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Doctor insights on: Cerclage Transabdominal

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Transvaginal sonogram safe if placenta previa?

Transvaginal sonogram safe if placenta previa?

Yes.: A transvaginal sonogram is typically the best way to diagnose placenta previa. The exam should be gentle and fairly fast. There may be some spotting after the exam. But, it is considered safe. ...Read more

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Dr. Cynthia Palabrica
126 doctors shared insights

Cerclage (Definition)

If you have a history of cervical insufficiency, or if your cervix appears short on an ultrasound, you may be offered a cerclage. A cerclage is a surgical procedure that involves stitching the cervix closed with a strong thread for the full-term of the pregnancy. After having a cerclage, a woman is usually prescribed medication to prevent a surgery-related miscarriage. The stitches are removed around the ninth month of pregnancy, or sooner if labor commences, ...Read more


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Can a transabdominal cerclage be performed before pregnancy?

Can a transabdominal cerclage be performed before pregnancy?

Yes: Transabdominal cerclage is more risky than the typical cerclage done through the vagina, and women who need one cannot always find a local surgeon with enough experience to perform the procedure safely. It is best for a woman to speak with a local OB and find out if any cerclage is needed and who are the most experienced physicians to determine if this one is indicated and to perform the procedure. ...Read more

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Can transvaginal ultrasound detect 4 weeks gestation?

Can transvaginal ultrasound detect 4 weeks gestation?

Perhaps: Kyl: at that early stage we may see a decidual (pregnancy) reaction in the uterus and a small gestational sac. We would not be able to see the actual fetal pole or heartbeat that early. A scan at 7-8 weeks would be best to document a good, viable pregnancy with a heartbeat. ...Read more

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23wks w/emergent cerclage at 21 weeks.week after stitch all closed 40mm cervix.today funneling 8mm.closed cervix 35mm.% chance of PPROM?

High: I would not give up but this is not a very encouraging development and you are still terribly early. Even every day is significant so good luck. ...Read more

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Do u preform transactional cerclage because I had a failed vaginal cerclage?

?transabdominal cerc: Do you mean transabdominal cerclage? Yes, I do transabdominal cerclages on selected patients where cervical cerclages do not work ie. short crevices . ...Read more

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Can transvaginal sonography detect laceration during intercourse?

Can transvaginal sonography detect laceration during intercourse?

Speculum enough: Usually a vaginal speculum exam is sufficient to find a laceration unless there is a deep abscess associated with the laceration in which event the ultrasound may be useful. ...Read more

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Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Give indication: Xr, and anything without direct visualization give an indication as to what is suspected. The symptoms, the exam and the history makes a doctor arrive at a diagnosis as the most likely thing. If in doubt, then direct visualization needed. I hope that gives you reassurance. ...Read more

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Anteverted,bulky gravid uterus,single intrauterine gestational sac 2.7 cm gestational age 6 weeks 6 days no fetal pole is this OK?or a miscarriage?

Anteverted,bulky gravid uterus,single intrauterine gestational sac 2.7 cm gestational age 6 weeks 6 days no fetal pole is this OK?or a miscarriage?

Blighted ovum: A gestational sac without a fetal with a gestational age of almost 7 weeks is most likely a blighted ovum (non development of the fetus). Most likely with result is a miscarriage. If not you may need a D&C. Follow up with your gynecologist in 1-2 weeks. ...Read more

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Have IC.21 weeks cervix 23mm,funneling 22mm.no bulging sac.placed emergent cerclage successfully.strict bedrest. % chance of carrying at least 28wks?

Likely very good: You should have a very good chance of reaching 28 weeks and longer. The current literature would support your management, with a cerclage placed for your history of an incompetent cervix. However, current literature would take exception to the "strict bed-rest" as that will increase the risk for complications such as a DVT while not decreasing the risk for premature or preterm delivery. ...Read more

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Can trans-vaginal ultrasounds pick your LMP date?

Can trans-vaginal ultrasounds pick your LMP date?

No: If you are pregnant and you don't know when was you lmp and ultrasound can help determine gestational age but it does not tell you when was you lmp. ...Read more

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How safe is transvaginal ultrasound during pregnancy?

How safe is transvaginal ultrasound during pregnancy?

Pretty Safe: Assuming that the membranes are intact (water not broken), there should be no significant risks. In the case of ruptured membranes the same precautions should be used as for an internal exam. Labial prep and sterile probe cover. ...Read more

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Can uterus fibroids be mistaken as gestational sac through ultrasound scan?

Can uterus fibroids be mistaken as gestational sac through ultrasound scan?

No: Uterine fibroids are solid benign masses. A gestational sac is a fluid filled cyst like appearance. Both look very different on ultrasound. ...Read more

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Are abdominal ultrasounds just as accurate at dating pregnancies at 8 weeks as transvaginal?

Are abdominal ultrasounds just as accurate at dating pregnancies at 8 weeks as transvaginal?

Transvag better: Generally, transvag more accurate as you can get better views (usually). But if thin patient, experienced operator of the ultrasound and good views it can be very accurate. Best of luck. Dr R ...Read more

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Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

Heavy uterine bleeding 3 weeks pelvic/transvaginal  us  hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

Bleeding: Since its a focal area its more likely to be adenomyosis, which typically gets progressively worse as you age. However, you're also at the age when ovarian dysfunction often causes irregular, heavy and/or prolonged bleeding. You might be a good candidate for an endometrial ablation assuming you are done with having babies. ...Read more

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Are transvaginal ultrasounds more accurate in dating than abdominal ultrasounds?

Are transvaginal ultrasounds more accurate in dating than abdominal ultrasounds?

Depends: On the size if the baby. Transabominally is fine as the baby increases in size. If it is really small then tv is bettet. ...Read more

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Does the povider offer vbac (vaginal birth after previous cessarean section)?

Does the povider offer vbac (vaginal birth after previous cessarean section)?

No: Due to a combination of hospital policies and practicing at several hospitals in the community our practice does not feel that we can currently provide for vbac or tolac safely at this time. This may change in the future. ...Read more

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Cesarean section or vaginal delivery is better ?

Cesarean section or vaginal delivery is better ?

Vaginal: it depends , vaginal is preferred , unless you have contraindications for it i would check with your OB first ...Read more