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Re: 25 weeks with short and funneling cervix

From: Richard Chudacoff, MD (anonymous@obgyn.net)
Sat, 28 Dec 2002 21:15:39 -0600 (CST)


At Sat, 28 Dec 2002, Lisa wrote: >
>My first pregnancy my water broke at 35 weeks 6 days. I arrived at the
>hospital soon after, 1 cm dilated, 50 effaced. I was started on a low
>dose of Pitocin and delivered my healthy son 7 hours later (actual
>delivery took only 5 pushes in 10 minutes). I became pregnant 11 months
>later. At 20 weeks my cervix measured 3.0cm transabdominally. At 24
>weeks my cervix was noted to be 2.5cm by transvaginal ultrasound. Now
>at 25 weeks, by transvaginal ultrasound, it measured 2.9 cm. When asked
>to cough and "push" it measured 2.7 with "mild funneling."
>
>My doctor will continue weekly ultrasounds. She also put me on total
>bedrest and wants me to start the medication to prophylactically stop
>contractions (can't think of the name, starts with a t), even though I
>haven't been having more than one or two a day, not anywhere close to
>one another.
>
>What would you recommend as the best course of treatment for me??? I
>really, really need a second opinion. What are my chances for a
>healthy, full-term or at least close to term delivery this time??? What
>would happen if we wanted to get pregnant one more time--would we be at
>risk for a troubled pregnancy??? Help!

I think that you are being treated way too agressively, in my humble opinion. Without a history of cervical incompetence, who cares what your cervix is doing?

--
Richard Chudacoff, MD, FACOG
     Chudacoff Obstetrics & Gynecology, PLLC
     Sugar Land, TX

Note: opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

**Thank you for understanding :).**********************************************************************

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