Doctor insights on:
What Does In Mean When Your Cervix Is Incompetent
Not keeping closed: 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
Not necessarily..: If this is your first baby/pregnancy, then it may mean so. If second or more, slightly dilated cervix is common/normal and it likely stays that way until close to delivery time. Nevertheless, regular follow-up with your OB is strongly advised to ensure that it is so. If it dilates/opens up more too early, then it is incompetent and treatment maybe needed. Congrats on your pregnancy. Good luck. ...Read more
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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
Yes: After circlage a term baby is possible. ...Read more
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