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Asking for Sister, Female, 28 years old, Faisalabad
A.A Dr sister in law ki 1 miscarriage history hy in 6th months sudden Labour pains sy deliveryho gai. Ab agai pregnant hy usko UTI ho gya hy jo k previous pregnancy mn b tha. Dr ny urine test krwaya hy us mn Ketones test positaya hy or pus cells b hn. Dr ny kaha hy k after 1 weak stitch lgwa lain warna again miscarriage ho jay ga. I want to ask k cervical length check kiay bghair he kaisy decide ho sakta k stitch he lgna chahiay pregnancy ko save krny ko? Kya Gestational diabetes ya infection reason ho sakti hy miscarriage ki? Ya cerclage he eska solution hy?
If there is history of 2nd trimester miscarriages and cervical length is short on scan then cervical suture is recommended.
first correct her uti
than cervical length by scan if 4 cm than no need
if last delivery was painless than history based cerclage its shows incompetent cervix
if pains were there than multiple reasons are there
6 months pa ja ka gdm koi miscariage ni karta...
after correcting uti progesterone support start karai
all the possible reasons should be searched.infections are very common reason of preterm deliver or second trimester miscarriage. cervical weakness may another cause.ypu may get ultrasound for cervical length assessment. but sometimes we take decision of cervical stitch on the basis of history.presently her urine infection should be treated and get her ultrasound for cervical length
Please go to tertiary hospital for booking and complete evaluation.
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