Intraamniotic fluid infection is another common cause of repeated midtrimester (19-24 weeks) loss, and can mimic cervical incompetence
Traditionally, cervical incompetence
has been thought of as either entirely present or entirely absent, but it actually may be a more gradual, progressive phenomenon, said Dr.
The dangers of partial-birth abortion to women include abruption of the placenta, amniotic fluid embolism, a ruptured uterus which could lead to hysterectomy or additional other major surgical procedures, and cervical incompetence
, making it difficult to carry future pregnancies to term.
Nevertheless, since cervical incompetence
is responsible for up to 15% of habitual immature deliveries of between 16 and 28 weeks' gestation, emergency cerclage will continue despite its associated risks.
The commonly held belief that this procedure is associated with subsequent cervical incompetence
and adverse pregnancy outcome did not stand up to a review of the records of all patients at one institution who underwent dilation and evacuation (D&E) at 1424 weeks' gestation between May 1996 and May 2000.
In one of these cases the remaining fetus developed severe oligohydramnios and intrauterine growth restriction, and in the other the mother had progressively worsening cervical incompetence
and chose to terminate the entire pregnancy rather than risk very premature delivery Dr.
SAN FRANCISCO -- Several case reports suggest that placing a cerclage via laparoscopy in the cervicoisthmic portion of the uterus before conception can help selected women with cervical incompetence
safely carry a pregnancy to term, Dr.
A total of 55% of the women had an elective first-trimester cerclage based on a history consistent with cervical incompetence
, and 45% had a rescue cerclage based on cervical change.
In the second study presented at the meeting, which investigated the prevalence of cervical incompetence
in women with multiple gestations, 802 women pregnant with multiples were followed through delivery.