PREGNANCY-BIRTH Messages for September, 2002: Re: 2.7 cm cervix @29.5 weeks -- no funneling. Is this a problem?

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Re: 2.7 cm cervix @29.5 weeks -- no funneling. Is this a problem?

From: Samir Fouad Aziz MD (anonymous@obgyn.net)
Mon, 16 Sep 2002 14:42:16 -0500 (CDT)

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In reply to: Lyssa: "2.7 cm cervix @29.5 weeks -- no funneling. Is this a problem?"

At Mon, 16 Sep 2002, Lyssa wrote: >
>Hello,
>
>I am currently 29w4 days pregnant with my first child. I am very
>confused about a Dr's appt. I had today, and could really use a second
>opinion.
>
>I began having contractions very early -- around 19 weeks. At 22 weeks,
>the Dr. did a U/S of the cervix and said there was "plenty of cervix"
>-- no problem or sign of shortening (though he didn't give me an actual
>measuement).
>
>At 24 weeks, I went to the hospital due to increased contractions. The
>Dr. put me on nifedipine 20 mg. 4X/day, but did not do any follow up
>U/S of the cervix because he said the contractions "weren't strong
>enough to cause a change" to the cervix.
>
>Over the last few weeks, the contractions have seemingly lessened, both
>in strength and frequency -- to the point the Dr. recommended I start
>taking them 3X/day rather then 4X/day, and perhaps even "taper off."
>
>Today (at my insistence) I had another U/S of the cervix, which showed
>my cervix to be 2.7 cm. No funneling or dilation was noted. The doctor
>just said to keep taking the nifedipine and increase it again to 4X/day,
>and to return in 3 weeks, and he would do a (digital) check of the
>cervix again at that time.
>
>Is 2.7 a reasonable length for the cervix to be at almost 30 weeks? I
>keep reading that 3.5-4.0 cm is "normal." Am I at increased risk for
>early delivery? Is a follow-up in three weeks reasonable, or should I be
>seen earlier? Should I seek a second opinion?
>
>Thanks very much for your input. I can't help but be afraid of a sudden
>and precipitous delivery in the next few weeks...
>
>--
>Lyssa
>

It is reasonable length, the most important thing is to keep on tocolytic to prevent preterm contractions, make sure no fibroid or abnormalities of uterus causing these preterm contractions

-- Samir Aziz MD Asist.Professor Ob.Gyn Director Gyn.Oncology Al-Azhar University-Egypt Editorial Advisor Obgyn.net(P&B,gyn.Oncology)

This is for educational purposes only.

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In reply to: Lyssa: "2.7 cm cervix @29.5 weeks -- no funneling. Is this a problem?"

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