Doctor insights on:
Women With 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 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
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
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
If someone has incompetent cervix then how many child she could have? Is there any limitation or as many as children she want to have?
Incompetent cervix: With the help of a skilled obstetrician you could conceivably have several vhildren. ...Read more
On October 10th I will be 9 weeks...I'm worried that my incompetent cervix will open. Should I get a sooner appointment? Scared 3 losses with cervix
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
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
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 moreSee 1 more doctor answer
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