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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
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 moreSee 4 more doctor answers
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
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
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?
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
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
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
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
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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