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Incompetent Cervix And A Healthy Pregnancy
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I have been diagnosed with an incompetent cervix. I had a miscarriage once before and my doctor thinks that it would be in my best interest to be on bed rest for the duration of my pregnancy. If I do exactly what she says, is it possible to have an otherwise healthy pregnancy with an incompetent cervix?
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 (3 Answers) |
Friday 12th of March 2010 10:27:53 AM
hello Dear, yes probably if you follow her advises and stay in bed resting during your pregnancy you have more chances to do not suffer a miscarriage, since your cervix does not hangle carry a pregnancy so well, i know it must be really though to spend so long time in bed, but the benefits to do exactly what she says are higher than if you try carry a pregnancy without look after yourself.
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Sunday 21st of March 2010 11:57:18 PM
Cervical cerclage is the treatment that is offered. This involves placing a stitch high up around the cervix to try & keep it closed. The stitch can be placed either from down below (vaginally) or via an abdominal incision. The latter is usually used when vaginally placed stitches fail. They are called McDonald or Shirodkar stitches. The Shirodkar variant involves a bit more extensive surgery to ensure the stitch is high up on the cervix.
The stitch is usually removed around 37 weeks and labour ensues fairly rapidly if the diagnosis was correct. Abdominal cerclage requires an elective caesarean section and the stitch is usually left in-situ for future pregnancies.
Complications of the stitch include rupture of the membranes at the time of placement, and increased risk of infection.
There have been a couple of proper randomised controlled studies to try and find the answer to this question. The largest was the UK MRC/RCOG trial, published in 1993, where 1292 women were randomised to cerclage or control. The study did find an improvement in outcome in women who had experienced a previous second trimester loss and had a cerclage placed. There were more deliveries in the treated group after 33 and 37 weeks. The reduction in premature delivery rate was equivalent to an improved outcome for 1 of every 25 women who had a stitch placed. So, although the benefit was shown, it certainly did not work for everyone.
The important thing about this study is that it did include women thought to be at risk because of previous surgery, terminations, etc., but the only group that showed benefit was those who had a previous pregnancy loss. This is the major challenge in this area - detection of those at risk of pregnancy loss/early delivery before it happens.
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Saturday 20th of March 2010 02:58:55 PM
I spend 7 month in bed y different causes. I think that if your doctor says is all right,there is no reason to doubt. If I were you, I'll take the risk and became pregnant. If you really wants to be mom, I see no reason for not to do it. It's a little uncomfortable, but safer.
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