Doctor insights on:
Cervical Dilatation And Effacement
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
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
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
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
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