Doctor insights on:
What Causes A Short Cervix
Lletz high grade CIN 20x18x17mm removed 1 yr and half ago will this cause a short cervix now im 10 weeks pregnant is this a lot that was removed?
Doctors generally only look for a short cervix after a person has had a history of a preterm delivery. In the next pregnancy, doctor will perform transvaginal ultrasounds to look at the length of the cervix and if it drops below 1.5 to 2.5 cm, they may get concerned about a shortening cervix and offer treatment or closer ...Read more
How short?: Short cervix only matters when it comes to pregnancy. If cervix is < than 2.5 cm long, there is increased risk of prematurity. Your OB can check for funneling of membranes into cervix early on, and after 24wks, do a test called fetal fibronectin. If this is positive and you have short cervix, your risk of prematurity is much higher, and your doctor may want to implement steps to reduce risk. ...Read more
Ultrasound: Doctors generally only look for a short cervix after a person has had a history of a preterm delivery. In the next pregnancy, doctor will perform transvaginal ultrasounds to look at the length of the cervix and if it drops below 1.5 to 2.5 cm, they may get concerned about a shortening cervix and offer treatment or closer observation for further shortening ...Read more
Depends: The only time that would be an issue is during pregnancy. During pregnancy a woman who is known to have a short cervix should be followed closely for the development of an incompetent cervix - that is usually accomplished by performing serial trans-vaginal ultrasound measurements of the cervix and allows for considering a cervical cerclage if the cervix is found to be shortening further. ...Read more
Your O.B.'s decision: Cervical cerclage ('putting a string around the cervix) in order to prevent 2nd/3rd trimester pregnancy loss is a clinical decision usually based upon history of prior early pregnancy losse (s). You must decide if the cerclage procedure (w/ low complication rate) is worth the risk or the risk of losing the baby is greater. Congrats on the baby! ...Read more
I am @ the hospital for short cervix- 3 weeks now- stuck til delivery (23wks pg). My dr has only seen me twice so I never know my status. What can I do?
Ask to speak to MD: This is a difficult position to find yourself in. Many times the general ob/gyn relies on the perinatologists (high risk docs) and residents to round on the patients that are hospitalized. Call the doctor's office and ask to speak with the doctor. Speak with your nurse and ask that she make contact with the office if you are uncomfortable. There should be a doctor checking on you at least daily. ...Read more
What are the latest findings to preserve a pregnancy with short cervix and delivery near 20 weeks?
Short Cervix: The cervix is the passage way where the baby travels from the uterus to the vagina when being delivered. The longer the cervix, the longer the baby has to travel, which may mean longer labor before the baby is delivered. Thus when the cervix is short there is unfortunately an increased risk of premature delivery and your doctor may recommend increased bed rest in the next few weeks before delivery ...Read more
28 weeks pregnant. Short cervix 24, 8 (was 37 at 22 weeks) and less AFI (9, 6 (5 percentile) is there any link? AFI was 15, 9 at 22 weeks, no leakage.
Yes, there is a: Link between short cervix and low amniotic fluid. Both are associated with early labor and delivery. However, preterm labor & delivery aren't inevitable even with these numbers. Ask your doctor what precautions you can take to minimize the risk of early labor and deliver. Best wishes. Dr. Anne ...Read more
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