying that the water bag has to rupture FIRST then
dilation occurs to be called an incompetent cervix issue? I may be
misunderstanding what you have written but some women can be found to
have advanced dilation with bulging membranes and the rupture comes
later. Drs are able sometimes to get the bag of unruptured waters to
receed back and a rescue cerclage can be placed.
Thank you for your time
At Thu, 29 Nov 2001, R. Daniel Braun, MD wrote:
>
>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
>
>This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional. Due to time constraints, private e-mails cannot be answered.
>
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