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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause For Cervix Weakness During Pregnancy?

Dr. I had conceived in second month (April 2013) after my marriage last year. I have confirmed the pregnancy by a strip test at home. Next day I bleed right after sharing bed with my husband. On visiting Dr. confirmed pregnancy and give me medicines and injections for saving pregnancy. Four weeks later I bleed again on visiting Dr told me that the fetus is not growing and it has to be removed. It was described as a Missed Miscarriage and I had gone through D&C. Dr Advised me to try conceiving right after first periods she suggested me few medicines for healthy and early pregnancy eg. folic acid, trihemic and Duphaston. I have taken the course of medicines twice and the conceived again in October 2013. For 22 weeks it was a healthy pregnancy. When I visited Dr. After 22weeks she told me the ultrasound is showing fetus of 21 weeks instead of 22weeks but it is not an abnormal thing It can be recovered. 6 days later I feel as if I was going to have periods and I had something which will fall in my lower abdomen. I felt light pink color in vagina few days before but ignored it. After 6hours I Bleed on a sneeze and Upon Consulting Dr on phone she told me to lie down and take rest. Bleeding was not stopped and after half an hour I had sever cramps in my lower abdomen. After half an hour in the Hospital Dr. told me my Uterus is open about 5points and I have to deliver the baby. Heart Beat of baby was still there he was alive but my uterus was open and nothing can be done. Dr. told me that it happened because of weak cervix and next time we will stitch it. On 4th month of pregnancy I had Blood test in which WBC was 12000 and on the day of delivering they were 14000. I am a working woman with 9 to 5 job and I have to travel 50 minutes (oneside) from my home to go to office. I am the only female in house with four other persons and I have to look after homely duties as well. And both of these duties were continue during pregnancy. I want to know the cause of this problem. Whether I really need to get stitches on cervix on next pregnancy? When should I try to conceive again?
Fri, 5 Sep 2014
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OBGYN 's  Response
Dear member,
Thanks for writing to healthcare magic.
Thanks for providing a detailed history.
I am also sorry for your loss.
your uterus has a condition called as cervical incompetence, where the cervix is weak and cannot hold the contents of the uterus .
i have had patients with similar history like yours where the cervix has opened before dates and a perfectly healthy baby was aborted.
i recommend the following . try for pregnancy only after 3 months. let the uterus heal.
a ultrasound preferably 3D scan at a reputed scan centre to check whether you have any congenital abnormality. one of my patients had a split uterus or a bicornuate uterus.
urine and vagnal infection screening.

progesterone injections in next pregnancy.
bed rest and cervical cerclage in next pregnancy.
please write back or request a callconsult to DR BHAGYASHREE if you want to discuss further.
hope this was helpful.

Thanks
Dr Bhagyashree
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What Is The Cause For Cervix Weakness During Pregnancy?

Dear member, Thanks for writing to healthcare magic. Thanks for providing a detailed history. I am also sorry for your loss. your uterus has a condition called as cervical incompetence, where the cervix is weak and cannot hold the contents of the uterus . i have had patients with similar history like yours where the cervix has opened before dates and a perfectly healthy baby was aborted. i recommend the following . try for pregnancy only after 3 months. let the uterus heal. a ultrasound preferably 3D scan at a reputed scan centre to check whether you have any congenital abnormality. one of my patients had a split uterus or a bicornuate uterus. urine and vagnal infection screening. progesterone injections in next pregnancy. bed rest and cervical cerclage in next pregnancy. please write back or request a callconsult to DR BHAGYASHREE if you want to discuss further. hope this was helpful. Thanks Dr Bhagyashree