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In cases of cervical weakness, dilation and effacement of the cervix may occur without pain or uterine contractions. In a normal pregnancy, dilation and effacement occurs in response to uterine contractions. Cervical weakness becomes a problem when the cervix is pushed to open by the growing pressure in the uterus as pregnancy progresses.
Usually the treatment is done in the first or second trimester of pregnancy, for a woman who has had one or more late miscarriages in the past. [2] The word "cerclage" means encircling, hooping or banding in French. [3] The success rate for cervical cerclage is approximately 80–90% for elective cerclages, and 40–60% for emergency cerclages.
This is a shortened version of the eleventh chapter of the ICD-9: Complications of Pregnancy, Childbirth, and the Puerperium. It covers ICD codes 630 to 679 . The full chapter can be found on pages 355 to 378 of Volume 1, which contains all (sub)categories of the ICD-9.
The more advanced the pregnancy, the higher the risk for major bleeding necessitating a hysterectomy. [9] On very rare occasions, a cervical pregnancy results in the birth of a live baby; [10] typically, the pregnancy is in the upper part of the cervical canal and manages to extend into the lower part of the uterine cavity.
PGP can develop slowly during pregnancy, gradually gaining in severity as the pregnancy progresses. During pregnancy and postpartum, the symphyseal gap can be felt moving or straining when walking, climbing stairs or turning over in bed; these activities can be difficult or even impossible. The pain may remain static, e.g., in one place such as ...
A meta-analysis revealed 3.6 times greater odds (OR = 3.6) of pregnancy with oil-based contrast compared to no hysterosalpingography. [5] This effect is thought to be due to the flushing action of the contrast into the uterus that causes dislodgement of mucus plug, debris, or opening of mild adhesions in the fallopian tubes.
Acquired: Other structural uterine anomalies such as uterine fibroids, polyps, and adhesions (also known as Asherman's syndrome) have a less clear association with recurrent pregnancy loss. [3] Cervical weakness has been shown to lead to premature pregnancy loss resulting in miscarriages or preterm deliveries. It has been estimated that ...
Cephalopelvic disproportion (CPD) exists when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal.This may be due to a small pelvis, a nongynecoid pelvic formation, a large fetus, an unfavorable orientation of the fetus, or a combination of these factors.