A lady aged 27 yrs , G 2 P 2 , presently pregnant with gestation of 21 weeks of duration was advised routine ultrasound . Liquor amni was adequate and the growth of the foetus was good for the duration , foetal movements good. Her cervical length was 2.7 cms and width 2 cms and the radiologist mentioned cervical incompetence in the report. The lady was a graduate and came to me for discussion regarding the same. I advised her that the length of the cervix during pregnancy is dynamic depending on the levels of progesterone .
Presently the length is fine and advised her to repeat the scan after 4 weeks. Usually progesterone injections are advised 500 mg advised once in 15 days only when cervical length is below 2.2 cms at 24 weeks of gestation. Her previous pregnancys were normal and had cesarean sections at term and she had no history of miscarriages . Usually incompetence of cervix is…
