PREMATURE CERVICAL DILATATION

Question 1

• cervix that dilates
  prematurely and
  therefore cannot
  hold a fetus until
  term
• previously termed an
  incompetent cervix

Answer 1

premature cervical dilatation

Question 2

risk factors of premature cervical dilatation

Answer 2

• increased age
• congenital structural defects
• cervix trauma

Question 3

causes of premature cervical dilatation

Answer 3

• Previous surgery on the cervix
• Damage during a difficult birth
• Congenital cervical or uterine anomalies
• Previous trauma to the cervix
• Infection
• Increased uterine volume

Question 4

s/sx of premature cervical dilatation

Answer 4

• painless
• with show
• increased pelvic pressure
• rupture of membrane and discharge
• uterine contractions

Question 5

a surgical procedure that involves temporarily sewing the cervix closed with stitches to prevent preterm birth

Answer 5

cervical cerclage

Question 6

As soon as a sonogram confirms that the fetus of a second pregnancy is healthy, at
approximately weeks ___, purse-string sutures are placed in the cervix by the vaginal route under regional anesthesia

Answer 6

12 to 14

Question 7

technique commonly used when doing a cervical cerclage

Answer 7

mcdonald / shirodkar / barter

Question 8

A woman would not be eligible for a cerclage if:

Answer 8

• cervical irritation
• 4 cm dilated
• ruptured membranes

Question 9

After cerclage surgery, remain on ___ for a few days

Answer 9

bed rest - modified trendelenburg

Question 10

true or false - The amniotic membranes may rupture when
the cerclage is placed

Answer 10

true

Question 11

The ___ may be damaged if contractions tear
the cerclage out.

Answer 11

cervix

Question 12

how to assess for premature cervical dilatation

Answer 12

serial pelvic exam and ultrasound