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Doctor insights on: Diagnosing An Incompetent Cervix

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What is incompetent cervix?

What is  incompetent cervix?

Opening up too early: The cervix normally has a very small opening--the os--even during pregnancy. It should remain so until close to delivery at which time passage of the baby through the os is needed. Thus, close to birth time, the cervix begins to dilate from about <1cm to 10. If dilating too early (incompetent), there is risk of preterm delivery, hence concerning for incompetent cervix. Hope that helps. Good luck. ...Read more

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Cervix (Definition)

The uterine cervix is the opening of the ...Read more


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How common are incompetent cervix?

How common are incompetent cervix?

Very uncommon: The incidence of incompetent cervix is well less than 1%. When suspected, the norm is for serial trans-vaginal ultrasound measurements of the cervix, usually starting at about 10 or 12 weeks of pregnancy. If incompetent cervix is detected, then a cerclage can be considered. ...Read more

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What's the outcome of incompetent cervix?

What's the outcome of incompetent cervix?

Preterm birth: The real risk of an incompetent cervix is as it relates to future pregnancies. An incompetent cervix can result from various causes but basically it causes the cervix to dilate easily which puts women at high risk for preterm labor and delivery . If this problem is discovered early doctors may put a stitch in the cervix called a cerclage to make the cervix stronger to prevent early delivery. ...Read more

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How do you know you have an incompetent cervix?

How do you know you have an incompetent cervix?

Repeated losses: Repeated pregnancy losses in 2nd trimaster painless bleeding and spontaneous termination repeatedly. ...Read more

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How would I know if I had an incompetent cervix?

How would I know if I had an incompetent cervix?

Diagnosis with loss: Unfortunately most women don't know that they have an incompetent cervix until they experience a late miscarriage. Sometimes we discover cervical shortening on ultrasound that can clue us in before a loss occurs, but that is not typical. ...Read more

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What can I expect if I have an incompetent cervix?

What can I expect if I have an incompetent cervix?

Close surveillance: There are many ways of managing a patient with a history of incompetent cervix. Some women may receive a cerclage or a stitch around their cervix. You may be placed on bedrest or modified activity. Some women receive vaginal Progesterone suppositories or injections. Some women have frequent sonograms to measure their cervical length. ...Read more

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How do you know if you have an incompetent cervix?

How do you know if you have an incompetent cervix?

Painless early deliv: Painless midtrimester delivery is a typical definition of incompetent cervix. More modern definitions rely increasingly on sonographic features before preterm birth, such as a very short cervical length (<15 mm by transvaginal sonography) in asymptomatic women. If you are diagnosed with incompetent cervix, vaginal Progesterone and possibly cervical cerclage could help you carry a pregnancy 2 term. ...Read more