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Shorter cervix
I am 28+1 week pregnant (first time pregnant), and my cervix is smaller in size 15mm. I am given vaginal progesterone and asked for full bed rest. What are the chances of going to full term with the short cervix? What else can I do to increase my chance to go to full term?
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the recommended positions for bed rest are lying on your side lying with your feet elevated above your head, while sleeping on your left side can improve blood flow. It is important to follow your doctor's personalized guidelines and avoid prolonged periods on your back.
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Seek immediate medical attention if you experience fever, abdominal pain, vaginal bleeding, or your waters break.
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A cervix of 15 mm at 28 weeks is short cervix, hence the chance of a preterm delivery is there. As this is your first pregnancy, it is advisable to continue progesterone support and bed rest to reduce this risk. However, we need to find out the cause of same, whether it’s happening due to an infection, or inherent cervical weakness. Infection, if present can be treated with appropriate measures.
Next Steps
Continue medication as prescribed
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Stay hydrated.
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Chances of preterm labor with short cervix of 1.5 mm is 47%.
You can go to full term if no other comorbidities.
Dexa coverage can be given if any signs or symptoms of preterm labor.
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Pls connect for online consultation and advice on
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Dr. Vijaya Gupta
Gynecologist
22 yrs exp
Chandigarh
Rest and progesterone support
Besides that cervical circalage
Can be tried
Steroid coverage
To reduce neonatal ICU stay incase you end up in a Preterm delivery
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Dr. Zaheda Aziz
Gynecologist
2 yrs exp
Ernakulam
Follow your doctor's advice. Continue bed rest with slight elevation towards the foot (keep 2-3 pillows under the feet) and remember to lie on the side (preferably left, even right side is okay) instead of back to ensure proper blood flow to the baby. Continue progesterone.
There is a very high likelihood of delivery before term.
But don't worry, even a day longer inside the uterus can reduce the icu stay for the baby after birth.
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Dr. Parru Singh
Gynecologist/Obstetrician
9 yrs exp
Lucknow
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Dr. Kinnari Amin
Gynecologist
12 yrs exp
Ahmedabad
Take complete rest with head low position
Continue progesterone support
You may reach till term
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Dr. Srisha Charuku
Gynecologist/Obstetrician
13 yrs exp
Hyderabad
1.5 is shirt chances if preterm delivery ll b dr
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Dr. Induja
Obstetrician
13 yrs exp
Delhi
Hello , if the condition remains stable with medicine and bedrest, then yes you can take upto term.
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Dr. Neha Vashisth
Obstetrician
12 yrs exp
Jaipur
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.