Posts Tagged ‘incompetent cervix’

Chat on bed rest

Tuesday, November 5th, 2013

bed restMany of you have had difficult pregnancies that have included bed rest. A health care provider may tell a mom to stay in bed due to spotting, early contractions or other signs of preterm labor. Conditions like high blood pressure, bleeding or carrying multiples may increase the risk of going into preterm labor. In cases of cervical insufficiency (CI), when the cervix opens before it should, bed rest may ease pressure on the cervix.

Join us for a chat on bed rest. Share your experience and tell us about the different things that helped keep you sane during this period. Our guest will be Angela Davids from Keep ‘Em Cookin. Jump in and ask questions any time. You’ll find us on Twitter @modhealthtalk, Thursday Nov. 7th at 1 PM ET. Be sure to use #pregnancychat to fully participate. We look forward to chatting with you then.

How safe is sex during pregnancy?

Monday, February 25th, 2013

in-bed1There are lots of myths about sex and pregnancy, such as:
– Sex can be harmful or painful during pregnancy.
– Intercourse could hurt the baby.
– The baby somehow “knows” that sex is taking place.

The truth is that unless your doc or midwife advises you otherwise, sex during pregnancy is safe for the vast majority of us. And as for the baby, he or she has no idea what Mom and Dad are doing. The baby is well protected by a cushion of fluid in the womb and by the mom’s abdomen.

There are some circumstances, however, that can make sex during pregnancy unsafe. Women who have the following health complications should talk to their health provider before engaging in sex:
– A history or risk of miscarriage
– A previous preterm birth or other risk factors for preterm birth
– Unexplained vaginal bleeding, discharge or cramping
– Leaking amniotic fluid
Placenta previa (when the placenta is low and covers the cervix)
Incompetent cervix (when the cervix is weakened and opens too soon)

If your pregnancy is considered to be high risk, you may need to be more cautious than other women. Your health care provider may advise you to avoid intercourse for all or part of your pregnancy. This is an important conversation to have, so don’t be shy.

But again, for most of us, sex is safe, nothing to fear and may even become a more intimate experience. Many women find that pregnancy makes them want sex more than they did before they became pregnant. This sex drive is caused by hormonal changes. For some women, newfound voluptuousness can play a role in making them feel sexier than ever.

Other women may find that their sex drive comes in waves while pregnant. Here is a link to some common changes you may find throughout your stages of pregnancy.

What is cervical insufficiency?

Monday, August 16th, 2010

Cervical insufficiency (sometimes called incompetent cervix) refers to a cervix that opens too early during pregnancy, usually without pain and contractions. This most often occurs in the second or early third trimester of pregnancy, resulting in late miscarriage or premature birth. A woman may be diagnosed with cervical insufficiency based largely on this history. There is no specific diagnostic test.

Medical experts don’t always know why cervical insufficiency occurs. Factors that may contribute include:
• Uterine defects: Women with certain uterine defects, such as bicornuate uterus (two cavities), are more likely to have cervical insufficiency than women without these defects.
• History of surgical procedures involving the cervix: These include LEEP (loop electrosurgical excision procedure), which is used to diagnose and treat abnormal cells found during a Pap test.
• Injuries during a previous birth.
• Short cervix: The shorter the cervix, the more likely the woman is to have cervical insufficiency. In some cases, a short cervix can be congenital.

Miscarriage and premature birth due to cervical insufficiency frequently happen again in another pregnancy. These problems can sometimes be prevented with a procedure called cerclage, in which the provider places a stitch in the cervix to keep it from opening too early. The provider removes the stitch when the woman is ready to give birth.

It is not always clear which women will benefit from cerclage. This is because there is no specific test for cervical insufficiency, and many women who have had a late miscarriage or early premature birth go on to have normal pregnancies without treatment. Some studies suggest that cerclage is most likely to be beneficial in women who have had three or more late miscarriages or premature births. In some cases, providers may monitor a woman suspected of having cervical insufficiency with repeated vaginal ultrasounds to see if her cervix is shortening or showing other signs that she may give birth soon. The provider may recommend cerclage if these changes occur.

Some women learn that they have a short cervix during a routine ultrasound. Most of these women do not end up having a premature birth. However, short cervix, especially a very short cervix (less than 15 millimeters), does increase her risk of premature birth. Studies suggest that treatment with the hormone progesterone (17P) may help reduce the risk of premature birth in women with a very short cervix. According to the American College of Obstetricians and Gynecologists (ACOG), progesterone treatment may be considered for these women. However, ACOG does not recommend routine cervical-length screening for low-risk women.