This type of ultrasound is internal and uses a transducer to get a good look at your cervix. A pelvic exam could also be performed to see if your cervix has started to open. If your cervix measures less than 29 millimeters but more than 25 millimeters long, your doctor may recommend regular monitoring with more ultrasounds to continue checking your cervical length as your pregnancy progresses.
A vaginal suppository starting at the time of diagnosis and stopping by 37 weeks could be prescribed. If you have a history of preterm delivery, your doctor may prescribe a weekly progesterone injection instead. Cervical cerclage. This surgical procedure uses stitches or synthetic tape to shore up the cervix and keep it closed.
Sorry — sex is a no-no with this in place. Arabin pessary. This alternative to surgery and hormone therapy is a small, conical piece that is designed to surround and support the cervix to keep it closed. What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations.
Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff.
Sometimes, a doctor may recommend bed rest or pelvic rest and continued monitoring for a short cervix. This can mean anything from no sex or strenuous activity to full-on, only-get-up-to-pee-and-eat bed rest.
It can be hard to endure, but this tried-and-true method can help delay birth up until term or until other measures are deemed necessary. Load up your tablet with novels and your movie library with upbeat films to stream. Hang in there. As always, talk to your doctor openly about your concerns. Keep up with your prenatal appointments, and pay attention to any new symptoms. Your cervix changes throughout your menstrual cycle and in pregnancy. If you know what to look for, you may be able to use these subtle changes to….
Ready to deliver and welcome your little one? The hormonal and physiologic changes during pregnancy are unique in the life of women. Discover what they are here. A closed cervix is normal during pregnancy, but it can also happen if you aren't pregnant.
Why is my cervix important in pregnancy? What if my cervix starts to open too soon? How can I check my cervix? My cervix is short on my 19 week scan — what is my chance of delivering prematurely? My cervix was short in my last pregnancy — what do I do next time? What treatments are available? The options are: Observe closely — even women with a short cervix are most likely to deliver at term Commence vaginal progesterone medication to reduce the risk Insert a cervical stitch cerclage to reduce the risk.
If your cervical length is less than 25 millimeters short cervix before 24 weeks of pregnancy and you're only carrying one baby, your health care provider might consider a procedure that uses sutures or synthetic tape to reinforce your cervix cervical cerclage. If you have a prior history of premature birth, your health care provider might also discuss the potential benefits of progesterone injections to decrease your risk of another premature birth. Keep in mind that research on the use of progesterone injections is ongoing.
If you're concerned about your cervical length during pregnancy, talk to your health care provider. He or she can answer your questions and help you understand how to promote a healthy pregnancy. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. A single copy of these materials may be reprinted for noncommercial personal use only.
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