Doctor insights on:
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
Incompetent cervix. Emergent cercLage at 21weeks with funneling and 22mm cervix. Feel baby is kicking cervix. Can it cause further cervical changes?
No: Fetal movement will not cause the cervix to dilate. Contractions are what you need to worry about. Good luck! ...Read more
Is 21mm cervix funneling at 21 week of pregnancy wide enough to bulge membranes? Stitch placed that point, without membranes bulging. CL 23mm.
Possibly: Continue close follow up with your Obstetrician especially as your CL is less than 30. ...Read more
20. 3 day u/s 1.3 CM cervix w/funneling (16. 3 u/s 3 CM cervix w/o funneling). Dr200mg progest tabs-cerclage risky. 21.3 u/s 1.9 w/funneling. Do more.
Not much: I'm so sorry you're going through this, it must be nerve wracking. Your cervix is shortening. I'm sure you're being followed by a maternal fetal medicine specialist, if not, consider a consultation with one. Hopefully the cervix doesn't continue to shorten. Definitely get steroids for fetal lung maturity at 24 weeks. Pelvic rest and off work. Progesterone can't hurt, and may help. Good luck! ...Read more
On transvaginal ultrasound CL first was 49mm and in few seconds got down to 29mm/w funneling. I have dynamic cervix right? What its characteristics?
What you described!: If your cervix changed that dramatically before your eyes you are at risk for Pre-term labor and delivery. You will need to be watched closely. Depending upon where you are at in the pregnancy, a cervical length of 2.5 cm or less may alert your doctor that you may need a stich in the cervix called a 'cerclage' to keep it closed until 36 weeks. ...Read more
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
I had my anatomy Scan yesterday @ 22 weeks and was told my cervix was funneling but that my cervix measured 32. Should I be worried about preterm labor? My doc said she will check cervical length again in 4 weeks. I am afraid that that is too long to wait
Its not too worrisom: Despite the funnel, a cervical length of 32 mm is still pretty long, and suggestive that your risk of preterm birth is not substantially elevated. Rechecking it in 4 weeks is reasonable but it is not a strongly dangerous finding. The most important finding is closed length, and a 32 mm length at 22 weeks is fine. ...Read more
Some: There is some concern about an increased risk of preterm delivery. You will be followed closely watching for any additional changes. Stay close to your doctor and follow any advice. I hope all goes well for you. ...Read more
At 28wk0d my cervix had shortened even further to 2.5cm with funneling 1.6cm. Should I worry? No previous early deliveries. But never had this problem
Very high risk: A cervical length ofGet a more detailed answer ›
I'll be 16 weeks in 2 days. How would I know if my cervix with cerclage is funneling and what causes it, how can I avoid it?
By sonogram: The issue with an incompetent cervix is that the cervix softens and dilates without contractions and without the patient being aware. The only way to know is for your doctor to perform sonographic measurements of the cervical length. Ask your doctor if you are a candidate for 17 OH Progesterone injections too. ...Read more
24wks pg. At last sono I noticed that from my the baby in uterus to my short, . 4cm cervix was a large v-shaped void of nothing. Is this "funneling"?
Hard to say: An experienced perinatologist would always want to see images or to at least know the sonographer or sonologist who did the ultrasound study. Therefore, we cannot provide an answer for you here. However, if you are already considered high risk due to short cervix and/or history of preterm labor or birth, you are probably in the care of OB or mfm (maternal-fetal medicine) and could contact them. ...Read more
Is emergent mcdonald 3 stitches as successful as elective If cervix is not dilated or effaced at all, just 21mm funnel and CL 23mm. No bulging membranes?
No: What's different about the situation you describe is that there has been cervical shortening, which, in and of itself, increases your risk for preterm delivery. Your cervix is still pretty long, though, at 23mm. Likely the stitch will be successful at helping to prevent preterm birth. It's good, as well, that no bulging membranes. Good luck and I hope that your pregnancy goes to term! ...Read more
30wks+4dayspregnant on strict hospital br unmeasurable cervix dilated 1cm fully effaced with funneling may be sent home @32 weeks bad idea to send home?
Not necessarily: New data has shown us that women in your situation do not need to be hospitalized long term. In fact, hospitalization can cause other problems (like blood clots or hospital acquired infections). If you're doctor sends you home, it's likely that he/she knows you'll do okay. If your water breaks or you start to have contractions, of course you'll head straight back. Good luck! ...Read more
I'm 28 weeks pregnant with twins. I had an ultrasound today and my cervix was 4.0 but had minimal funneling. Should I be concerned?
Probably not.: Your cervical length is normal and the funneling is minimal. Your doctor might reccomend a follow up exam. ...Read more
34wks pregnant w/mcdonalds 2 stitches. Take p17, don't have contractions. Just went off bedrest w/2cm closed funneled cervix. Can pressure dilate cervix?
Not impossible: it sounds like you have a diagnosis of cervical insufficiency and you have a stitch place to prevent dilation. The stitch should be able to holdyour cervix closed, however there are some situations where your cervix will continue to try to open anyway, such as infection. If you begin having contractions, get seen by a doctor immediately. Otherwise take it easy. Good luck ...Read more
Depending on the number of children born via vaginal delivery a woman has, sometimes her cervix can be
"bulky". Typically if a woman has never had a vaginal delivery, her cervix will be small, as it's never stretched out. Bulky is a normal variant and doesn't mean that there's anything wrong with the cervix, per se. ...Read more
Exam: The cervix is evaluated by your physician. There is two parts to the exam: 1. Bi manual and two speculum. The speculum is a beak shaped instrument placed in your vagina and allows the physician to see the cervix. The exam consists of the physician placing an exam finger on your cervix and then feeling the top of your uterus and ovaries through your abdomen. ...Read more
Not needed: The cervix is part of the uterus. Most women have some natural and normal curvature to the uterus, of varying degrees - and there is no indication for, or need for, any treatment for that curvature. ...Read more
Short cervix: The most common cause is pregnancy. It does not cause a problem otherwise. If your cervix is too thin too soon in pregnancy, you are at risk for preterm labor and will need evaluation and treatment. We usually do not know that a cervix will become too thin until it happens during pregnancy or if it happened during a previous pregnancy. ...Read more
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
Family practice: It can protrude outside the vagina. It shouldn't completely fall out being part of your uterus. This normally wouldn't happen to a woman in your age group however. It is usually seen in someone that has had multiple pregnancies. The muscles get weak /relaxed so the uterus falls. Surgery is sometimes needed to tuck it back up. Make sure your dr is aware of it. ...Read more