Ultrasound Criteria for the Diagnosis of Incompetent Cervix

 

Normal Pregnancy

Cervical incompetence

Cervical Length

>3 cm

<3 cm

Cervical Width

<2 cm
in second trimester.

>2 cm
in second trimester.

Cervical Canal Width

<8 mm

>8 mm

Cervical funneling

None or
< 25%

25-50% or
> 50%

Bulging of Membranes
into cervical canal

None

Present
± fetal parts

 

Twin pregnancy: Membranes of both twins in incompetent cervix

 


References

  1. Ludmir J. Sonographic detection of cervical incompetence. Obstet Gynecol 1988;31:101-109.