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Complications & Cesareans

Incompetent Cervix

Managing Incompetent Cervix During Pregnancy

Uterus/CervixCarol Alvarado of Browns Valley, Calif., is the very happy mother of two healthy children – but she endured a great deal of difficulty to reach this point. While pregnant with her first child, at the age of 29, Carol was diagnosed with incompetent cervix.

Incompetent cervix is a condition in which a pregnant woman's cervix is softer and weaker than normal, and as a result, might open prematurely during pregnancy. In some cases an ultrasound image can lead to the diagnosis of incompetent cervix, but most often, the condition is not discovered until a woman has lost a pregnancy, usually in her second or third trimester. "It is estimated that incompetent cervix is responsible for 25 percent of all second trimester miscarriages," says Dr. Traci Kurtzer, an obstetrician-gynecologist with ENH Medical Group in Deerfield, Ill.

Cervical cerclage has become the standard treatment for incompetent cervix.

"The diagnosis is a challenging one. A history of multiple second trimester deliveries or progressively earlier deliveries in successive pregnancies might be an indicator. A physician might also be more observant for signs of incompetent cervix in patients who have had cervical trauma or surgery, who have had exposure to the drug DES in utero, or who have other congenital defects in the uterus or cervix."

During the 22nd week of a pregnancy that was going very well, Alvarado knew something was terribly wrong when she found pink mucous on her toilet tissue one morning. She'd done enough reading during her pregnancy to recognize that the discharge may have been a sign that her mucus plug had dislodged. "I drove myself to the hospital and, much to my surprise, the doctor determined that I was 4 centimeters dilated and the amniotic sac had partially descended through my cervix," says Alvarado. In addition to excessive discharge, vaginal bleeding, pelvic pressure, and heaviness in the lower abdomen are also cited as possible symptoms of incompetent cervix.


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preeti says
January 31, 2010

i was daiagnosed with IO after i lost my first baby boy at 26 week on 2 jan 2009. it was devastating and i've not have had the courage to try again for the fear of losing again. something in me died with my child.

Anonymous says
January 14, 2010

I just lost my first baby boy on Saturday at 17 weeks. I knew before I got pregnant that there were some concerns with my cervix due to previous surgeries that I've had on my cervix. My doctors knew of these surgeries and said my cervix would need to be monitored throughout my pregnancy. I do not feel that they followed through with this statement even though I brought it up at a couple of my appointments. I was to have an ultrasound today, January 14, and they were going to check my cervical length at that time. I didn't make it to that appointment. At about 16 weeks, I started having a sticky, mucous discharge with spotting. The discharge continued to change during the week, going from a pink thinner discharge to a tissue-like brown discharge. I also had cramping in my lower abdomen that continued to get worse throughout the week. I was continually told by my doctors and the emergency room that they couldn't find anything wrong with me other than a bladder infection. They sent me home from the ER with an antibiotic and later that night, after horrific pain and pelvic pressure, my water broke. I delivered my baby boy in the ambulance on the way to the hospital. The doctor that performed the D&C said he couldn't find anything wrong with me that caused the miscarriage. He also believed that the baby was healthy. He told me that the next time I get pregnant, they will do the cerclage. I don't understand why this precaution wasn't taken during my first pregnancy before I started having any problems. At this point, my husband and I are very frustrated because we feel this could have been prevented because we knew before I got pregnant that there was concern regarding my cervix. I would never wish this type of grief and loss upon anyone. God bless our little angel who we know is in heaven safe in God's hands.

Anonymous says
November 3, 2009

I had a cerclage put in place at 12 wks and on August 30,2009 my water broke at 18 weeks and i delivered because i was having contractions without knowing. My OB suggests that I have a TAC in place before i conceive. I'm very discouraged because i've had 4 prior miscarriages all in the 2nd trimester.

Anonymous says
November 3, 2009

i have gone thru this twice....its the most horrible feeling on earth.
its so difficult to digest the fact that a completely healthy baby has to suddenly die....its devastating
i felt so helpless.i was advised to take stiches but since i had placenta previa it cudnt be possible.i was on complete bedrest and had best of treatment but nothing spared me the horror of loosing my 2nd child.now i m 7weeks and hoping for the best and i m scheduled for clerage in the 13th week.fingers crossed

Anonymous says
November 1, 2009

I have one word for all of us with incompetent cervix "Transabdominal Cerclage" Look it up. It has an almost 100% success rate. I too went through a loss at 20 weeks due to IC and when we get pregnant again I will be getting a Transabdominal cerclage done. There is a wonderful group that is very knowledgable about this procedure called abbyloopers on yahoo. I would recommend talking to these ladies and listening to what they have to say. Hope this helps all you grieving mothers.

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