Compared with women without EDS, those with the inherited connective tissue disorder had adjusted odds ratios (AORs) of 3.2 for cervical incompetence
(95% confidence interval, 2.0-5.1) and 2.2 for placenta previa (95% CI, 1.3-3.9; P less than .01 for both).
This retrospective case-control study included 38 pregnant women who were diagnosed as having cervical incompetence
and treated with cervical cerclage using the modified Shirodkar method.
We performed a hospital-based, single-center, stratified (with and without PTB history), retrospective cohort study on all women who were diagnosed with cervical incompetence
and treated with cervical cerclage or vaginal progesterone at Beijing Hospital (Beijing, China) from January 2010 to October 2015.
In the present study in 33 cases [33%!, no risk factors were identified, previous history of D and C was present in 12 cases [12%], cervical incompetence
in 11cases [11%], h/o previous preterm in 9 cases [9%], h/o previous PROM in 8 cases [8%], recent coitus in 7 cases [7%], malpresentations in 6 cases [6%], UTI in 6 cases [6%], hydramnios in 4 cases [4%], and twins in 4 [4%] cases.
Other causes include congenital uterine malformations and cervical incompetence
. PCOS can be a cause of miscarriage in 30-50% of cases and sonogram does not predict miscarriage.
Treatment of cervical incompetence
by cerclage and other methods has yet to be standardized, as its diagnosis is not uniformly accepted.
Obstetric risk factors associated with PTB include: uterine malformations, placenta previa, abruptio placentae, cervical incompetence
, multiple gestations, short birth intervals, abortion, pre-labor premature rupture of membrane 16,19,20,23,25-30 (PPROM) and previous PTB.
or short cervix is a risk factor for the condition and cervical cerclage is the management option for such cases.
"However most of them suffer cervical incompetence
after their second deliveries and this leads to recurrent pregnancy loss."
: the use of transvaginal sonography to provide an objective diagnosis Utrasound.
Doctors were unsure of the reason for the miscarriage, particularly so late into the pregnancy, but suggested it may have been 'cervical incompetence
An abdominal cerclage using 5 mm woven polyester tape (Mersilene[R] Ethicon, Somerville, NJ) was then placed in order to prevent future recurrence of uterine inversion and to prevent possible future cervical incompetence
since the posterior cervix was surgically divided to reduce the uterine inversion.