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Definitions of cervical weakness vary, but one that is frequently used is the inability of the uterine cervix to retain a pregnancy in the absence of the signs and symptoms of clinical contractions, or labor, or both in the second trimester. [1] Cervical weakness may cause miscarriage or preterm birth during the
True cervical pregnancies tend to abort; if, however, the pregnancy is located higher in the canal and the placenta finds support in the uterine cavity, it can go past the first trimester. With the placenta being implanted abnormally, extensive vaginal bleeding can be expected at time of delivery and placental removal.
A McDonald cerclage, described in 1957, is the most common, and is essentially a pursestring stitch used to cinch the cervix shut; the cervix stitching involves a band of suture at the upper part of the cervix while the lower part has already started to efface. [2] This cerclage is usually placed between 16 weeks and 18 weeks of pregnancy.
The cervix consists of two parts; the upper part lies in the pelvic/abdominal cavity and the lower part is intravaginal. [1] Cervical effacement or cervical ripening refers to the thinning and shortening of the cervix. This process occurs during labor to prepare the cervix for dilation to allow the fetus to pass through the vagina. While this ...
Cervical effacement, which is the thinning and stretching of the cervix, and cervical dilation occur during the closing weeks of pregnancy. Effacement is usually complete or near-complete and dilation is about 5 cm by the end of the latent phase. [ 43 ]
Jenny Recotta, a labor and delivery nurse, shares viral video of what happens to a woman's cervix during birth using clay and her pottery wheel. Jenny Recotta, a labor and delivery nurse, shares ...
In some women, cervical incompetence or cervical insufficiency occurs with the inability of the cervix to stay closed during the entire pregnancy. [46] [45] It does not cause first-trimester miscarriages. In the second trimester, it is associated with an increased risk of miscarriage.
Late termination of pregnancy, also referred to politically as third trimester abortion, [2] describes the termination of pregnancy by inducing labor during a late stage of gestation. [3] In this context, late is not precisely defined, and different medical publications use varying gestational age thresholds. [ 3 ]