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What is cervical insufficiency? What are signs of cervical insufficiency? Some other signs to look out for include: A feeling of pelvic pressure A new backache Mild cramps in your belly abdomen A change in vaginal discharge Light vaginal bleeding What actions can be taken with cervical insufficiency? You had a spontaneous premature birth before 34 weeks in a past pregnancy with a cervix shorter than 25 millimeters about 1 inch before 24 weeks of pregnancy. Spontaneous means that labor began on its own.
In this pregnancy, your cervix is opening in the second trimester. You have a short cervix. The shorter the cervix, the more likely you are to have cervical insufficiency. What is short cervix? You have signs of preterm labor. This is labor that begins too soon, before 37 weeks of pregnancy. Will I need to be on bedrest? If I have a cerclage for one pregnancy, will I need one for the next pregnancy? The cervix is the narrow, tubular lower end of the uterus that extends into the vagina. You're more likely to experience cervical insufficiency if: You've had a procedure such as a cone biopsy or LEEP done on your cervix.
You've had one or more second-trimester miscarriages with no known cause. You've had cervical insufficiency in a prior pregnancy. You've had one or more spontaneous preterm deliveries. You have a uterine abnormality such as a bicornate uterus. You have a congenital disorder affecting your connective tissue, such as Ehlers-Danlos syndrome.
You're African American. We don't know why, but Black women seem to be at higher risk of cervical insufficiency. Your mother took the drug DES diethylstilbestrol while she was pregnant with you. Caregivers used to prescribe this drug to prevent miscarriage, but it was taken off the market in the United States in , when studies showed that it was ineffective and caused reproductive tract abnormalities in developing babies. However, DES remained available in other countries, so if your mother lived in another country when she was pregnant with you, ask her whether she took the drug.
Or you may have mild symptoms beginning between 14 and 20 weeks such as: Pelvic pressure Premenstrual-like cramping Braxton-Hicks-like contractions Backache Vaginal discharge that increases in volume or becomes wetter Vaginal discharge that changes from clear, white, or light yellow to pink or tan Spotting light vaginal bleeding There is still no good way to screen for cervical insufficiency, but if you're at risk for this condition, your practitioner may order regular transvaginal ultrasounds beginning at 16 weeks to measure the length of your cervix and check for signs of early effacement shortening.
Incompetent cervix treatments include: Cerclage If an ultrasound shows your cervix is shorter than 25 mm, you're less than 24 weeks pregnant, you're carrying a single baby, and you have other risk factors for cervical insufficiency, such as a prior preterm birth, your practitioner may recommend a cerclage to reduce your chances of preterm delivery. Progesterone Women with a prior spontaneous preterm birth may also be given extra progesterone to reduce the risk of a recurrence.
Steroids If you're experiencing signs of premature labor and an ultrasound shows that your cervix is short and your baby has a chance of survival usually after 22 weeks , your practitioner may give you steroids.
Sources BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. Featured video. Placenta previa. Bed rest during pregnancy. What's the outlook for a premature baby born at 28, 31, 33, or 36 weeks? Pregnancy after a miscarriage. Preterm labor and birth. Should I take steroids during preterm labor?
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Berghella V, et al. Cervical insufficiency. Accessed Feb. Gabbe SG, et al. In: Obstetrics: Normal and Problem Pregnancies. Philadelphia, Pa. Papadakis MA, et al. Obstetrics and obstetric disorders. New York, N. Tanner LD, et al. Boelig RC, et al. Current options for mechanical prevention of preterm birth.
Seminars in Perinatology. If you smoke, quit. Alcohol and illegal drugs are off-limits, too. What treatment options are available? A woman would not be eligible for a cerclage if: There is increased irritation of the cervix The cervix has dilated 4cm Membranes have ruptured Possible complications of cervical cerclage include uterine rupture, maternal hemorrhage, bladder rupture, cervical laceration, preterm labor and premature rupture of the membranes.
Want to Know More? Can I get pregnant if…? Share this post:. Share on facebook Facebook. Share on twitter Twitter. Share on linkedin LinkedIn. Share on email Email. Similar Post. Pregnancy Loss. Chemical Pregnancy What is a chemical pregnancy? A chemical pregnancy is an early miscarriage that usually happens before the pregnancy reaches five….
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