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Re: Cervical Incompetence From: James S Smeltzer MD (gaperina@mindspring.com) Wed May 5 20:48:03 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: James S Smeltzer MD: "Re: ULTRASOUND digest 530" Previous message: James S Smeltzer MD: "Re: enlarged umb. vein" In reply to: Martin St. Mark: "Cervical Incompetence" Martin, The diagnosis of incompetent cervix is not present in your wife's case. It is defined as cervical dilation in the absence of symptoms. At her earliest dilation she had had a week of pain. This is not helped by cerclage and it was not placed. Medications can be used to arrest labor and may permit your wife to carry your baby to a viable age. The baby may suffer from very severe problems if it is born in this early viable period. If your wife has any infection to cause the labor, trying to stop it is contraindicated & dangerous. You need to sit down with her doctors about these difficult problems. Jim Smeltzer MD At 07:58 PM 5/1/1999 -0500, you wrote: >I need to get some more information an Cervical Incompetence. My wife is >currently in her second trimester (21 weeks). At 19 weeks she started to >experience pain but the source of the pain was not properly diagnose >until she was 20 weeks. At that time it was reveal that the cervix had >dilated to 2 cms. A week later it had gotten worse and had dilated 4 >cms. She is currently hospitalize. The decision not to apply stitches >was apparently delayed. The decisions has been taken that it is now to >late for stitches. It appears that a decision has been taken to allow >the dilation to continue with no apparent intervention. > >In addition she has a fibroid that has grown to 6 cms. It was said that >at 20 weeks the fibroid was bigger that the fetus head. >What medication can be use to reverse or decelerate the rate of dilation >at this point with out any significant harm to fetus or Mother. >Your Help would be greatly appreciated. I need help this is my first >baby. > >A concern Dad. > Next message: James S Smeltzer MD: "Re: ULTRASOUND digest 530" Previous message: James S Smeltzer MD: "Re: enlarged umb. vein" In reply to: Martin St. Mark: "Cervical Incompetence"

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