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Re: measuring the cervix in pregnancy From: Dr. Gunjan Puri (drgap@vsnl.net) Mon Dec 17 21:23:20 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Allen Worrall: "Re: measuring the cervix in pregnancy" Previous message: DuBose, Terry: "DMS Listed in 2002-2003 Occupational Outlook Handbook" Dear Allen, Can u post some images (TVS) of funneling, normal cervical length ? Gunjan Puri India > ----- Original Message ----- From: Allen Worrall To: Multiple recipients of list ULTRASOUND Sent: Monday, December 17, 2001 4:43 AM Subject: Re: measuring the cervix in pregnancy Transvaginal ultrasound. Be very careful to not compress the cervix with the transducer. Look for funneling of the internal os. If there is no funnel, the length of the cervix is from the internal os to the external os. If there is a funnel, measure the length from the apex of the funnel to the external os. Again, be very careful that your transducer is not influencing the length of the cervix. If the cervical length is not clearly normal, or you have reason to believe that the cervix may be short, funneled, incompetent, etc, it may help to ask the patient to stand up, while you keep the transducer in her vagina. Wait about 5 minutes, then reevaluate the cervix, being careful not to compress the cervix with your transducer. Others press on the fundus to stress the cervix. I have not had luck with that. Perhaps I do not press hard enough. I am not sure that you can say 3 cm or more is normal, less than three cm is abnormal. I am sorry I cannot give you the references, but you should be able to find them in Medline, or even in Google. Joseph A Worrall MD RDMS OB/GYN Ultrasound at the Fairbanks Clinic Fairbanks, Alaska, USA jworrall@alaska.net http://www.obgynsono.com Next message: Allen Worrall: "Re: measuring the cervix in pregnancy" Previous message: DuBose, Terry: "DMS Listed in 2002-2003 Occupational Outlook Handbook"

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