Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
How Can Cervical Incompetence Be Managed During Twin Pregnancy?
Question: I am 24 weeks pregnant. Twin pregnancy through ivf. An ultrasound cervical length was done by tvs. The findings were:
Internal Os is open with funneling seen.
Internal Os diameter is 7.44mm which transiently increased to 27mm. Amniotic fluid filled memberane filing the cervical canal however no foetal parts seen extending into canal. Foetal head is noted just above canal. Length of open segment is 2.5cm with closed part measuring 1.5cm.
Kindly suggest what can be done and what it means.
No cervical stich has been done. Currently taking proluton injection once a week, susten 400mg, glyciphage tablet 500mg twice a day, iron and calcium tablet.
Internal Os is open with funneling seen.
Internal Os diameter is 7.44mm which transiently increased to 27mm. Amniotic fluid filled memberane filing the cervical canal however no foetal parts seen extending into canal. Foetal head is noted just above canal. Length of open segment is 2.5cm with closed part measuring 1.5cm.
Kindly suggest what can be done and what it means.
No cervical stich has been done. Currently taking proluton injection once a week, susten 400mg, glyciphage tablet 500mg twice a day, iron and calcium tablet.
Brief Answer:
Continue with the treatment.
Detailed Answer:
Hello,
Your ultrasound scan suggests a cervical incompetence. Since yours is a twin pregnancy you are at a higher risk of going into a preterm labor. The treatment that you are getting is correct. It is best to have a bed rest and regular antenatal scans and in case the pains in the uterus are present or the cervical canal dilates further then a cervical stitch is needed to prevent a pre-term delivery.
I hope this answers your query.
Wishing you good health.
Regards,
Dr. Rakhi Tayal.
OBGYN
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Continue with the treatment.
Detailed Answer:
Hello,
Your ultrasound scan suggests a cervical incompetence. Since yours is a twin pregnancy you are at a higher risk of going into a preterm labor. The treatment that you are getting is correct. It is best to have a bed rest and regular antenatal scans and in case the pains in the uterus are present or the cervical canal dilates further then a cervical stitch is needed to prevent a pre-term delivery.
I hope this answers your query.
Wishing you good health.
Regards,
Dr. Rakhi Tayal.
OBGYN
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
