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Cervical Incompetence After Twin Pregnancy: Risks & Singleton Concerns


Question
When i was pregnant with twins, i was hospitalized at 23 weeks with basically no cervix.  After 13 1/2 weeks on total bedrest, i delivered two healthy girls.  I am thinking of having another baby, but i was curious if you thought this would happen again, if i had a singleton.  My cervix looks normal during exams and it was long at 22 weeks.  My ob thinks it was b/c of the twins and it probably won't happen w/a singleton.  Would you recommend a preventative clerage?

Answer
Dear Liz

I do not see a reason why not happen again. If you want another baby, there is no reason not to give it a try. I disagree with your Ob. Chances of success should be better with a singleton. I advise you to seek a detailed examination with another Ob as a second opinion. An advise here based on your description does not replace a second opinion based on examination at the office.

I would definitely recommend a cerclage and bed rest again. However, prediction of the outcome, even with proper interventions, in such cases is almost impossible and varies from 1 woman to another.

Best of luck