Prevent Premature & Preterm Birth From Short Cervix, Cervical Insufficiency, & Cervical Incompetence
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- เผยแพร่เมื่อ 6 ต.ค. 2024
- Cervical cerclage surgery. Cervical insufficiency and short cervix. Treating incompetent cervix. Cervical incompetence. Treating cervical insufficiency. Can you carry full term with incompetent cervix? Can incompetent cervix be cured? Signs and symptoms of incompetent cervix. Preventing premature birth. Preventing preterm birth. What is a cerclage operation? How do doctors prevent late (second trimester) miscarriages and preterm (early) delivery? How do I prevent (second trimester) miscarriages and preterm (early) delivery? Preventing premature birth.
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What other questions do you have about preterm birth?
I had a pre term delivery with my first born at 33 weeks AOG. I had no signs of contractions prior to delivery except for the rapture of my water bag. Then I was adviced by my OB to go to the hospital. When they checked, I was already 6cm dilated. I don't completely understand why I had to deliver early except that a month prior to giving birth, i found out I had multiple bacteria counts in my WBC a sign of infection. Probably the infection was not treated so soon. Now that I am on my second pregnancy, I wanna know all the possible prevention to avoid pre term delivery again. Please tell me what to do. Thanks a lot.
@@yvethfulgueras9128 Thanks for asking. I think you have very good insight on what happened. Premature rupture of membranes or the amniotic sac is usually caused by infection. Prior to that happening, your cervix may start to dilate silently. This happens because your body is trying to fix you and sees your baby as a strain on the body. If you deliver the baby, your bodies resources can then go to treating the infection. For this pregnancy, keep an eye on discharge. Discharge is normal during pregnancy but certain types of discharge can be a sign of infection. If you see any changes in amount, color, or smell, have your provider check you out. You also want to avoid UTIs which can cause systemic infection and preterm labor. Yeast infections are also an issue. Pay attention for signs of preterm labor such as abdominal or back pain that comes and goes, abdominal hardening, or the urge to urinate that comes and goes in a short time period. Ask your provider for guidelines on sexual activity and regular activity. Bed rest has not been proved to prevent preterm labor but overdoing it is not good either.
For more information on UTI and Yeast infections, please check out my videos:
th-cam.com/video/Azgf-xmMaaQ/w-d-xo.html
th-cam.com/video/vRIDaOlrPNc/w-d-xo.html
@@TheMaternityMentor would there be any medication i cam take to avoid early contraction? Thanks anyway for your very informative and helpful advice.
@@yvethfulgueras9128 Thanks for asking! Some providers will prescribe a blood pressure medication called Nifedipine. They give you 10mg and have you to take it every 6 hours. This may stop contractions for some women. One of the best medications for stopping contractions is fluids. So many women come into the hospital in labor and we start an IV, give them fluid, and everything stops. Dehydration is a powerful indicator to your body to start contracting and deliver your baby because it is not safe for either of you. If you are having contractions, drink lots of fluids, whatever you can. Maybe speak to your provider about Nifedipine.
If you can, please like my video and subscribe to my channel. It really helps me out! Thanks!
@@TheMaternityMentor what my OB prescribed me is Isoxsuprine. Is this the same as Nifedipine? And can this be taken even without contraction just to prevent preterm labor?
Thank you, this has been literally the only video that I found with any useful information about the cerclage. I really appreciate it.
You’re welcome! Glad it helped! If you can, please like my video and subscribe to my channel. It really helps me out! Thanks!
I know this is an old video, and your live was quite a while ago, but I'm hoping you see this 😊 I had a nice long cervix with my son at my 20 week ultrasound, then was diagnosed with a severe urinary tract infection and given antibiotics. I was told it was cleared at my next visit and was also told apl subseqient urinalyses were normal. At around 26 weeks, I began experiencing a lot of BH contractions, along with a lot of vaginal pressure. I called my OB immediately and was told it was probably normal BH and that since my cervix had been so thick at 20 weeks, they weren't concerned. I also began having yellowish discharge around 32 weeks, with a foul smell that would come and go while still experiencing the BH and pressure. I called a few more times and discussed with my OB at my regular appointments, and again, they were not concerned. I ended up having contractions at 34 weeks, was given steroids, antibiotics, and mag sulfate to stop labor. It worked to stop labor, but was sent home, dilated to 3cm, from the hospital after 3 days on modified bedrest. My water broke at 35 weeks 2 days and I delivered my son. By the grace of God, he was extremely healthy and didn't need NICU care! I am 42 years old, and my husband and I would like one more child, but I am afraid of preterm labor next time. My doctor said they don't know why I had premature labor, and that I would likely be at no additional risk of another premature birth next time. I suspect it was due to an untreated infection, but will never know for sure. My son was born in June, and we would like to have our next baby as soon as it is safe. Would 6 months be too soon? I know there will always be a risk of repeat premature labor since it happened once already, but is there a timeframe that carries less risk? Thank you in advance and blessings to you! 😊
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@@KitKat10281 a gap of 18 months is favourable to reduce the chance of second preterm birth
Thanks for the information. Is progesterone prescribed before or after cerclage? I lost my baby at 21 weeks in my last pregnancy and I’m anxious this time, we’ll have a cerclage at 13 weeks but I wanted to know if pregesterone can also prevent preterm labor?
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I am 5 weeks and I have a 1cm open cervix. My doctor said I was going to have a miscarriage but I believe I am actually in the process of having one. I did not know I was pregnant, I only have white vaginal discharge
I'm sorry to hear this is happening. It sounds very scary. I am sending you love and light and healing thoughts.
@@Infinite-count how was the process did you deliver your baby?
Can a mother be airlifted during bleeding after identifying she has an incompetent cervix to try and save her baby?
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I had three miscarriages 18 weeks twice and recently 34 weeks
In my case cerclage didn’t work I got oligohydramnios I’m just dead now
I am so sorry. I am sending you love and light and healing thoughts.
Please go for Trans abdominal cerclage (TAC) either before pregnancy or during pregnancy .It is very highly successful. It can be done either laproscopicaly or open surgery.People who have had more than 1 second trimester miscarriage please don't take any risk of going for Vaginal cerclage because the chances of its success is very less even with complete bed rest.With TAC no need for complete bed rest. You can be on modified bed rest. Also once the TAC is placed you can keep it for further pregnancies as well .Only thing is with TAC you can deliver baby via c section.
I just returned from my 20 week anatomy scan, and my cervix is measuring 2.5 centimeters. They sent me home for another four weeks, but I feel that something is wrong. What should I do? This is my first baby.
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What happened now
Hi,
I have cervical incompetence. It has been found out at the time of my first boy after 22 weeks . But I had been on progesterone and delivered him at 38 weeks successfully.Thank God!!
But after 6 years , I got pregnant again through FET and at 19 weeks cervix is 2.52 and I was again on progesterone and after one week it’s improved to 2.7 . But at 22 weeks after seeing some bleeding I went to ER and I delivered vaginally and loss the baby.Dr. Said the membrane ruptured and baby was on breech.
Could you please give me answers for my following concerns?
1.May I know how soon I can do my next FET? Getting pregnant after 3 months is safe ? I am 33 years old.
2.Will cervical cerclage help me to reach full term next time?
3.Do I need to take bed rest for that?
4.For next delivery, we are planning to go back home country.
Will it be safe if I do(more than 10 hours ) international travel before cerclage ? We are planning to do cerclage after reaching there.
Could you please tell me which one is more safe-Traveling internationally before cerclage or after cerclage ?
Thank you
1. I would wait 6 months to 1 year. Earlier risks preterm labor.
2. Every pregnancy is different. You may not need one.
3. Bed rest can be bad for you, so unfortunately you have to wait and see what is going on during the pregnancy to determine if bed rest is needed.
4. I would not travel 10 hours with pregnancy complications. If you need a cerclage, at that point you need to stay put.
I am 28 weeks I have cervix length is 2.1cm.I am currently progesterone..I am scard about preterm birth...
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What sleeping position need to follow...??
Thanks for asking! Honestly, any sleeping position that you can sleep in is ok. You should not sleep on your back and only sleep on your sides. Sleep on your back causes your uterus and baby to lay on top of the major blood vessels in your abdomen and this reduces the blood flow to your baby. If you can, please like my video and subscribe to my channel. It really helps me out! Thanks!
Iam 27 week pregnant my cervix 1.1 cm with funneling.
I’m sorry to hear this is happening. I am sending you love and light and healing thoughts.
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I had put my m'cd circlage at 13 week n it get failed at 20 week again am pregnant dr suggest me to put shirodkar tape circlage at 14 weeks am very much scare about preterm birth what the success rate of this circlage ....?
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My cervix is opening after stitches also ...now I am in 20th week...taking bed rest based on gyn suggestions..pls give me suggestions
I'm sorry to hear this is happening. It sounds very scary. Unfortunately, bed rest is the only other option. Be sure to follow all the bedrest guidelines your doctor has given you. As for lots of help from friends and family. Continue to monitor your symptoms and update your healthcare provider with any changes immediately. I am sending you love and light and healing thoughts.
Hello,I have cerclage from week 19, now I am at week 26 and my cervix is open in V shape right to the stitch..how long can cerclage last and how can it fall off?
Thanks ❤️
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Hi sister....how are you now? Have you undergone any treatment?
hi when ur delivery happened..mine also same as ur situation...
pls reply
@@sljiva7776 hi ..how r u now ... delivered ur baby safe?
Hello....mam i m 24 weeks pregnant ...and i have one finger cervix dilatation due to severe UTI ....my cervical length is 4cm....now kindly guide me m i need bed rest...? Kindly guide anyone
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Hi dear , i have a son how is 9 months old . I hade short cervix i took progesterone since i was diagnosed late . Luckily we made it 36+4 . I want to have another baby but i am so afraid it will happen again. What are the chances of a normal pregnancy ? Thank you in advance
Thanks for asking! Unfortunately there is no way to know. Every pregnancy is different. You can absolutely have a normal pregnancy but there is no guarantee. Good luck!
Dear Shala, I am 31 weeks and having short cervix suddenly 2cm. Could you tell at what week you had short cervix and how you managed? Did you went through bed rest?
Are you on complete bedrest?
Hello. I lost my baby at 15 weeks of pregnancy, I had rupture of amniotic fluid, when I went to the doctor they told me that my membranes had prolapsed and nothing could be done, I gave birth to 3 children naturally, I had no injuries or abortions , what could lead to ICI, is it possible that the cause of the miscarriage was not ICI?
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I am in my 32 weeks, applied cerclage, and was on progesterone. But from week 29 I developed signs of obstetric pregnancy and was having severe itching, my doctor told me to observe a liver test and I had an abnormal reading of LFT AFT. I quit taking progesterone and started urso.
I have a few concerns
1- should I start taking progesterone again?
2- should I quit taking urso?
For 3 days I am feeling a lot of downward pressure even though I am resting well.
Is there any risk of preterm labor??
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Hi! Is it common for the cervix to shorten when there’s pressure but when there’s no pressure it’s normal? For instance normally my cervix measures at 3.6-3.7, but if there’s a false contraction (Braxton hicks) or pressure it goes down to 2.3 . I’m currently just on progesterone. Also does that mean my length is truly 3.6 or is it 2.3v
Thanks for asking! Absolutely. Braxton Hicks contractions are false labor because they never get into a regular pattern that causes true, lasting cervical change. However, a hicks contraction will still apply some pressure to the cervix which kind of flattens it thus shortening the length as well. If you can, please like my video and subscribe to my channel. It really helps me out! Thanks!
@@TheMaternityMentor no problem!!! and thank you for answering . That makes sense. I’m definitely subscribed and will like!!! ♥️
@@patriceb.1695 You're welcome! Thank you
When I was 27 th week pregnant I only did damage on my cervix for abortion now after 6 years iam not able to get pregnant why what's the reason
Thank you for sharing. I'm sorry to hear this is happening. Unfortunately, there is no way to know why you haven't gotten pregnant without a full medical work-up. I would suggest you try and see an infertility doctor who can review your case. I am sending you love and light and healing thoughts.
Hello, thank you for this video. I am currently 27wks pregnant and the doctor discovered I have a short cervix of 2.2cm at 26wks, I am currently on progesterone. I am so scared of having my baby early, do you think the progesterone will help prevent preterm labour?
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Baby born ah
@@hassanatshogeyinbo9546 did you end up having your baby prematurely?
Hi ...how r u... delivered ur baby safely?
Dr.i have my 1st baby premature 28 weeks
And for 2nd baby my cervix was good in the start few months n then became 1cm in 25 week i got EM cerclage …
Dr my question is did i will need cerclage for my next baby 😔?
Thanks for asking! Unfortunately, there is no way to know for sure. Once you have had a cerclage, it is more likely to have another one. But every pregnancy is different. I am sending you love and light and healing thoughts.
hi.Did you need a cerclage for the second time?
I have a PCOS before and got pregnant after medications, 21 weeks of pregnancy started bleeding and had contractions I gave birth and lost the baby. 7 years after without proper medications to cure my PCOS ovary I got pregnant and got shock that my belly was in 19 weeks already. I don't know that I am pregnant since my menstruation is not regular and I do have spotting or light bleeding every month so I expect that my menstruation is coming. Got tired to do pregnancy test because of frustation that it will always be negative. And last friday started bleeding again I did have a check up and proper rest but unfortunately I had contractions again and went to pre term labour last October 31st, I don't know why my cervix keeps opening and I don't know if I want to be pregnant again I am tired and afraid of losing another baby I just lost two.
I'm sorry to hear this is happening. It sounds very scary. I am sending you love and light and healing thoughts.
hi am from hospital ana cervix is measuring 3.5cm they send me to bed rest is it good
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bt is 3.5 normal i just wanted to know
@@ROSSYAYIETAhow r u ...and ur baby now
Hello, I lost my daughter a week 10 days ago. I went into premature labor. I was diagnosed with an incompetent cervix. I had pain and tightening one morning and a little leakage. I found out that the sac had come down and I was transferred to another hospital in hopes to do a cerclage. The sac had prolapsed too much and my cervix was soft so I could not get it done. I went into labor three days after the sac had come down. I also had a UTI. I just wanted to know if it had truly been because of an incompetent cervix. I would highly appreciate if you could respond, if not that is okay.
Thank you.
I'm sorry to hear this happened. While I can't say for sure, I believe the UTi was probably a significant contributing factor. I am sending you love and light and healing thoughts.
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Hi
I concieved through 2nd Ivf cycle
My water broke at week 18 and lost my baby due to cervical incompetence
When can i plan to have another baby
What are the chances of ivf success again
Thanks for asking. I am so sorry to say there is no way to know for sure. Every pregnancy is different. That being said, because you experienced these complications already, you are at higher risk for experiencing them again. I am sending you love and light and healing thoughts.
Please go for Trans abdominal cerclage (TAC) either before pregnancy or during pregnancy .It is very highly successful. It can be done either laproscopicaly or open surgery.People who have had more than 1 second trimester miscarriage please don't take any risk of going for Vaginal cerclage because the chances of its success is very less even with complete bed rest.With TAC no need for complete bed rest. You can be on modified bed rest. Also once the TAC is placed you can keep it for further pregnancies as well .Only thing is with TAC you can deliver baby via c section.
Hello im so scared pls answer me im 30 weeks and doctor told me i have risk of premature labor, my cervix is 30mm and she told me i need bestest and i need to take vaginal vax for 10days
I'm sorry to hear this is happening. It is very scary.
@@TheMaternityMentor so there's high chance of premature labor?
@@ani1422 Yes there is. Luckily, your 30 weeks along which makes the chances for baby much greater.
@@TheMaternityMentor okay thank you for ur answer
@@ani1422 You're welcome!
Hi dr. I'm with the history of preterm deliveries 1st in 3month ,after 1 yr 2nd in 5month water broke and 3rd in 26 weeks bcz of short cervix
Intead of cerclage. boy lived for 1 month then I've loss him.
Now dr adviced me to have shirodkar cerclage for next pregnancy but I'm scared of Cerclage
I want to ask some questions.
1. Can i conceive again after 2,3 months
2.is there any treatment for me before pregnancy to prevent preterm birth
3.is it necessary to have cerclage in every pregnancy if once done
4.do i need complete bed rest in next pregnancy
5.can i treat my self before planning next pregnancy q
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Hi, please i had a boy via Cesarean section 4 years ago, i got pregnant last year, the whole pregnancy i had bad vaginal smell, then my water broke at 29 weeks and i lost my baby. I got pregnant again and i was treating the infection this time then my water broke at 24 weeks. Could i have a problem with my cervix ?
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Please go for Trans abdominal cerclage (TAC) either before pregnancy or during pregnancy .It is very highly successful. It can be done either laproscopicaly or open surgery.People who have had more than 1 second trimester miscarriage please don't take any risk of going for Vaginal cerclage because the chances of its success is very less even with complete bed rest.With TAC no need for complete bed rest. You can be on modified bed rest. Also once the TAC is placed you can keep it for further pregnancies as well .Only thing is with TAC you can deliver baby via c section. I hope this information might be helpfull.
Hi ....I had cerclage through my vagina ...is it successful... currently am 21weeks pregnant but very afraid of it
Open cervix 1cm I'm 7 months pregnant. Is it possible to give birth early?
Thanks for asking! It is possible however a lot of women who are having their second or third baby will be 1 CM dilated for months and everything will be ok. It just depends. I am sending you love and light and healing thoughts.
What baby
What week was ur delivery
Thanks for your video. I am 17 weeks 3 days and had a cerclage at 12 weeks. Have a history of late cerclage for my first child at 20 weeks and she came out at 29 weeks. So I had cerclage put at 12 weeks this pregnancy. I am also using cyclogest progesterone once daily but no bed rest.. I get scared of having a miscarriage or a preterm birth. Do I need bereft or I will be fine?
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I am in Africa and your time will be passed midnight here so I'll miss.please address my question so I would get the answer when u watch the video
I feel so muchhhhh pressure in my abdominal when i stand longer then 5 mins even though m on bed rest since the day one also on progesterone from 6th week today my 13th week completed ,are these the signs of short cervix?
Thanks for asking. These can be signs of premature labor. You need to head to a hospital to be checked out. If you can't, contact your healthcare provider immediately. Feel better!
Mam i have twin pregnancy, 22week my cervix length is 2•81cm is it normal
Thanks for asking! That cervical length sounds good. Ultimately, what you don't want is less than 1CM. Good luck!
Mam i am pregnant 22 weeks may cervix length is 3.3cm is it norma
I also have twins with short cervix...apki delivery konse week me hui .,plz reply
@@rosyverma5437 29 week delivered
What can we take after a cerclage for constipation.
Thanks for asking! You need to ask your healthcare provider for sure but usually Colace daily to help prevent constipation and either milk of magnesia or Dulcolax to have a bowel movement. It's important not to strain. Make sure to drink plenty of fluids. Again, ask your healthcare provider for sure because taking the wrong medication can cause problems. I am sending you love and light and healing thoughts.
@@TheMaternityMentor thank you for replying
@@belola2022 You're welcome!
I am 33 weeks pregnant and cervical length is 2.56 is it problem
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Mam please answer my question Mam I am worried
Hello Doc am new here...I had preterm birth at 6month last month ...but I don't really know the actual cause..my water didt break...I was feeling pains on my lower abdomen and back pain ..it comes and go and my cervix length is 36mm..what might be the cause and how long will I wait before trying again for pregnancy
Thanks for asking! I'm sorry this is happening. That sounds like it could be Braxton Hicks contractions. Be sure to contact your healthcare provider and let them know what is going on. Feel better!
HEY I AM GOING THROUGH THE SAME CONDITION WITH 2 MISCARRIAGE ONE AT 5 MONTHS AND 2ND AT 6TH EVEN AFTER TAKING CERVICAL CERCALGE. CAN YOU PLEASE TELL ME HAVE YOU GOT ANY TREATMENT DONE? ANY SOLUTION YOU GOT PLEASE LET ME KNOW
Even I want to know if there is any treatment .. I lost my baby. My contractions & bleeding started suddenly in the 26th week.. I still don't know the reason..
Hi, I'm 22 years old with my first pregnancy. I'm having twins and was diagnosed with an incompetent cervix at 18 weeks (20mm) by chance and was prescribed progesterone. I needed an emergency cerclage at 20 weeks (I was told I had started dilating at the time of surgery). Surgery was successful and I am now taking progesterone twice daily as my doctor recommended. The doctor told me to take modified bed rest until I give birth.
- What do you think my chances for delivering safely are?
- When is the earliest gestation I can give birth at with the least risk?
Thank you so much.
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I will answer this in greater detail on Monday. Both questions are complicated. I am sending you love and light and healing thoughts.
I also have twins with short cervix....28 weeks ...how's your bedrest going ??
@@TheMaternityMentor hey I’m new to this video and your channel and I would love to know the answer to this question. I know you have already done the live session. I keep seeing this as a reply.
@@Taww12 Unfortunately there are too many questions daily to answer one by one. We do lives so viewers can ask their questions live as well as try to answer any of these questions. We post the lives later for viewing if someone can't make it.
Hii mam.. I had 3 abortions because of cervical incompetence IAM loosing hope on my pregnancy please help me ma'am In this 3 Case's I went with cervical stitches also and intake of progesterone but still phased preterm delivery what should I do mam?
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Please go for Trans abdominal cerclage (TAC) either before pregnancy or during pregnancy .It is very highly successful. It can be done either laproscopicaly or open surgery.People who have had more than 1 second trimester miscarriage please don't take any risk of going for Vaginal cerclage because the chances of its success is very less even with complete bed rest.With TAC no need for complete bed rest. You can be on modified bed rest. Also once the TAC is placed you can keep it for further pregnancies as well .Only thing is with TAC you can deliver baby via c section. I hope this information might be helpful for someone who is reading the comments
@@ishwaryaakhila8220 thank you.... Thank you so much for your reply.... But some of my friends said that their is no difference in between TAC and TVC is it fact?
There is more difference between TAC and TVC. TAC is placed at higher level of the cervix and is extremely good in keeping the cervix closed.TVC is placed at very lower end of the cervix and doesn't work most of the time. I have had 2 losses and the second loss was with TVC. Then I went for pre pregnancy TAC previous year and now have 2 month old baby.
@@ishwaryaakhila8220 thanks for your reply and happy to hear that you became mother through TAC 😍
Hello doc.
I have a 3+ 0ld son, I lost my second baby at 6 months, had a very painful contractions for hours before the baby came out and dead, doctor said she’s been dead for hours, I want to know if this is due to incompetent cervix or not and does having a pretern birth once means one’s cervix is incompetent?
I'm sorry to hear this happened. It does not sound like incompetent cervix. Once a baby dies in utero, the baby will stimulate labor to deliver the baby. This is to save the mother's life. If the baby remains inside you, you could develop a serious infection that can lead to death. I am sending you love and light and healing thoughts.
Hello mam. I am 17 week pregnant. In yesterday's check up I came to know that I have short cervical lenght of 2.7cm. Do I need any kind of stitches. Dr just gave me progesterone tablet. But I am worried 😟
I'm sorry to hear this is happening. It sounds very scary. Remember to follow you healthcare providers guidance. I am sending you love and light and healing thoughts.
@@TheMaternityMentor even after 10 days of cerclage. Cervical length is 2.9. And there is v shape funneling. MAM in this condition this cerclage will be helpful or not??
@@funmaths2135have you delivered
Hi ..how r u and your baby now
Can a cervix open Suddenly?when I was 13 week Pregent My Cervix length is 3.4 cm.In 17 week Suddenly starrt labour pain.and I misscarry.can I suddenly Happen.plz reply.
Thanks for asking. I'm sorry to hear this happened. Sometimes, women can have silent contractions. This means their uterus is contracting and thinning out the cervix and they won't feel anything. Once the cervix is thinned, it will dilate open. This can cause miscarriage. Causes of this can include infection and dehydration. I am sending you love and light and healing thoughts.
@@TheMaternityMentor can a stitches Privent this Situation.
@@saddambepari8669 That is correct.
@@TheMaternityMentor Thank you mam
@@saddambepari8669 You're welcome!