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Preparing for your appointment
By Mayo Clinic staffIf you're pregnant and have any risk factors for an incompetent cervix or you experience any symptoms during your second trimester that indicate you might have an incompetent cervix, consult your health care provider right away. Depending on the circumstances, you might need immediate medical care.
Here's some information to help you get ready for your appointment, as well as what to expect from your health care provider.
What you can do
Before your appointment, you might want to:
- Ask about pre-appointment restrictions. In most cases you'll be seen immediately. If that's not the case, ask whether you should restrict your activities while you wait for your appointment.
- Find a loved one or friend who can join you for your appointment. Fear and anxiety might make it difficult to focus on what your health care provider says. Take someone along who can help remember all the information.
- Write down questions to ask your health care provider. That way, you won't forget anything important that you want to ask, and you can make the most of your time with your health care provider.
Below are some basic questions to ask your health care provider about an incompetent cervix. If any additional questions occur to you during your visit, don't hesitate to ask.
- Has my cervix begun to open? If so, how much?
- Is there anything I can do to help prolong my pregnancy?
- Are there any treatments that can prolong my pregnancy or help the baby?
- Do I need to be on bed rest? If so, for how long? What kinds of activities will I be able to do? Will I need to be in the hospital?
- What signs or symptoms should prompt me to call you?
- What signs or symptoms should prompt me to go to the hospital?
- What will happen to my baby if he or she is born now? What can I expect?
What to expect from your health care provider
Your health care provider is likely to ask you a number of questions, including:
- When did you first notice your signs or symptoms?
- Have you had any contractions or changes in vaginal discharge?
- Have you had any previous pregnancies, miscarriages or cervical surgeries that I'm not aware of?
- How long would it take you to get to the hospital in an emergency, including time to arrange any necessary child care, transportation and so on?
- Do you have friends or loved ones nearby who could care for you if you need bed rest?
References
- Johnson JR, et al. Cervical insufficiency. http://www.uptodate.com/index. Accessed Jan. 31, 2012.
- Fox NS, et al. Cervical cerclage: A review of the evidence. Obstetrical and Gynecological Survey. 2008;63:58.
- Gabbe SG, et al. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2007. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-0-443-06930-7..50027-X&isbn=978-0-443-06930-7&uniqId=301267705-3. Accessed Nov. 14, 2011.
- Annum EA, et al. Health disparities in risk for cervical insufficiency. Human Reproduction. 2010;25:2894.
- Jakobsson M, et al. Cervical intraepithelial neoplasia: Reproductive effects of treatment. http://www.uptodate.com/index. Accessed Feb. 8, 2012.
- Preterm labor. American College of Obstetricians and Gynecologists. http://www.acog.org/publications/faq/faq087.cfm. Accessed Sept. 22, 2011.
- Preterm labor and birth. National Institute of Child Health and Human Development. http://www.nichd.nih.gov/health/topics/Preterm_Labor_and_Birth.cfm. Accessed Feb. 9, 2012.
- Tita ATN. Intraamniotic infection (chorioamnionitis). http://www.uptodate.com/index. Accessed Feb. 10, 2012.
- Berghella V. Transvaginal ultrasound assessment of the cervix and prediction of spontaneous preterm birth. http://www.uptodate.com/index. Accessed Feb. 10, 2012.
- Marc I, et al. Mind-body interventions during pregnancy for preventing or treating women's anxiety (review). Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007559.pub2/abstract. Accessed Feb. 13, 2012.
- Tsekiri O'Brien E, et al. Women's views of high risk pregnancy under threat of preterm birth. Sexual and Reproductive Healthcare. 2010;1:79.
- Yang M, et al. Music therapy to relieve anxiety in pregnant women on bedrest: A randomized controlled trial. 2009;34:316.
- Frequently asked questions. Number 87. Preterm labor. American College of Obstetricians and Gynecologists. http://www.acog.org/publications/faq/faq087.cfm. Accessed Feb. 13, 2012.
- Zaichkin J. Newborn Intensive Care: What Every Parent Needs to Know. 3rd ed. Ann Arbor, Mich.: Sheridan Books; 2009:77.
- Healthy pregnancy: Staying healthy and safe. U.S. Department of Health and Human Services Office on Women's Health. http://www.womenshealth.gov/pregnancy/you-are-pregnant/staying-healthy-safe.cfm. Accessed Feb. 13, 2012.
- Norwitz ER. Prevention of spontaneous preterm birth. http://www.uptodate.com/index. Accessed Feb. 13, 2012.
- Makena (prescribing information). Bridgeton, Mo.: Ther-Rx Corp.; 2011. http://www.makena.com/media/PDFs/full-pi.pdf. Accessed Feb. 13, 2012.
- FDA approves drug to reduce risk of preterm birth in at-risk pregnant women. U.S. Food and Drug Administration. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm242234.htm. Accessed Feb. 13, 2012.
- Berghella V, et al. Patients with prior second-trimester loss: Prophylactic cerclage or serial transvaginal sonograms? American Journal of Obstetrics and Gynecology. 2002;187:747.
- Baramki TA. Hysterosalpinography. http://www.uptodate.com/index. Accessed Feb. 13, 2012.
- Harms RW (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 15, 2012.
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