Cervical Incompetence Management
A women’s cervix is the lowest part of the uterus that extends into the vagina. Cervical incompetence is a condition whereby a woman’s cervix opens too early and may cause preterm labor or second trimester miscarriage. In fact, approximately 1% of pregnancies are complicated by an incompetent cervix. A woman may have an incompetent cervix due to a congenital (present at birth) abnormality, connective tissue disorder, trauma or damage from a cone biopsy, LEEP procedure or other cervical surgery, or other unidentified cause.
Before it is determined whether you have cervical incompetence, a thorough evaluation by one of our specialists will be necessary, as well as consultation with your physician. Treatment for an incompetence cervix may include a transvaginal or transabdominal cerclage. This procedure involves placing a band between the uterine opening and cervix to hold the cervix closed. Unfortunately, cervical incompetence can be difficult to diagnose and, in some cases, is assumed to be the problem for recurrent preterm labor or second trimester miscarriage when, in fact, it is just one of many possible explanations for these unfortunate pregnancy complications.
For more information, please contact the Center for Prenatal Diagnosis at (317) 415-8070 or the Maternal Fetal Medicine and Genetics Center at (317) 415-8100.