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Prelim Journal
Prelim Journal
AND CHRONIC)
“Incompetent Cervix”
Submitted by:
DELVO, FATIMA T.
GAMAYON, AJ KAYE H.
H. YUSOPH, OMNIAH M.
pregnancy whereby the cervix dilates, without pain (like not getting contractions),
happens when weak cervical tissue causes or plays a part in a premature birth or
Diagnostic Test:
The pregnancy care provider will ask questions about you health history
The provider may want to monitor your cervix more closely based on
Be sure to let them know if you’ve had a miscarriage or surgery on your cervix
Transvaginal Ultrasound
o an imaging test using a wand inserted into the vagina. This test allows
your health care provider to measure the length and opening of your
cervix.
Medical Management
PROGESTERONE SUPPLEMENTATION
o If you have a short cervix with no history of a preterm birth, vaginal progesterone
may lower your risk of having your baby too early. This medicine comes in the
form of a gel or a suppository that gets placed in the vagina each day.
REPEATED ULTRASOUNDS
o If you have a short cervix with no history of a preterm birth, vaginal progesterone
may lower your risk of having your baby too early. This medicine comes in the
form of a gel or a suppository that gets placed in the vagina each day.
CERVICAL CERCLAGE
o During this procedure, the cervix is stitched tightly closed. The stitches are taken
out during the last month of pregnancy or just before delivery. You may need a
cervical cerclage if you are less than 24 weeks pregnant, you have a history of
early births and an ultrasound shows that your cervix is starting to open.
PESSARY
o A device called a pessary fits inside the vagina and holds the uterus in place. A
pessary may help lessen pressure on the cervix. But more research is needed to
Nursing Management
Give family and client instruction. Explain the issues that need to be reported
right away, including pink-tinged vaginal discharge, elevated pelvic pressure, and
ruptured membranes.
o Talk about the necessity of vaginal rest (no sexual activity or orgasm)