• pelvic
  • Significant hypotension is more likely to occur in pregnant versus nonpregnant women undergoing regional anesthesia, necessitating uterine displacement or lateral pelvic tilt maneuvers, intravascular preloading, and vasopressors. (nysora.com)
  • Uterine displacement or lateral pelvic tilt should be applied routinely during the anesthetic management of the pregnant patient. (nysora.com)
  • However, it has recently been demonstrated that uterine tilt is more effective when the mother is placed in the full left lateral decubitus position and then is turned supine onto the pelvic wedge. (nysora.com)
  • Dr. Wexler brings expertise in minimally invasive gynecological surgery including robotic surgery, pelvic pain, abnormal uterine bleeding and fibroids, pelvic organ prolapse, vulvar pain and female sexual dysfunction. (medstarhealth.org)
  • second trimester
  • According to statistics provided by the Mayo Clinic, cervical incompetence is relatively rare in the United States, occurring in only 1-2% of all pregnancies, but it is thought to cause as many as 20-25% of miscarriages in the second trimester. (wikipedia.org)
  • canal
  • Bulging and protrusion of the fetal membranes through the dilated cervical canal. (prezi.com)
  • The cervical canal, which averages 3 cm long and a few millimeters wide, connects the uterine cavity with the vagina [ 2 ]. (uptodate.com)
  • The internal cervical os (where the canal opens to the uterine cavity) is normally no more than 3 mm in diameter in nonpregnant women, even if parous [ 2 ]. (uptodate.com)
  • artery
  • The blood supply comes from a descending branch of the uterine artery and lymphatic drainage is to the parametrial nodes, then to the obturator, internal iliac, and external iliac nodes with secondary drainage to the presacral, common iliac, and paraaortic lymph nodes. (uptodate.com)
  • genetic
  • Some of these risks include endocrine, genetic, uterine, or hormonal abnormalities, reproductive tract infections, and tissue rejection caused by an autoimmune disorder. (wikipedia.org)
  • occur
  • The relative ease of cervical examination allows observation of physiologic changes that occur in response to normal cyclic variations in ovarian hormone secretion, as well as a variety of structural abnormalities and pathologic conditions (premalignant, malignant, infection-related, benign neoplasms). (uptodate.com)
  • trauma
  • Although several modifications have been applied to the original procedure in an attempt to reduce the morbidity, bleeding arising from trauma to the uterine vessels during suture placement remains problematic. (pubmedcentralcanada.ca)
  • The changes have been designed to avoid trauma to the uterine vessels and their branches during needle insertion for suture placement. (pubmedcentralcanada.ca)