According to your history, Cervical insufficiency is more apt a diagnosis and I would advice you to have a encerclage done at the earliest. Presently at 20weeks your cervical length being 4cm is good . But an incompetent cervix can suddenly shorten and cause problems. Since you already have had 2 traumatic losses please go ahead for the procedure along with progesterone supplementation.
Answered2019-02-24 11:47:37
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