Cervical incompetence is characterised by:a) 1st trimester abortionb) 2nd trimester abortionc) Premature rupture of membraned) Circlage operation done
**Core Concept**
Cervical incompetence is a condition where the cervix is weakened, leading to premature opening and potential preterm birth. This condition is often associated with repeated miscarriages or preterm labor.
**Why the Correct Answer is Right**
Cervical incompetence typically manifests in the second trimester (between 16 and 24 weeks of gestation), as the cervix begins to dilate and efface prematurely. This can lead to a preterm birth, which is a significant risk factor for complications in both the mother and the baby. The condition is often diagnosed after a woman has experienced recurrent second-trimester miscarriages.
**Why Each Wrong Option is Incorrect**
**Option A:** First-trimester abortion is not typically associated with cervical incompetence, as the cervix is usually closed during this period.
**Option C:** Premature rupture of membranes can occur due to various reasons, including cervical incompetence, but it is not the defining characteristic of the condition.
**Option D:** The cerclage operation is a treatment for cervical incompetence, not a characteristic of the condition itself.
**Clinical Pearl / High-Yield Fact**
A cerclage operation, also known as a cervical stitch, is a procedure to stitch the cervix closed to prevent preterm birth. It is often performed in women with a history of cervical incompetence or recurrent second-trimester miscarriages.
**Correct Answer:** B. 2nd trimester abortion