INCOMPETENT CERVIX

- Incompetent cervix occurs when your cervix opens, Pathophysiology

weakensor shortens too early in pregnancy. It’s also
known as cervical insufficiency.
It can cause problems including miscarriage and premature birth
Non Modifiable
Modifiable
-Cervical - Hormonal
trauma influences
-Congenitally -Forced D&C
short pelvic
-Uterine
anomalies

Diagnostic Test

● Pelvic exam
● transvaginal ultrasound
● Lab test

Medication
● Terbutaline (Brethine) - Prevent premature Labor;
0.25 (mg) orally; monitor and report signs of CNS
toxicity
● Magnesium sulfate - Encourage muscles relaxation;
4-6g over 15-30 mins, orally; monitor and report
signs of MagSul toxicity

Complications

● Uterine Rupture
● Internal bleeding
● Laceration
● Infection

Treatment
● Cervical cerclage
-Mcdonalds procedure
-Shirodkar
● Progesterone supplements
● Repeated Ultrasound
 Signs & Symptoms
● Painless vaginal bleeding or pinkish discharge
● Rupture of membranes and passage of amniotic fluid
● Sensation of pelvic pressure

NCP:

Assessment

● Subjective “Natatakot ako baka may mangyari sa baby ko”

● Objective: G2 P0, Sleep disturbance

Diagnosis : Anxiety related to impending loss of pregnancy as evidenced by premature dilation of the
cervix.

Planning: After nursing intervention the patient will be relax and reduced anxiety

Intervention:

● Determine any factors that further contribute to the anxiety.

● Monitor vital signs
● Convey empathy and establish a therapeutic relationship to encourage client to express
her feelings.
● Provide accurate information about the situation

Evaluation

● Patient would appear relaxed and report that anxiety has been reduced
● Verbalize awareness of feelings of anxiety
● Enumerate ways to deal with anxiety
● Use support system effectively