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Incompetent Cervix (Cervical Insufficiency) – Causes, Symptoms, Diagnosis, Treatment, Complications - Gynecology Incompetent cervix, also known as cervical insufficiency, is a pregnancy complication where the cervix painlessly dilates and thins too early, usually in the second trimester, increasing the risk of miscarriage or preterm birth between 16–24 weeks. Causes may be congenital, such as uterine abnormalities, connective tissue disorders, or in-utero DES exposure, or acquired, such as cervical trauma from procedures, prior second-trimester losses, multiple gestations, or infections. Symptoms are often absent but may include pelvic pressure, backache, mild cramps, abnormal discharge, or light bleeding. Diagnosis relies on obstetric history, transvaginal ultrasound measuring cervical length and detecting funneling, and physical examination. Treatment options include cervical cerclage (McDonald, Shirodkar, or transabdominal), progesterone supplementation, activity modification, or use of a cervical pessary. If untreated, complications may include miscarriage, preterm birth, premature rupture of membranes, intrauterine infection, or fetal death. #IncompetentCervix #CervicalInsufficiency #McDonaldstitch #McDonaldcerclage #shirodkarcerclage Join this channel to get access to perks: / @learnmedicineasap --------------------------------------------------------------------------------------------------------------------------------------------- Subscribe for more medical and health content: / @learnmedicineasap Check out our other helpful playlists Obstetrics and Gynecology • Obstetrics and Gynecology General Surgery Lessons • General Surgery Lessons Internal Medicine • Internal Medicine Child Health and Pediatrics • Child Health and Pediatrics Pharmacology Lecture Videos • Pharmacology Lecture Videos Anaesthesiology | Anesthesiology • Anaesthesiology | Anesthesiology Medical Parasitology • Medical Parasitology Infectious Diseases • Infectious Diseases Pathology • Pathology Microbiology • Microbiology Anatomy • Anatomy Ear Nose and Throat - ENT • Ear Nose and Throat - ENT Oral Health | Oral Hygiene | Dental Health • Oral Health | Oral Hygiene | Dental Health Ophthalmology | Eye Infections | Eye Diseases • Ophthalmology | Eye Infections | Eye Diseases Oncology • Oncology Sexually Transmitted Disease (STD) | Sexual Wellness & Health - Sexual Infection | STI • Sexually Transmitted Disease (STD) | Sexua... Women's Health • Women's Health Men's Health • Men's Health Vitamins, Minerals and their Deficiencies | Vitamin Deficiencies | Mineral Deficiencies • Vitamins, Minerals and their Deficiencies ... Clinical Skills | Clinical Techniques • Clinical Skills | Clinical Techniques Pharmacology Mnemonics • Pharmacology Mnemonics Internal Medicine Mnemonics • Internal Medicine Mnemonics