WOMENS-HEALTH Messages for September, 2000: Re: incompetent cervix, need answers

Re: incompetent cervix, need answers

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 28 Sep 2000 19:32:00 -0500 (CDT)

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In reply to: Jeni: "incompetent cervix, need answers"
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Reply: J: "Re: incompetent cervix, need answers"

The only accurate way to diagnose incompetent cervix is to have lost 1 or 2 babies. It usually presents as a history of recurring losses with each one being earlier than the one before. The story is that tha woman notices nothing until the bag of water breaks, then she goes to the hospital and is several cm. dilated and then starts having contractions. There is no other way to tell about incompetent cervix for sure. There have been some studies that suggested that shortening of hte cervix by ultrasound was an early sign. Following this, two studies have been done which showed that if patients with shortened cervices were divided into two groups and one group was treated with a stitch around the cervix and the other got no treatment, the results were the same in both groups.

RDB

At Thu, 28 Sep 2000, Jeni wrote: >
>Hello, Last Saturday my son was born and died at 23 weeks. The doctor
>said it was due to and incompetent cervix. I could use all of the info
>about his possible. Could the doctor have caught this ahead of time? I
>also have Poly cystic OS, will I have the same infertility problems now?
>Please help

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

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