Cervical Incompetence-Management Cervical incompetence managed by using cerclage procedures. The 3 types of cerclage that are used are: 1. McDonald’s Cerclage (M/C) 2. Shirodkar Cerclage 3. Abdominal Cerclage -Benson & Durfee Cerclage
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Cervical Incompetence-Diagnosis Diagnosis in non-pregnant female: 1. History: – → RPL → Only 2nd trimester loss →Painless dilatation of cervix → As the no. of pregnancy loss ↑ POG at which loss occurs↓ 2. Hegar dilator no. 8 can pass through Internal Os without Pt. resistance. 3. On hystero cervicography- Funnel Shape • In hysterocervicography
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Cervical incompetence → M/C cause of 2nd trimester loss → Painless, sudden dilatation of internal OS → Sudden rupture of membrane & expulsion of fetus. Etiology: Congenital Acquired- → Forcible Dilatation of cervix → Cervix Surgery
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