AboutMohamed Kandeel Expertise I can answer questions about antenatal care, medical problems associated with pregnancy, labor and delivery and postpartum care.
Experience Currently I am working as a Professor of Obstetrics gynecology, Menofyia University, Egypt. Since 1987, I worked in many university and private hospitals with a high load of pregnant population averaging 7-9,000 deliveries/year. This exposed me to all problems associated with pregnancy, labor and delivery. I had my doctorate degree in Obstetrics and Gynecology in 1996 in the use of Doppler ultrasound in high risk pregnancies.
Organizations Menofyia University, Egypt
Publications -British Journal of Obstetrics and Gynecology (Kandil M)
-Egyptian Journal of Obstetrics and Gynecology (Kandil M)
-Ain Shams Journal of Medicine (Kandil M)
Education/Credentials -Master's degree in obstetrics and Gynecology 1989
-Doctorate degree in Obstetrics and Gynecology 1996
Awards and Honors Editorial advisor: Fetal monitoring section of the international website www.obgyn.net
Question When i was pregnant with twins, i was hospitalized at 23 weeks with basically no cervix. After 13 1/2 weeks on total bedrest, i delivered two healthy girls. I am thinking of having another baby, but i was curious if you thought this would happen again, if i had a singleton. My cervix looks normal during exams and it was long at 22 weeks. My ob thinks it was b/c of the twins and it probably won't happen w/a singleton. Would you recommend a preventative clerage?
Answer Dear Liz
I do not see a reason why not happen again. If you want another baby, there is no reason not to give it a try. I disagree with your Ob. Chances of success should be better with a singleton. I advise you to seek a detailed examination with another Ob as a second opinion. An advise here based on your description does not replace a second opinion based on examination at the office.
I would definitely recommend a cerclage and bed rest again. However, prediction of the outcome, even with proper interventions, in such cases is almost impossible and varies from 1 woman to another.
