Conversation: The conversation between human and AI assistant.
[|Human|] My daughter is 21 weeks pregnant and her cervix is short and in 2 days it has got a little shorter.she has several miscarriages last one 19 weeks water broke ..had infection in her utirus her doctor told her go home rest and they eill check her next tuesday ...she has pressure down low and little cramping and she is very worried...she just doesnt know if this is bad pressure or is it just her body changing ... doc said if gets worse call...but god sbe was fine last time and her water broke out if the blue ...she us scared and we dont know what to do ...just stay at bed rest
[|AI|]  Dear Sir/mam, I understand your concerns about this pregnancy. In her case the following points should have betaken into consideration for a complete management of this case1- Due to the cramping and pelvic pressure your daughter has especially in the setting of cervical changes on ultrasound, a sterile spectrum exam must be done in order to see if the cervix is dilated, if the spectrum shows normal looking cervix, then a digital pelvic exam should be done to assess the dilation. 2- Your daughter must be put on the too to assess if she has contractions. If she doesn't then a rescue cervical circle can be done for prolongation of the pregnancy.3- urine infection must be rule out since it might be the reason for the cramping sensation. urinalysis and culture must be done.4- For the future pregnancies am early circle at around the timing for nuclei translucency can be done. Add to that vaginal progesterone also is a good idea. Best regards