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Doctor insights on: Women With Incompetent Cervix

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What is incompetent cervix?

What is  incompetent cervix?

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 more

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Cervix (Definition)

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


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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

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What's the outcome of incompetent cervix?

What's the outcome of incompetent cervix?

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 more

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How do you know you have an incompetent cervix?

How do you know you have an incompetent cervix?

Repeated losses: Repeated pregnancy losses in 2nd trimaster painless bleeding and spontaneous termination repeatedly. ...Read more

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How would I know if I had an incompetent cervix?

How would I know if I had an incompetent cervix?

Diagnosis with loss: Unfortunately most women don't know that they have an incompetent cervix until they experience a late miscarriage. Sometimes we discover cervical shortening on ultrasound that can clue us in before a loss occurs, but that is not typical. ...Read more

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What can I expect if I have an incompetent cervix?

What can I expect if I have an incompetent cervix?

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

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How do you know if you have an incompetent cervix?

How do you know if you have an incompetent cervix?

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

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What does incompetent cervix feel like? Something in vagina

A weak cervix: An incompetent cervix is a weakened cervix. It is usually characterized by painless cervical dilation. It usually seen between 15 and 22 weeks and patients will ultimately end up experiencing spotting, watery discharge, cramping or vaginal pressure prompting them to go to the hospital. When they arrive at the hospital they already have cervical dilation. ...Read more

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Cervix is slightly dilated. Does this mean I have an incompetent cervix?

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

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Does anyone know the rate of a full term birth with an incompetent cervix?

Good: If pregnancy reaches full term then circlage can be divided and removed and normal healthy baby is delivered. ...Read more

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If losing two children because I have an incompetent cervix will i ever carry full term ?

Yes: A cerclage done at approximately 12-13 weeks of gestation will allow you to carry your baby to term. Cerclage is a procedure where a wide suture encircles the cervix to keep it closed till it is time to have your baby. ...Read more

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If I have an incompetent cervix i dilated at 14 weeks do I still have to have a d&e or can I have d&c?

Technicality only: D&C and D&E are not that different; yes, technique and risks are slightly different, but it's kinda moot point. The specific difference is using a curette (D&C) and there is a limit to the size of products of conception (POC) that can be evacuated (think vacuum hose and bowling ball). The cervix can only be dilated so much mechanically. D&E uses instruments to fragment the POC thus has no limit. ...Read more

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