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Doctor insights on: Cervical Dilatation And Effacement

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If cervical canal length at 11weeks of gestation is 20mm and internal os dilatation is 8mm, measured by abdom.US, does this require cervical cerclage?

If cervical canal length at 11weeks of gestation is 20mm and internal os dilatation is 8mm, measured by abdom.US, does this require cervical cerclage?

Need transvag u/s: Possibly. You should have a transvaginal ultrasound and see an MFM (high risk pregnancy dr.) if you haven't done so. You may benefit from a cerclage. Cerclage is most beneficial if done by the end of the first trimester. I see this is your only pregnancy. Best of luck and keep us posted. ...Read more

Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more


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What exactly is cervical dilation? Can more light be shed on this for clearer understanding? Thanks

What exactly is cervical dilation? Can more light be shed on this for clearer understanding? Thanks

Cervical opening.: The cervix is the lower-most part of the maternal womb; the fetus has to pass through the cervix to achieve vaginal delivery. When labor starts, the contractions result in opening and softening of the cervix - slowly at first and rapidly later. The attached visual guide should give the uninitiated a sense of how much the cervix has to open for the fetal head to deliver. ...Read more

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I read that abortion requires cervical dilation. How do they do it?

I read that abortion requires cervical dilation. How do they do it?

Gradually: A series of metal rods of increasing diameter are inserted through the cervix to gently stretch and widen the opening. ...Read more

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What are the reason that during dilation and curretage the cervix wont open up? Is that dangerous?

What are the reason that during dilation and curretage the cervix wont open up? Is that dangerous?

Unclear: It would be unusual for a cervix to be unable to be dilated during a d;c under anesthesia. Scarring from a prior surgical procedure or a congenital anomaly may contribute to this problem, but this is rare. If a surgeon has difficulty with the dilation it conceivably could increase risk of complications such as uterine perforation, trauma to the cervix, etc. I advise discussing w/ your gyn. ...Read more

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Can i ask to be induced at 37 weeks if i believe baby is too big already (7lbs) and cramped inside since i'm small? Cervix is thinning but no dilation

Can i ask to be induced at 37 weeks if i believe baby is too big already (7lbs) and cramped inside since i'm small? Cervix is thinning but no dilation

Unlikely to happen: Given the frequency of breathing problems in newborns induced at 37 wks, i think it unlikely you could talk your way into that one.I believe the american college of obgyn has issued guidelines that question the practice. Early delivery for fetal distress & various maternal complications is still considered good care. ...Read more

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Crl32.3at9w5d.Spotting from 13may.Internalexam showed spotting is from the cervix.Can this lead to any pregnant complications like cervix dilation early?

Possibly: I assume that you are still quite early in your pregnancy, that the sonogram has shown a fetal heartbeat, and that the spotting is still present. Serial ultrasounds documenting fetal growth and a heart beat is important - as is avoidance of strenuous activity and intercourse. The main risk here is, hopefully not, a miscarriage. Dilation of the cervix is a risk that is seen later in pregnancy. ...Read more

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Can uterine cervical stenosis ever resolve on its own without dilation or menopause?

Can uterine cervical stenosis ever resolve on its own without dilation or menopause?

It usually does not: Menopause will not make it resolve, does not always need to be fixed unless it is causing a problem, like not able to get pregnant or obstructing the flow of blood. ...Read more

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What type of catheter is used for uterine cervical stenosis after dilation and how long is it typically left in for? What problem might there be?

What type of catheter is used for uterine cervical stenosis after dilation and how long is it typically left in for? What problem might there be?

Procedure: I'm not sure what procedure your doctor is recommending. It's not normal to leave the catheter in the cervix. Sometimes and angiocatheter is used to pass through the cervix. If your doctor is biopsy in your uterus then they will typically use a 2 mm pipelle. ...Read more

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What methods can I do to induce my labor or help the dilation since my cervix is soft and thin? I don't want to be induced?

Limited safe options: Two ounces of castor oil (you can cut the taste with orange juice) is safe and has been used by midwives in particular for decades at least. How well it really works is arguable. Your best approach is simple patience. Sometimes an induction is necessary but it need not be done without a clear indication. ...Read more

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39 wk prg, my obgyn did cervix dilation test, n i'm having a bloody show now. Is it safe to take bath? How long bloody show last?

39 wk prg, my obgyn did cervix dilation test, n i'm having a bloody show now. Is it safe to take bath? How long bloody show last?

Yes: Some bloody mucus is common after a cervical exam near term. A bath is just fine but be careful getting out of the tub. Falls are very rusky at this point in pregnancy and everyone is more clumsy at this stage. How long the discharge lasts varies. Hope this helps. Best wishes to you and your baby. ...Read more

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(Intact thick hymen-so couldn't have full penetration-&now I'm 4months pregnant )what will doc's do during cervix dilation check if hymen is intact?

(Intact thick hymen-so couldn't have full penetration-&now I'm 4months pregnant )what will doc's do during cervix dilation check if hymen is intact?

Hymen: women with intact hymen can still use tampons and usually can accommodate one finger which is all that is needed for initial cervical exams. If you have a high risk pregnancy and need a more extensive pelvic exam, a doctor could perform a small incision to open up the hymnal ring so exams are more comfortable. ...Read more

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Dilation of closed cervix/hysteroscopy/endo biopsy was done in the operating room. Could not be done in the office because of my size? Normal weight

Probably not: Usually procedures are done in the operating room if an extensive procedure is expected. It's easier to obtain more tissue, have access to more equipment, or more types of anesthesia are available for your comfort. Ask your doc. Most office procedures are simple hysteroscopy (take a peek) or simple emb (biopsy). An or setting makes it easier to perform a full d;c and obtain more tissue. ...Read more

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I'm almost 37 weeks preg. I was checking my cervix for dilation and i felt a taught oval rim with a bumpy interior. I could fit 2 fingers in and open.

I'm almost 37 weeks preg. I was checking my cervix for dilation and i felt a taught oval rim with a bumpy interior. I could fit 2 fingers in and open.

1st time or more?: The oval rim sounds correct. If first pregnancy, usually only finger-tip when fully closed. If have delivered previously, might be normal at (barely) 2 fingers. If you mean could separate two fingers w/in, then is slightly large for "normal, " and reasonable to call / ask your OB if should get "labor check" or exam in office. ...Read more

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No procedures done and cervix closed up. Reasons?Cervix then reclosed up after dilation/hysteroscopy/endo biopsy in 1 month? Why?Cancer? How 2 prevent

No procedures done and cervix closed up. Reasons?Cervix then reclosed up after dilation/hysteroscopy/endo biopsy in 1 month? Why?Cancer? How 2 prevent

Not cancer: The cervix closing has more to do with your collagen and how you form scars then it does with cancer. I'm assuming your dilation and biopsy were normal. Not much you can do to prevent. It just happens to some women. Be sure to follow up with your gynecologist and follow all their recommendations. If family h/o uterine, ovarian or breast cancer then ^ surveillance. ...Read more