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Pregnant, incompetent cervix, herniation of membrane seen. Done ultrasound. What can be done next? - Online Doctor Chats

Date : 28-May-2013
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Please go ahead with your query
User:Am i talking to gynae specialist?
Doctor:I am a General Physician
User:ohh ok
Doctor:We do not have Gynecologist on chat
Doctor:If you wish to take a discussion with a Gynecologist
User:i have gynae query and need an expert opinion
Doctor:you can post a query on Ask A Specialist
Doctor:product that is available for you
Doctor:Yes you can ask me here
User:will do that
Doctor:I will assist with my experience
User:my wife is on bed rest
User:29th week of pregnancy
User:its case of incompetent cervix
User:she had encirclage done around 14th week
User:she was in hospital till 25th-28th week with foot end raise
User:then doctors discharged her
User:and said now do bed rest at home
User:now we are at home...
Doctor:ok perfect
User:when she was admitted herniatiaon of membrane was seen on ultrasound
User:and doctors said pre term labor can happen anytime
User:that was 26th week
User:and now its 29th week
User:we are still confused ....
User:because my wife never had any such feelings
User:and we are still not sure how far we would go
User:what advise you give to these kind of patients
Doctor:The time of delivery cannot be predicted by any Gynecologist
User:one doctor says you can visit washroom and other says u should avoid it and be on complete bed rest
Doctor:A complete bed rest is very important
Doctor:with facilities of toilet near the bed
Doctor:The completeness of the rest, the delayed would be the labor
Doctor:If you can delay it be a single week the foetus would be far matured
Doctor:By 32nd week yu doctlor would give medicines to mature the lungs of the baby to help survival in the external world
User:she already had steroids at 26th week
User:for fetal lung maturity
Doctor:ok good
Doctor:We just need to make sure that we are doing every thing right
Doctor:in terms of rest, non stress environment, proper sleep
Doctor:and nutrition
User:ok... but bed rest has its own complications.. isnt it?
Doctor:The benefits outweigh the slight risks that it carry
User:so you suggest complete bed rest
User:and infact use bedpan if possible
Doctor:If you can delay by three to four weeks
Doctor:It is best thing
Doctor:Do you have any questions further?
Doctor:It is right to deliver the child when the doctor feels that the inner membranes are infected
Doctor:called chorioamnionitis
User:ohhhh ok
Doctor:Till then the doctor can give medicines to relax the uterine muscles to prevent early labor
User:no thats all i wanted to ask
Doctor:Thank you
Doctor:Bye for now
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