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Cervix

The document summarizes the history and clinical understanding of cervical incompetence. It describes how the condition was first mentioned in 1658 but not studied further until 1865. Significant attention to cervical incompetence as a clinical entity only began in the last 40 years. In 1950, Lash described repairing the cervix between pregnancies, while in 1955 Shirodkar described surgical repair during pregnancy. Modifications by others added to surgical management options for cervical incompetence, defined as the inability of the cervix to support a pregnancy due to structural or functional weakness, which is an important cause of recurrent mid-trimester miscarriages.

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April Claudine Aquitania Salvoro
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40 views1 page

Cervix

The document summarizes the history and clinical understanding of cervical incompetence. It describes how the condition was first mentioned in 1658 but not studied further until 1865. Significant attention to cervical incompetence as a clinical entity only began in the last 40 years. In 1950, Lash described repairing the cervix between pregnancies, while in 1955 Shirodkar described surgical repair during pregnancy. Modifications by others added to surgical management options for cervical incompetence, defined as the inability of the cervix to support a pregnancy due to structural or functional weakness, which is an important cause of recurrent mid-trimester miscarriages.

Uploaded by

April Claudine Aquitania Salvoro
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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The first description of cervical incompetence appeared in the medical literature


in 1658 Over 200 yrs passed b/4 it was mentioned again by Grenin in 1865, who
speculated that division or dilatation of the cervix might structurally weaken it, making it
incapable of supporting a pregnancy to term Only in the past 40 years has the clinical
entity of cervical incompetence received significant attention.

Lash aLash and Lash, in 1950, described the technical details of repair of the cervix
between pregnancies (wedge excision of the damage) Shirodkar in 1955, described a
method for the management of the incompetent cervix with surgical repair during
pregnancy. Shirodkar contribution, in combination with the modifications described by
Barter colleagues, became widely accepted among American obstetrician contributions
by McDonald, Mann, Hefner and associates, Page, Barnes, and Baden added
significantly to the options in the surgical management of cervical incompetence.

The definition of this is inability of the cervix to support a pregnancy to term due to
structural and of functional weakness. It is an important cause of recurrent mid trimester
abortions (miscarriages). Recurrent abortion is the occurrence of 3 more consecutive
spontaneous pregnancy losses before the age of fetal viability.
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