PREGNANCY-BIRTH Messages for April, 2002: Re: 21 weeks and 80% effaced

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Re: 21 weeks and 80% effaced

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 10 Apr 2002 08:01:39 -0500 (CDT)

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Previous message: William McIntosh, MD: "Re: Your opinion please -- any doctor who knows"
In reply to: Jacy: "21 weeks and 80% effaced"

At Tue, 9 Apr 2002, Jacy wrote: >
>HI.....I kindly would appreciate some advice here........let me give you
>a little history, Im 24 years old....have a daughter that is now
>two.....I had a "perfect" pregnancy with her....Gave birth exactly on my
>due date after 4 hours of labor....In that pregnancy, I was 100% effaced
>at 36 weeks..............Im currently 21 weeks pregnant with my 2nd
>pregnancy, really havent had any problems until at 17 weeks and had the
>stomach flu, which caused alot of contractions which led my doc to check
>my cervix......WHen she checked my cervix, all she said was that it was
>"thin" I never really asked how thin. Her advice was too rest, and I
>did. Since then she has checked me two more times, this last time she
>told me that my cervix was the same, I asked how much and she told me
>80%!!!!!!!! She really didnt say much, I have to see a nurse in 4 weeks
>for my glucose test, so I wont see the doc again for another 8 weeks.
>The problem is she really didnt seem that concerned, should I be? Does
>this mean I am destined for premature labor, or is there a possibility I
>could carry to term.....I have no other problems...no group b, urine ok,
>and baby is fine.........Could someone please help me and give some
>advice....Im very worried........THanks

Given your normal previous pregnancy history, you will probably do just fine. I would request an U/S to determine the exact length of your cervix (effacement by exam is so subjective as to be virtually useless most of the time). If the cervix is very short, a cerclage might be considered.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

Next message: Dee: "Meds"
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