- Sedigheh Ayaty
- - Department of Obs. & Gyn, Faculty of Medicine, Mashad University of Medical Sciences, Mashad, Iran
- Fatemeh Vahidrodsari
- - Department of Obs. & Gyn, Faculty of Medicine, Mashad University of Medical Sciences, Mashad, Iran
- Leila Pour Ali
- - Department of Obs. & Gyn, Faculty of Medicine, Mashad University of Medical Sciences, Mashad, Iran
Received: 10/1/2007 Accepted: 10/1/2007 - Publisher : Avicenna Research Institute |
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Abstract
Introduction: Uterine cervical incompetence is one of the risk factors for preterm labor and it is characterized by painless cervical dilatation and prolapse of membranes into the vagina in the second or third trimester of pregnancy. The aim of this report is to discuss a term pregnancy following complete bed rest in cervical insufficiency. Case presentation: A 24-year old woman with a history of uterine cervical incompetence was admitted to hospital with cervical dilatation and effacement at the 24th week of gestation. She had a successful term pregnancy with bed rest and expectant management at the 39th week of gestation. Conclusion: Expectant management with bed rest in an appropriate position, along with anti-coagulant prophylaxis is an effective and safe method for the management of cervical incompe-tency in advanced stages of pregnancy.
Keywords:
Uterine cervical incompetence, Cervix, Cerclage, Complete bed rest (CBR), Preterm labor, Term pregnancy, Dilatation, Effacement To cite this article:References
- Cunningham FG. William’s Obstetrics. 22nd Edition. Newyork Mc Graw-Hill Co. 2005;P:236-237.
- Gabbe SG. Obstetrics. Normal and problem pregnan-cies, 4th Edition, Philadelphia churchill living stone. 2002;P:773-5.
- Woodring TC, Kauser CK, Cromartie DA, Magann EF, Chauhan SP, Morrison JC. When is a cerclage indicat-ed for cervical insufficiency? A literature review. J Miss State Med Assoc. 2006;47(9):264-6.
- Heath VC, Souka AP, Erasmus I, Gibb DM, Nicolaides KH. Cervical length at 23 weeks of gestation: the value of Shirodkar suture for the short cervix. Ultrasound Obstet Gynecol. 1998;12(5):318-22.
- Althusius SM, Dekker GA, van Geijn HP. Cervical incompetence prevention randomized cerclage trial. Am J Obstet Gynecol. 2003;189(4):907-10.
- Althuisius S, Dekker G, Hummel P, Bekedan D, Kuik D, van Geijn H. Cervical incompetence prevention ran-domized cercelage trial effect of therapeutic cercelage with bed rest vs. bed rest only on cervical length. Ultrasound Obstet Gynecol. 2002;20(2)163-7.
- Terkildsen MF, Parilla BV, Kumar P, Grobman WA. Factors associated with success of emergent second trimester cerclage. Obstet Gynecol. 2003;101(3):565-9.
- Kovacevich GJ, Gaich SA, Lavin JP, Hopkins MP, Crane SS, Stewart J, et al. The prevalence of thrombo-embolic events among women with extended bed rest prescribed as part of treatment for premature labor or preterm premature rupture of membranes. Am J Obstet Gynecol. 2000;182:1089-92.
- Daskalakis G, Papantoniou N, Mesogitis S, Antasaklis A. Management of cervical insufficiency and bulging fetal membranes. Obstet Gynecol. 2006;107(2 Pt1): 221-6.
- Rust OA, Atlas RO, Jones KJ, Benham BN, Balducci J. A randomzied trial of cerclage vs. no cerclage in patients with sonographically detected 2nd trimester premature dilation of the internal os. Am J Obstet Gyencol. 2000;183(4):830-5.
- Althisius SM, Dekker GA, Van Geijn HP. Bekedam DJ, Hummel P. Cervical imcompetence prevention randomized cerclage trial (abstract19). Am J Obstet Gynecol. 2000;183(4):830-5.