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Precautions for weak cervix during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2570 Questions
Doctor :   Hi
User :   Hi
Doctor :   How can I help you?
User :   My wife is have problem during pregnancy
Doctor :   ok
Doctor :   Could you elaborate on that?
User :   She is having Bleeding
User :   and doctor says that she is having Weak Cervix
Doctor :   Ok
User :   She is only saying again and again to take rest
Doctor :   Is it like Cervical incompetence?
User :   and nothing else, she didn't even take any Scan
User :   Can be said that
Doctor :   Ok
User :   Doctor asked her to come back after 20 days for scan
User :   She is only giving her Folic acid tablets
User :   This is the second time she has bleeding
Doctor :   Ok
User :   I just wanted to ask if there is something needs to be done right now as we don't want to loose out baby and I can see the doctor is not proving us full detail
User :   She is in her 6 week
User :   Today she got some spotting
User :   Last week, i.e. in her 5th week, she got massive bleeding we are worried
Doctor :   Ok, I shall explain you
Doctor :   May I know her age, height and weight?
User :   Age 25
User :   Height 5, 6'
Doctor :   How about her weight?
User :   Weight is 56 kg
Doctor :   Ok
Doctor :   Is this her first pregnancy?
User :   Yes
Doctor :   Ok
Doctor :   What did your doctor opine about the massive bleeding in 5th week?
User :   She just gave Folid Acid tablet and told to take rest
User :   that's it
Doctor :   Ok
User :   that's why I am so worried
Doctor :   Ok
Doctor :   Now, she should take complete bed rest
Doctor :   absolute bed rest
Doctor :   If she is working, then taking off would be the best method
User :   She is doing complete bed rest already
User :   Not working or even doing kitchen work
User :   Just on bed
Doctor :   Ok, that is good
Doctor :   Also, there should not be any sexual activity as well
Doctor :   and discuss with your doctor
Doctor :   about certain tests
Doctor :   mainly serum HCG titres
User :   There is no sexual activity
Doctor :   Certain individuals do find it difficult to cope up with pregnancy, especially in the first trimester
User :   and about test thing, we talked with doctor, she is not taking any test, just saying, we have to wait and watch
Doctor :   Ok
Doctor :   such problems decline by first 3 months
User :   is it normal?
Doctor :   After 8 weeks, an ultrasound scan shall be done
User :   doctor wants to see scan after 15 days for growth, but these bleedings are killing us to think what if this bleeding means miscarriage as her cervix is weak?
Doctor :   It is normal to worry at this stage, but mental tension can cause problems
Doctor :   so you should reassure and relax her
Doctor :   Ok, scan shall be done after 2 weeks, which is right
Doctor :   Meanwhile if you can get serum HCG titres every 48 hours
Doctor :   then that would help you to come to a conclusion
Doctor :   and reassure as well
User :   HCG titres serum?
User :   What is that for?
Doctor :   It is to assess the continuation of pregnancy in a normal way
Doctor :   if the levels double every 48 hours, then it is a good sign
User :   How is that done? With Urine?
Doctor :   It is a blood test
User :   Ok
Doctor :   If your doctor has not done further tests and also, has asked to follow up after 2 weeks
User :   How does that helps? I mean I know I am not doctor but does that shows abnormalties?
Doctor :   then that is also a reassuring sign
Doctor :   that there is nothing alarming
User :   Actually we asked her many times "Is baby fine?"
Doctor :   No, it does not show abnormalities of the baby as such
User :   She never replies to that question
User :   that worries us
Doctor :   but it shows that pregnancy is continuing and there is no abortion(because of that bleeding)
Doctor :   the test I was telling about
User :   Ok, that is what I wanted, a reassuring test
Doctor :   Yes, it is quite helpful
User :   Won't it harm if we take out blood after every 48 hours?
Doctor :   Not at all
Doctor :   it just a small amount of blood that is taken for 1 test
User :   Ok, can you tell me what diet I should give her as I am making food these days and my mother?
Doctor :   Diet does not have a role
Doctor :   complete physical and mental relaxation is the key
Doctor :   let her take good hygienic food
Doctor :   that she is comfortable with and can digest well
User :   Yes, I know but before pregnancy few months back she had less blood
User :   so i tought that she should have proper diet
Doctor :   Ok
Doctor :   She would have undergone a blood test during her first visit after confirmation of pregnancy right?
User :   No it was before pregnancy 6 months back
Doctor :   Ok
Doctor :   But was a test done recently?
User :   No it was 1.5 year back
Doctor :   Ok
Doctor :   Again, during the first visit, there are a few blood tests and also urine tests to be done
Doctor :   to test of her blood levels, cell counts, urine routine tests, blood sugar, etc.
User :   She only did HIV Test
Doctor :   It is done from a preventive point of view
Doctor :   the entire tests shall have to be done
Doctor :   that is the practice followed usually
Doctor :   One more thing is if you are not convinced with your doctor
Doctor :   this is an early stage
Doctor :   you can always switch and get the opinion of another gynecologist
Doctor :   Is that feasible?
User :   Yes
User :   it is
User :   Thanks for your help
User :   If I want to talk with you again
User :   How can I reach you?
Doctor :   You can login and ask for Dr.XXX
Doctor :   if someone else has picked the chat
Doctor :   it shall be redirected
Doctor :   to me
Doctor :   Also in future if you want a specialist opinion
Doctor :   we do have an eminent OBG specialist in our panel
Doctor :   DrXXX
Doctor :   You can consult her by mail or phone
Doctor :   I shall give you the link
Doctor :   which shall be saved in your chat history
User :   Ok
Doctor :   WWW.WWWW.WW
Doctor :   Is there anything else I can help you with?
User :   What time is she available?
Doctor :   That is a email or telephonic consultation done within 24 hours of appointment
Doctor :   in a mutually comfortable time
User :   Ok
User :   How can I take appointment, with the page you sent?
Doctor :   the details are given there
Doctor :   you can get the direction
User :   Ok
User :   great
User :   Thanks
User :   and have a nice day!
User :   Bye :)
Doctor :   You are most welcome, it is a pleasure to serve you
Doctor :   Bye for now
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