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Doctor insights on: Diagnosing An Incompetent Cervix

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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

Cervix (Definition)

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


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29wks pregnant with incompetent cervix and emergent cervical cerclage.CL is 20mm.is that length mucus plug enough to protect from ascending bacteria?

29wks pregnant with incompetent cervix and emergent cervical cerclage.CL is 20mm.is that length mucus plug enough to protect from ascending bacteria?

Cerclage: With certain Cerclage placement the cervical mucus should remain in tact. Therefore believe that you have nothing to worry about but need routine checkups concerning your cerclage ...Read more

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What is a "weak uterus" or incompetent cervix?

What is a "weak uterus" or incompetent cervix?

Incompetent cx: If you have this, your doctor should have fully explained it to you already. It is where the cervix opens up too soon, anytime usually after 16 weeks and you lose the pregnancy. It can be diagnosed by an ultrasound before it happens and if you do have incompetent cx., a stitch can be placed by a competent obgyn to keep teh cervix closed and you will have to modify your activity and be monitored. ...Read more

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27wks pregnant.Have had a few digital cervix exams to check.Ob says cervix closed+firm. Worried Can repeat digital cervix exams cause labour or pprom?

27wks pregnant.Have had a few digital cervix exams to check.Ob says cervix closed+firm. Worried Can repeat digital cervix exams cause labour or pprom?

More info: The basic answer is that checking your cervix at this point should not cause any problems. The more important question is why are you being checked? Discuss with your doctor if you have certain risks or symptoms that increase your risk of preterm labor. If so or if you are complaining of contractions or pressure perhaps this is why exams are being done. Clarify the concerns and plans with your ob ...Read more

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My cervix was 4cm at 20 weeks and water bag broke at 21 weeks cervix was 2cm. Is it incompetent cervix? can we go full term with incompetent cervix?

My cervix was 4cm at 20 weeks and water bag broke at 21 weeks cervix was 2cm. Is it incompetent cervix? can we go full term with incompetent cervix?

Highly suggestive: Your presentation is suggestive of a loss of cervical integrity. The regression back to 2cm occurred because the bag of water broke. PPROM at 21weeks in the face of cervical dilatation, unfortunately, carries a poor prognosis. However, subsequent pregnancies can be have very favorable outcomes when treated with progesterone and/or cerclage and serial cervical ultrasounds. ...Read more

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Sex position for title cervix ?

Sex position for title cervix ?

Unchanged: I'm quessing that you mean tilted cervix and are trying to conceive. You can still conceive in any position and do not need to use any particular position. Sperm are very good at swimming and finding their way in if they are in the neighborhood! Hope this helps and you have a beautiful little one soon. ...Read more

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Hidden cervix after leep difficult to do smear test?

Hidden cervix after leep difficult to do smear test?

Sometimes: Many things can make doing a pap smear difficult. If the uterus is severely tilted, displaced, or removed (partial or supra cervical hysterectomy); visualizing the cervix may be difficult. Relaxed vaginal walls, scarred or shortened cervix, or even body size are more common reasons for a "hidden" cervix. Most gyns know the tricks to find the cervix, just find one more stubborn than your cervix! ...Read more

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Can an internal digital cervix exam at 28wks pregnancy cause mucus plug to come away? Worried after obgyn did internal due to bleeding. Cervix closed.

Can an internal digital cervix exam at 28wks pregnancy cause mucus plug to come away? Worried after obgyn did internal due to bleeding. Cervix closed.

No: The mucus plug is produced more or less continuously and you would not loose it if your cervix is closed.An internal exam can be necessary to evaluate bleeding. Sounds like everything is good. ...Read more

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Pregnant with triplet.Have history of preterm labor 29 weeks (twins) due to rupture membrane.Is it important to do cervical cerclage? (cervix is fine)

Hmmmm. : Let's see. You had preterm labor at 29 weeks with twins and are pregnant with triplets? I'd go for cerclage given the risk of an incompetent cervix is present with 3 babies. I'm guessing you see a perinatologist? If that's what she/he is recommending, i'd sign up for it. Good luck. ...Read more

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Preterm labor concerns. They said my cervix is shortened?

Preterm labor concerns. They said my cervix is shortened?

High risk of PTL: Short cervix can increase the risk of preterm labor and delivery. There is treatment that can decrease the risk. Discuss the management of preterm delivery with your physician. ...Read more

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Is 1.5cm dilation at 22 weeks pregnancy is Cervical incompetency? usually heard that cervical dilation at 20-50mm is incompetent. what is true?

Controversial topic: Premature cervical changes(dilatation,shortening, funneling,softening...) are difficult to measure and to interpret.Sonographic or clinical exams of your cervix are very variable, very subjective, not accurate nor reliable predictors of premature labor or preterm delivery. Consult a knowledgeable MFM doctor regarding accepted criteria for "cervical insufficiency". Your risks at 22wks.seem small. ...Read more

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Ultrasound has confirmed that I have multi lobed placenta, which is anterior and close to cervix. Is this vasa previa? 23 weeks pregnant

Ultrasound has confirmed that I have multi lobed placenta, which is anterior and close to cervix. Is this vasa previa? 23 weeks pregnant

No: Sounds like you may have a so called low lying placenta. This frequently is seen to change in appearance as the uterus enlarges and carries the placenta further from the region of the cervix. ...Read more

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Is cervical polyp during pregnancy painful?

Is cervical polyp during pregnancy painful?

Rarely: I have never seen a cervical polyp cause pain, but i suppose there could be first time. It will probably come off during the delivery. ...Read more