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incompetent cervix

From: ck (anonymous@obgyn.net)
Thu, 25 Mar 1999 15:53:08 -0600 (CST)


I was diagnosed with an incompetent cervix with my second pregnancy through a 2 level ultrasound. The radialogist(not a gynocologist) diagnosed this and said that mine was not a bad case .I had a cerclage at 14 weeks and was on Brethine and had a normal babay at 39 weeks. Now I am pregnant again and my doctor (a different one since I moved out of the state) says that it was a wrong diagnosis and that a cervical incompetence cannot be detected through a 2 level ultrasound. I need to know how I need to address this. Firstly 1)what lengths of cervix is considered an incompetent cervix. 2) How can it be correctly diagnozed. 3) Should I insist on a cerclage 4) Are the chances of incompetence graeter in the scond pregnancy.5) I had a fairly short labor the first time(4 hrs) and my cervix went from 2 to 10 cm in 30 minutes. Does that indicate that I had an incompetent cervix 6) I delivered two days after my cerclage was removed. Does that mean my cervix was indeed incompetent.

I had to terminate my first pregnancy because of a child with severe anencephalia and spina bifida, and the second pregnancy was fine. Want to make the right decision on the incompetence this time to make this pregnancy work Just a lot of questions and wanted some help on what I need to do.






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