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

Re: incompetent cervix, need answers

From: J (anonymous@obgyn.net)
Sat, 30 Sep 2000 09:11:07 -0500 (CDT)

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In reply to: R. Daniel Braun, MD: "Re: incompetent cervix, need answers"

Jeni

I just wanted to tell I also lost my first pregnancy at 23 weeks. My Dr did not wait for me to have a second loss before he intervened and tried to sort out the problem. I was given a HSG test and later a rod dilator test (which I am having memory lapse and can't recall their name). Neither test is designed to give a definate IC diagnosis but they can sometimes help to zero in on the problem for a loss. I would seek out a Dr who has a special interest in second trimester losses. You don't have to accept you need several of these losses before a Dr will intervene and perhaps suggest preventative measures. One IC loss was enough for me and my second pregnancy was successful after my cerclage was placed.

I am sorry for you loss and hope you are doing ok.

Take Care

At Thu, 28 Sep 2000, R. Daniel Braun, MD wrote: >
>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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