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cervical incompetence

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                 Cervical incompetence
Meaning:
This is when the cervix is so weak that it cannot carry the products of conception.
causes:
1. congenital weakness if the cervical is
2. previous trauma to the cervical os especially during birth
3. frequent surgical dilation of the cervical os as in repeated dilation and curettage.
4. cervical amputation.
The clinical features include: painless recurrent abortions after the sixteenth week of pregnancy. The subsequent to one occurs earlier than th previous one.
Vagina examination shortly before the abortion will show membrane bulging through partly dilated cervical os
in a non pregnant woman , it the doctor or midwife passes a hegar dilator of 1cm diameter through the cervical os, there will be absence of Is snap on withdrawal of the dilator.
Management:
a. bed rest
b. shirodkar stitch before the 14th week of pregnancy.
The stitches are removed if there is abnormal contraction or Remove it at two weeks before term.  

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