Fragmento

26 year-old patient, gravida: 4, para: 0, abortions: 3, C-sections: 0, apparently healthy, with no relevant clinical history. Obstetric and gynecological history: 3 consecutive late abortions, the first one at 22 weeks, the second one at 18 and the last one at 16 weeks gestation, painless, no vaginal bleeding. There are no anatomical abnormalities in the uterus. She denies having had conizations and curettage, other conditions such as positive antiphospholipid antibody are ruled out. She is currently in her fourth pregnancy at 19 weeks gestation. She undergoes an endovaginal ultrasound which shows a cervical opening dilation greater than 1.5 cm with bulging membranes, length of the cervical channel less than 1.8cm. The diagnosis of cervical isthmian incompetence was carried out. McDonald cerclage was also performed, achieving a pregnancy of 35 weeks gestation.

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2011-12-19   |   1,288 visitas   |   Evalua este artículo 0 valoraciones

Vol. 1 Núm.1. Septiembre-Diciembre 2011 Pags. 5 Ciencia UG 2011; 1(1)