Guys, thanks for staying with me, sharing with you was what I’ve encountered in clinic today, a woman 29 years old, Gestation 4 Para 0+3 at 22 weeks with diagnosed of cervical incompetence…(For study purposes)
Never in my mind that I’m going to met one of this, according to my M.O, this is the 1st time she met cervical incompetence patient also in her working life.
According to statistics provided by the Mayo Clinic, cervical incompetence is relatively rare in the United States, occurring in only 1—2% of all pregnancies, but it is thought to cause as many as 20—25% of miscarriages in the second trimester.
Picture taken from MoonDragon Birthing Service.
Patient, 29 years old, Gestation 4 Para 0+3 at 22 weeks came in for routine follow up in our antenatal clinic. Previously patient had 1 episode ectopic pregnancy, and 2 episodes of recurrent miscarriages, one was during 13 weeks of gestation and the 2nd one was 17 weeks of gestation.
Clinically patient well, no active complaint, she was so excited when she told me that she felt her fetal movement since last week, this is very precious for her because she was trying so hard to get her child…
From the interviewed with her, I can felt her happiness, excitement for this, I can tell that she is going to become a very good mother…
Well, things didn’t turn out the way we expected when we proceed with ultrasound that we found out this…
When my specialist told her that it might be another miscarriage, she was so helpless and her tears just flow like rain… I felt sorry to her as I there’s nothing I can do except comfort her…
…So, cervical incompetence is painless opening or premature effacement(shortening of vaginal portion and thinning the wall) of the cervix that results in delivery of the baby between 16 and 22 weeks of pregnancy…
The cervix may be weak because of a connective tissue disorder present at birth (congenital), such as Ehlers-Danlos syndrome, or because of an injury. For example, injuries may occur when a large piece of tissue is removed from the cervix for a biopsy or when instruments are used to dilate the cervix (as can occur during dilation and curettage, or D & C).
Use of fertility drugs such as clomiphene Some Trade Names
CLOMIDSEROPHENE, which often results in more than one fetus (multiple births)
Birth defects of the genital organs
A short cervix, detected during ultrasonography
Previous miscarriages during the 2nd trimester
Once the problem of cervical incompetence is diagnosed,we usually offer a prophylactic vaginal cerclage (stitching the cervix closed), to be performed at the close of the 11th to 12th week of gestation.Cerclage is removed at or about 36 weeks gestation.
Picture taken from MoonDragon Birthing Service