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RANDOMIZED CONTROL TRIAL: PHYSICAL EXAM INDICATED CIRCLE IN TWIN GESTATIONSPrincipal Investigator: Amanda Roman, MD Division of MaternalFetal Medicine Department of Obstetrics and Gynecology Thomas
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How to fill out physical examination-indicated cerclage in

01
To fill out the physical examination-indicated cerclage form, follow these steps:
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Start by entering the patient's personal information such as name, date of birth, and contact details.
03
Specify the date of the physical examination in the designated field.
04
Document the patient's medical history and any relevant previous surgeries or treatments.
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Include details of the current pregnancy, such as gestational age and any complications.
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Provide a thorough description of the physical examination findings, including cervical length and any signs of cervical incompetence.
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Indicate any additional tests or diagnostic procedures that were performed.
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If cerclage is deemed necessary, justify the indication by explaining the reasons based on medical evidence.
09
Specify the type of cerclage recommended and any associated instructions or restrictions.
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Ensure that the form is signed and dated by the healthcare provider completing the examination.
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Review the completed form for accuracy and make copies for the patient's medical record as well as for any relevant referrals or consultations.

Who needs physical examination-indicated cerclage in?

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Physical examination-indicated cerclage is typically recommended for the following individuals:
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- Pregnant women who have a history of previous preterm birth or mid-trimester pregnancy loss
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- Those with a short cervix detected during routine ultrasound or physical examination
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- Women who have had previous cervical surgery, such as cervical conization or loop electrosurgical excision procedure (LEEP)
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- Individuals with a history of cervical incompetence or cervical insufficiency
06
- Patients with certain anatomical or uterine abnormalities that may increase the risk of preterm labor
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- Those who have experienced multiple miscarriages without a clearly identified cause.
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It is important to consult with a healthcare provider to determine individual eligibility for physical examination-indicated cerclage.
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Physical examination-indicated cerclage is a medical procedure to reinforce the cervical muscles in pregnant women who are at risk of premature birth.
Physicians or healthcare providers are required to perform and document the physical examination-indicated cerclage procedure in pregnant women.
To fill out the physical examination-indicated cerclage form, the physician must document the reason for the procedure, details of the procedure, and any relevant findings.
The purpose of physical examination-indicated cerclage is to prevent premature birth and improve the chances of a successful pregnancy for women at risk.
The physical examination-indicated cerclage form must include details of the patient, the procedure performed, any complications or findings, and the physician's signature.
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