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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
Other potential causes of incompetent cervix include prior cervical surgeries (such as those that treat and remove pre-cancerous cells) or uterine surgeries. "We don't see very much of this ...
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] This cerclage is usually placed between 16 weeks and 18 weeks of pregnancy.
Cervical pessary is a medical device used to treat an incompetent (or insufficient) cervix (cervix starts to shorten and open too early). Early in the pregnancy a round silicone pessary is placed at the opening to the cervix to close it, and then it's removed later in the pregnancy when the risk of a preterm birth has passed.
Inevitable: Vaginal bleeding occurs; the cervical os is closed indicating that conception products will pass in the near future. Missed: Vaginal bleeding occurs and some products of conception may have passed through the cervix; the cervical os is closed and ultrasound shows a nonviable fetus and remaining products of conception.
Cervical stenosis may be present from birth or may be caused by other factors: Surgical procedures performed on the cervix such as colposcopy, cone biopsy, or a cryosurgery procedure [3] Trauma to the cervix [3] Repeated vaginal infections [3] Atrophy of the cervix after menopause [3] Cervical cancer [1] Radiation [1] Cervical nabothian cysts
Hegar dilators are used to induce cervical dilation in order to gain entry to the interior of the uterus. During the process of dilation, the cervix may have to be stabilized with a tenaculum , and then the dilators are slowly entered into the cervical canal with a lubricant, starting with a thin, low Hegar number rod and progressing gradually ...
Patients were forced to strip naked before bed and to leave their clothes in a pile outside the dormitory. After lights out, Peterson said, some residents would rape the weaker and more vulnerable. His best friend was an alleged murderer who had been deemed mentally incompetent to stand trial.