[email protected] – Damascus, Syria Cervical Incompetence 12/31/2021 Dr Ahmad Taha Fetal Medicine Unit Orient Hospital Damascus – Syria
PowerPoint Presentation
Cervical Incompetence6/3/16
Dr Ahmad TahaFetal Medicine UnitOrient HospitalDamascus Syria
[email protected] Damascus, Syria
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Definition The inability of the uterine cervix to retain a pregnancy in the absence contractions, labor or both in the second trimester.6/3/16
[email protected] Damascus, SyriaAnatomy
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[email protected] Damascus, SyriaAnatomy
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[email protected] Damascus, SyriaUltrasound Scan TVS
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[email protected] Damascus, SyriaMeasurementCervical length can be measured by:Transabdominallyor Transperineallybut Transvaginal assessment is the most accurate6/3/16
[email protected] Damascus, SyriaBasic parameters measurement Standard cervical measurements use the (white stripe) of the internal cervical os as an anatomic land mark for proper caliper placement
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[email protected] Damascus, SyriaNormal length Varies between457 mm(Anderson et al)And 358 mm(Lams et al)SO The short cervix varies between 15 mm (Hassan et al) and 26 mm (Lams et al)6/3/16
[email protected] Damascus, SyriaASSESMENTThe very most important for assessment is
Progressive shortening
with or without
FunnelingV shaped lower uterine segment6/3/16
[email protected] Damascus, SyriaWomen at high riskWomen at risk of developing a weak cervix include:Women with a history of D&C (Dilation and Curettage) for abortion, miss carriage etcWomen who have had surgery on the cervixWomen with a damage to cervix from previous birthsDaughters of women who took DES 6/3/16
[email protected] Damascus, SyriaDiagnosisThere are no established criteria for diagnosing cervical incompetence6/3/16
[email protected] Damascus, SyriaDiagnosis6/3/16
[email protected] Damascus, SyriaHistory6/3/16
[email protected] Damascus, SyriaUltrasound Scan TVS
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[email protected] Damascus, SyriaUltrasound Scan TVSUsed when the diagnosis is uncertain but suspected during pregnancy Cervical length < 2.5 cm Funneling of the internal os Is suggestive of cervical incompetenceRepeated TVS is a essential in the border cases 6/3/16
[email protected] Damascus, SyriaUltrasound Scan TVS Cervical Incompetence
6/3/16
[email protected] Damascus, SyriaUltrasound Scan TVS Cervical Incompetence6/3/16
[email protected] Damascus, SyriaUltrasound Scan TVS Cervical Incompetence6/3/16
[email protected] Damascus, SyriaUltrasound Scan TVS Cervical Incompetence6/3/16
[email protected] Damascus, SyriaIncompetent Cervix
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[email protected] Damascus, SyriaFunneling of >25% cervical length and/or