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Dr. Andrew Rynne

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How can cervical incompetence be managed during twin pregnancy?

Answered by
Dr. Rakhi Tayal


Practicing since :2001

Answered : 13610 Questions

Posted on Tue, 13 Nov 2018 in Women's Health
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.
Answered by Dr. Rakhi Tayal 43 minutes later
Brief Answer:
Continue with the treatment.

Detailed Answer:


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.

Dr. Rakhi Tayal.

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Above answer was peer-reviewed by : Dr. Raju A.T

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