Highly suggestive: Your presentation is suggestive of a loss of cervical integrity. The regression back to 2cm occurred because the bag of water broke. PPROM at 21weeks in the face of cervical dilatation, unfortunately, carries a poor prognosis. However, subsequent pregnancies can be have very favorable outcomes when treated with progesterone and/or cerclage and serial cervical ultrasounds.
Answered 8/13/2019
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