A member asked:

Im 21 weeks pg and cervix shortened to from 3.5 to 1.5cm in 3 wks. im on hospital bedrest no contractions. how many weeks is a realistic goal for me?

7 doctors weighed in across 2 answers
Dr. Miguel Cano answered

Specializes in Obstetrics and Gynecology

Term would be best: Do as your OB says, consider weekly 17-oh Progesterone injections (or vaginal suppositories) to help prolong your pregnancy. Also receive a course of beta-methasone @ 24 weeks to help with prematurity problems & do what you can to keep pressure off your cervix. 24 weeks is rhe first week of viability but risky; remember each additional week helps. Over 35 weeks would be awesome. Good luck.

Answered 1/1/2021

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Depends: Is this your first pregnancy. You have what amounts to a dynamic cervix. There is differing opinions on how to manage this. I would follow it closely with sonograms, assessing if it continues to shorten, funnel, change with fundal pressure, etc. I would talk with you about the pros/cons about 17oh Progesterone injections in this case. Also consider prophylactic antenatal steroids.

Answered 6/30/2014

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