CERVICAL INCOMP-WPS Office.pptx
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Cervical incompetence is defined as spontaneous dilation of the cervix leading to pre-term birth. It is caused by weakening or shortening of the cervical length below normal ranges of 3-4.5 cm. Diagnosis involves measuring cervical length via transvaginal ultrasound and identifying funneling of the cervical os. Treatment options include cervical cerclage to stitch the cervix closed and progesterone supplementation to prevent pre-term birth. Precise diagnosis can be challenging due to factors like overfilled bladders compressing the cervix.
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This document discusses cervical insufficiency, including its definition, causes, diagnosis, and treatment. Cervical insufficiency is the inability of the cervix to retain a pregnancy due to structural or functional defects in the absence of labor contractions. It can be congenital or acquired due to conditions like cervical trauma. Diagnosis involves history, examination finding an open cervix, and transvaginal ultrasound to measure cervical length. Treatment options include cervical cerclage surgery to provide structural support to the cervix, progesterone to help maintain the cervix, or a pessary. Cerclage is indicated for women with a history suggestive of cervical insufficiency or a short cervix on ultrasound.
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Cervical insufficiency, also known as cervical incompetence, is a condition where the cervix is unable to retain a pregnancy at term due to a functional or structural defect. It is characterized by painless dilatation of the cervix resulting in premature rupture of membranes and delivery, usually occurring in the second or third trimester. Cervical cerclage procedures aim to surgically suture the cervix closed to prevent premature opening. There are several techniques for cervical cerclage placement depending on the location and indication, including McDonald, Shirodkar, emergency/rescue cerclages, and pessary or balloon alternatives. Cerclage procedures can be done through the vagina or abdomen depending
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Cervical incompetence is premature dilation of the cervix during pregnancy before labor begins. It affects 0.1-2% of pregnancies and causes around 15% of preterm births between 16-28 weeks. While the cause is often unknown, it can be due to congenital weaknesses, prior trauma, or connective tissue disorders. Diagnosis relies on history of preterm births and physical findings like dilation of the cervix when not pregnant. Cervical cerclage placement is the standard treatment and involves surgically stitching the cervix closed to prevent premature dilation. The document discusses various cerclage techniques and their appropriate uses.
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Ultrasound in early pregnancy is used to assess:
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Cervical insufficiency, also known as cervical incompetence, is a condition where the cervix is unable to retain a pregnancy at term due to a functional or structural defect. It is characterized by painless dilatation of the cervix resulting in premature rupture of membranes and delivery, usually occurring in the second or third trimester. Cervical cerclage procedures aim to surgically suture the cervix closed to prevent premature opening. There are several techniques for cervical cerclage placement depending on the location and indication, including McDonald, Shirodkar, emergency/rescue cerclages, and pessary or balloon alternatives. Cerclage procedures can be done through the vagina or abdomen depending
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Cervical incompetence is premature dilation of the cervix during pregnancy before labor begins. It affects 0.1-2% of pregnancies and causes around 15% of preterm births between 16-28 weeks. While the cause is often unknown, it can be due to congenital weaknesses, prior trauma, or connective tissue disorders. Diagnosis relies on history of preterm births and physical findings like dilation of the cervix when not pregnant. Cervical cerclage placement is the standard treatment and involves surgically stitching the cervix closed to prevent premature dilation. The document discusses various cerclage techniques and their appropriate uses.
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Ultrasound in early pregnancy is used to assess:
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3. Dating the pregnancy accurately in the first trimester by measuring the mean sac diameter or crown-rump length.
4. Detecting multiple pregnancies and diagnosing chorionicity and zygosity.
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1) Prolonged labor is defined as labor exceeding 18 hours for the first and second stages combined. It can be caused by cephalopelvic disproportion (CPD) where the fetal head is too large for the maternal pelvis.
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Contact Me
Telegram: https://t.me/OBGYN_Note_Book Or https://t.me/Hanybal2021
Facebook: https://www.facebook.com/obgyn.books
Slideshare: https://www.slideshare.net/bjlomsecond
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The recent surge in pro-Palestine student activism has prompted significant responses from universities, ranging from negotiations and divestment commitments to increased transparency about investments in companies supporting the war on Gaza. This activism has led to the cessation of student encampments but also highlighted the substantial sacrifices made by students, including academic disruptions and personal risks. The primary drivers of these protests are poor university administration, lack of transparency, and inadequate communication between officials and students. This study examines the profound emotional, psychological, and professional impacts on students engaged in pro-Palestine protests, focusing on Generation Z's (Gen-Z) activism dynamics. This paper explores the significant sacrifices made by these students and even the professors supporting the pro-Palestine movement, with a focus on recent global movements. Through an in-depth analysis of printed and electronic media, the study examines the impacts of these sacrifices on the academic and personal lives of those involved. The paper highlights examples from various universities, demonstrating student activism's long-term and short-term effects, including disciplinary actions, social backlash, and career implications. The researchers also explore the broader implications of student sacrifices. The findings reveal that these sacrifices are driven by a profound commitment to justice and human rights, and are influenced by the increasing availability of information, peer interactions, and personal convictions. The study also discusses the broader implications of this activism, comparing it to historical precedents and assessing its potential to influence policy and public opinion. The emotional and psychological toll on student activists is significant, but their sense of purpose and community support mitigates some of these challenges. However, the researchers call for acknowledging the broader Impact of these sacrifices on the future global movement of FreePalestine.
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CERVICAL INCOMP-WPS Office.pptx
- 2. Outline 1. Structural Anatomy of Uterus 2. Cervical incompetence Definition 3. Causes 4. diagnosis 5. Pit Falls 6. Remedy
- 3. Structural Anatomy -Uterus,Cervix, Vaginal -Anteriorly Abutted by Bladder - Endometrium,Endocervi cal canal, Vaginal
- 8. 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
- 9. Causes Gynaecological trauma History of pre-term labour Uterine Anomalies - Abnormalities that affects the Cervical connective tissue etc
- 10. 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
- 12. Normal
- 14. Shortened Cervix due to Funneling
- 15. Pit Falls in Diagnosis of incompetence -Excessive pelvic pressure -Over distended urinary bladder Compressees the Cervical canal and apparently diminishes dilatations
- 18. Remedy Cervical Cerclage (stitching of the Cervix) Progesterone supplement...
- 22. Preparation for Labour and delivery. Towards labour Cervical dilatation is normal and called Cervical effacement
- 24. Thank You