SHORT CERVIX AND CERVICAL INSUFFICIENCY.pptx
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This document discusses short cervix and cervical insufficiency. It defines a short cervix as a cervical length of 10-20mm or less than 25mm measured between 18-24 weeks gestation. Women with a cervix under 15mm before 24 weeks need cervical cerclage placement. Cervical length is best measured via transvaginal ultrasound. Risk factors for cervical insufficiency include DES exposure, uterine anomalies, history of second trimester losses, cervical lacerations or multiple terminations. Management may include cervical cerclage placement before 24 weeks for those with two or more third trimester losses. Health education on cervical changes is also important.
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The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
This edition features a handful of Innovative Minds: France's Most Impactful Healthcare Leaders that are leading us into a better future.
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
PET CT beginners Guide covers some of the underrepresented topics in PET CT
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
DRAFT Ventilator Rapid Reference version 2.4.pdf
Ventilator rapid reference for the Zoll Z cvent. Presented for educational purposes only.
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Common Challenges in Dermatology Billing and How to Overcome.pptx
Discover the common challenges in dermatology billing and coding. Learn how expert assistance can help improve your practice's productivity.
PrudentRx: A Resource for Patient Education and Engagement
PrudentRx enhances healthcare by educating patients and ensuring effective medication management in a complex, evolving landscape.
The Power of Superfoods and Exercise.pdf
Healthy Eating Habits:
Understanding Nutrition Labels: Teaches how to read and interpret food labels, focusing on serving sizes, calorie intake, and nutrients to limit or include.
Tips for Healthy Eating: Offers practical advice such as incorporating a variety of foods, practicing moderation, staying hydrated, and eating mindfully.
Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
Encourages consistency, variety in exercises, setting realistic goals, and finding enjoyable activities to maintain motivation.
Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
Monitoring Progress: Recommends tracking food intake and exercise, regular health check-ups, and provides tips for achieving balance, such as getting sufficient sleep, managing stress, and staying socially active.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.Recently uploaded (20)
CANSA support - Caring for Cancer Patients' Caregivers
CANSA support - Caring for Cancer Patients' Caregivers
DR SHAMIN EABENSON - JOURNAL CLUB - NEEDLE STICK INJURY
DR SHAMIN EABENSON - JOURNAL CLUB - NEEDLE STICK INJURY
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdf
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdf
MBC Support Group for Black Women – Insights in Genetic Testing.pdf
MBC Support Group for Black Women – Insights in Genetic Testing.pdf
LEAD Innovation Launch_WHO Innovation Initiative.pptx
LEAD Innovation Launch_WHO Innovation Initiative.pptx
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
PET CT beginners Guide covers some of the underrepresented topics in PET CT
PET CT beginners Guide covers some of the underrepresented topics in PET CT
Common Challenges in Dermatology Billing and How to Overcome.pptx
Common Challenges in Dermatology Billing and How to Overcome.pptx
PrudentRx: A Resource for Patient Education and Engagement
PrudentRx: A Resource for Patient Education and Engagement
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...
SHORT CERVIX AND CERVICAL INSUFFICIENCY.pptx
- 1. SHORT CERVIX AND CERVICAL INSUFFICIENCY By Jean Bosco Henri HITAYEZU
- 2. OBJECTIVES At the end of this session student will be able to: • Define short cervix • Discuss the significance of cervical length • Manage the short cervical length • Define cervical insufficient • Describe the impact on pregnancy outcome • Follow the woman with cervical insufficient
- 3. A. SHORT CERVIX Sonographic cervix length of 10 to 20 mm or <25 mm measured at 18-24 weeks’gestation. Women with a very short cervix<15mm before 24 GA: need cerclage placement Golden standard for cervical length measurement is Transvaginal ultrasound(TVUS). Abdominal ultrasound is not reliable difficulty in obtaining an appropriate angle.
- 4. SHORT CERVIX CONT…. Cervical length may also be measured with CerviLenz: small disposable device used during speculum examination.
- 5. CONTI…. Cervical length <30 mm is considered as short Need medical intervention because high lisk of preterm labor. Vaginal progesterone therapy is needed.
- 6. B. CERVICAL INSUFFICIENT Cervical effacement and dilatation without pain in second and early third trimester. Risk factors: Congenital : Diethylstilbestrol(DES) exposure Congenital anomalies Uterine anomalies
- 7. RISK FACTORS Congenital : Diethylstilbestrol(DES) exposure Congenital anomalies Uterine anomalies Obstetrics history factors: Hx of fetal loss at 14 week’s gestation Hx of cervical laceration Multiple first or second trimester pregnancy terminations Gynecologic History factors: Mechanical dilation from curettage or hysterosalpingogram Previous cervical conization with a large amount of tissue removed.
- 8. MANAGEMENT Women with hx of two or more third trimester losses need medical consultation. Cervical cerclage before 24 week’s gestation. Hx of two or more midtrimester losses-need cerclage placement between 14-18 weeks’gestation without considering cervical condition. Health education about signs and symptoms of cervical change: pressure, increases discharge, spotting, cramping. –Return for reassessment
- 9. IMAGE OF CERVICAL CERCLAGE
- 10. REFERENCE King,L.T ;etal. (2015). Varney's midwifery: 5th edition.Jones&BatlettLearning.Burlington,MA01803.