WOMENS-HEALTH Messages for June, 1997: Re: incompetent cervix??????????

Re: incompetent cervix??????????

From: Robert Radnich, M.D. (anonymous@obgyn.net)
Tue, 24 Jun 1997 20:00:05 -0500 (CDT)

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In reply to: jamie: "incompetent cervix??????????"

At Tue, 24 Jun 1997, jamie wrote: >
>In December I had a miscarriage at 14 weeks the doctors said it seemed
>like I had an incompetent cervix but the only thing stopping them from
>believing that was I have a son whose birth weight was 8lbs 3oz!! I did
>not have any problems at all with him. When I got pregnant the second
>time, I was told the baby might be in the tubes, but when I was checked
>out they said, no it was in the uterus. At 13 weeks a clot came out on
>Monday and by Thursday (at my regular visit) they did an ultrasound and
>said the baby and the placenta was all normall and my chances of a
>miscarriage were very slim at this point. Friday afternoon I was
>bleeding heavy and went back that's when they told me I was miscarring
>and I had to come back home and wait. Saturday I went back do to the
>fact there was a foul order to the discharge but no blood. That's when
>they took the final sonogram and told me, the baby was still alive but
>the placenta at that point was covering the baby. They gave me the
>option of the cerclage, but as I was standing there talking with the
>doctor. I started bleeding heavily. They had admitted me at that point
>I had severe pains for approx an hour and then after I passed a huge
>clot they eased up, and by 1:00am. on Sunday, I had to have a D&C. Now,
>everything is good with me as far as I know, but they can't tell me if I
>have an incompetent cervix and they also said they can't check until I
>get pregnant again. I have heard so many different things about the
>cervix-- I was wondering if anyone could help me with some questions
>like, Could it really have been an incompetent cervix with all the pain
>and having a 8lb 3oz healthy baby before???? And if I get pregnant again
>what should I look for and what are some ideas to help me through this?
>
>Thanks sorry so long, just very confused!!!!!!!!!!!!!!!!
>
>I don't know if I am worrying for anything or not.
>Jamie
>
>--
>jamie
>

It is sometimes very difficult to diagnose incompetent cervix. I would agree that your syptoms do not suggest it. However, I would follow you closely in your next pregnancy with digital exams and serial vaginal probe ultrasound exams to detect any signs of incompetent cervix. I would not recommend anything in the interim.

good luck

--
R.H. Radnich,MD,FACOG
OB/GYN Associates of Dover
540 S. Governors Ave.
Dover, Delaware 19904

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