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CERVICAL INCOMP-WPS Office.pptx

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CERVICAL INCOMP-WPS Office.pptx

  1. 1. CERVICAL INCOMPETENCE Presenter Ogbozor Victor Chinedu
  2. 2. Outline 1. Structural Anatomy of Uterus 2. Cervical incompetence Definition 3. Causes 4. diagnosis 5. Pit Falls 6. Remedy
  3. 3. Structural Anatomy -Uterus,Cervix, Vaginal -Anteriorly Abutted by Bladder - Endometrium,Endocervi cal canal, Vaginal
  4. 4. Cervical incompetence Definition -Spontaneous dilatation of cervix , pre-term dilation -weakening -Shortening of Cervical length -normal length ~3-4.5, 5cm Increased Cervical length towards delivery can signify post date labour as it suppose to be short for delivery
  5. 5. Causes Gynaecological trauma History of pre-term labour Uterine Anomalies - Abnormalities that affects the Cervical connective tissue etc
  6. 6. Diagnosis (,best with TVS) -Cervical length measurement -Endocervical canal- internal os to External Os. (>25mm at or b4 24weeks) -Relationship BTW GA and Cervical Length -Sonographic features Incompetence mnemonics for Cervical Funneling (TYVU) Trust Your Vaginal Ultrasound Normal- T shape Funneling Y, V, and Worsen at U shape
  7. 7. Normal
  8. 8. Shortened Cervix due to Funneling
  9. 9. Pit Falls in Diagnosis of incompetence -Excessive pelvic pressure -Over distended urinary bladder Compressees the Cervical canal and apparently diminishes dilatations
  10. 10. Remedy Cervical Cerclage (stitching of the Cervix) Progesterone supplement...
  11. 11. Preparation for Labour and delivery. Towards labour Cervical dilatation is normal and called Cervical effacement
  12. 12. Thank You
  13. 13. https://radiopaedia.org/cases/cervical-incompetence-2 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4513327/ https://radiopaedia.org/articles/funneling-of-the-internal- cervical-os?lang=us https://radiopaedia.org/articles/cervical-incompetence- morphological-changes-on-ultrasound-mnemonic?lang=us https://en.m.wikipedia.org/wiki/Cervical_cerclage https://www.mayoclinic.org/diseases- conditions/incompetent-cervix/diagnosis-treatment/drc- 20373842 References

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