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Doctor insights on: Funneling Cervix

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23wks w/emergent cerclage at 21 weeks. Week after stitch all closed 40mm cervix. Today funneling 8mm. Closed cervix 35mm.% chance of PPROM?

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.

Cervix (Definition)

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


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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.

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!

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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?

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.

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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.

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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

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.

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At 28wk0day preg. Cervix shortened to 2.5cm with funnel of 1.6cm should I be concerned?

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.

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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?

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.

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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.

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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!

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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!

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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

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What is the cervix?

Opening to womb: It is the lower, narrow portion of the uterus (womb) where it joins with the top end of the vagina. It is the area where cells are obtained during a pap smear to aide in screening for cervical cancer.

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What's bulky cervix?

Normal variant: 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.

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How do u check ur cervix?

How do u check ur cervix?

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.

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Cervix pain inside and out?

Cervix pain: Hard to know how you are sure it's cervix pain. If it is tender to touch then an std is possible. See your gynecologist.