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Cervical length

My friend had cervical length of 3cm during NT scan at 13 weeks...after doing anamoly scan at 20 weeks the cervix length is reduced to 2.4 cm..this is her first pregnancy. She has abdominal cramps. 1. Is this cause for concern. 2. Should she be on bedrest 3. How can cervical length monitored during subsequent weeks to make sure it has not effaced much before due date?
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Dr. Aparnaa Panda
Gynecologist 19 yrs exp Udupi

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Ummmm.... cervical length of 2.4 is ok. Abdomen cramps not ok. Basically treatment is solely dependent on the Gynaecologist involved customised to her patients symptoms. Infection should be ruled out and treated empirically if required. Progesterone treatment has to be given again if the gynaecologist feels that it is required for the patient. Cervical length can be monitored on a weekly basis if the gynaecologist feels it is required. Again frequency of cervical assessment depends on the Gynaecologist and on the patient symptoms and need.
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Dr. M.H. Abinaya
Gynecologist 8 yrs exp Chennai
Hi Cervical length less than 3cm is not good She should go for prophylactic cervical stitch Last scan showed 2.4 cm When was it taken If it was taken before 2wks ask her to repeat the scan to check cervical length If it is the same or reducing better to go for cervical stitch
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