ObGyn/Pregnancy issues/Pre term labor concern

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Question
I'm currently 20 weeks 4 day pregnant I had a appt Monday with a peri that showed my cervix is funneling with some debris. He didn't mention the length of my cervix and a cerclage is more risky at this point. I have experienced a 2nd trimester lost at 19wks 5 days in the past and concerned now. He said resume normal activities and I may be on hospital bed rest at 24 weeks. Other ppl with similar scenarios received more attention like weekly or bi-weekly cervical checks, bed rest, cerclage etc. 4 weeks seems so far away and I'm afraid my funneling will worsen. I'm also experiencing some vaginal itching/ irritation with no discharge that also concerns me

Answer
Kia

A past history of midtrimester loss together with cervical funneling around the same age -20 weeks- of the previous loss is not very reassuring. Furthermorem I would wonder if no comment is madein the ultrasound repot about cervical lenth. A length of 25 mm or less is usually associated with preterm labor.
My advice is to seek a second opinion with an experienced sonographer, and if you had this examination with an Ob/Gyn generalist to have the second opinion with a Maternal Fetal Medicine specialist.

Good Luck

ObGyn/Pregnancy issues

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Mohamed 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

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