Incompetent cervix 2B Flashcards
1
Q
what is Incompetent cervix (cervical insufficiency)
A
• Inability of the uterine cervix to retain a pregnancy in the absence of contractions, labour in the 2nd trimester
2
Q
what happens in incompetent cervix
A
• Foetal membranes are exposed to vaginal flora and ↑risk of trauma
3
Q
what are other common occurrences in incompetent Cervi
A
• Infection, vaginal discharge, premature rupture of membrane
4
Q
risk factors
A
surgery, cervical trauma, DES exposure and treatment for CIN I
5
Q
how do patients present
A
painless dilation end effacement of the cervix in 2nd trimester
6
Q
other signs and symptoms
A
= bleeding, vaginal discharge and rupture of membrane
7
Q
diagnosis
A
based on physical examination
8
Q
treatment
A
rest, placement of cerclage and suture close to the cervix
