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Definitions of cervical weakness vary, but one that is frequently used is the inability of the uterine cervix to retain a pregnancy in the absence of the signs and symptoms of clinical contractions, or labor, or both in the second trimester. [1] Cervical weakness may cause miscarriage or preterm birth during the
A cervical pregnancy is an ectopic pregnancy that has implanted in the uterine endocervix. [2] Such a pregnancy typically aborts within the first trimester , however, if it is implanted closer to the uterine cavity – a so-called cervico-isthmic pregnancy – it may continue longer. [ 3 ]
There are three types of cerclage: [6] A McDonald cerclage, described in 1957, is the most common, and is essentially a pursestring stitch used to cinch the cervix shut; the cervix stitching involves a band of suture at the upper part of the cervix while the lower part has already started to efface. [2]
In relation to the vagina, the part of the cervix that opens to the uterus is called the internal os and the opening of the cervix in the vagina is called the external os. [1] Between them is a conduit commonly called the cervical canal. The lower part of the cervix, known as the vaginal portion of the cervix (or ectocervix), bulges into the ...
The pelvic exam during pregnancy is similar to the exam for non-pregnant women; however, more attention is given to the uterus and cervix. The size of the uterus is assessed at the initial visit, and the growth of the uterus is assessed at subsequent visits. In the first trimester the uterine size can be assessed on bimanual examination.
The condition was first described in 1685 by Paul Portal. [7] ... but can be as early as late mid-trimester. [8] ... about 2 cm from the internal cervical os Diagnosis
The newer integrated screen (formerly called F.A.S.T.E.R for First And Second Trimester Early Results) can be done at 10 plus weeks to 13 plus weeks with an ultrasound of the fetal neck (thicker nuchal skin correlates with higher risk of Down syndrome being present) and two chemicals (analytes), pregnancy-associated plasma protein A and human ...
Overall, the systolic and diastolic blood pressure drops 10–15 mm Hg in the first trimester and then returns to baseline in the second half of pregnancy. [6] All of these cardiovascular adaptations can lead to common complaints, such as palpitations, decreased exercise tolerance, and dizziness.
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