Expectant Management with Bed Rest despite Advanced Cervical Dilatation: a Successful Challenge in Second Trimester

A 25-year-old woman (gravida 2, abortionI) was admitted to Ghaem Hospital affiliated to Mashhad University of Medical Sciences at 24th week of gestation. Her chief complaint was bloody show. She had a history of incompetent cervix, with premature laborat 22nd week of gestation. She was hospitalized with 4cm dilatation and 50% effacement of cervix at 24th week of gestation. Following bed rest and prescribing heparin for prophylaxis against thromboembolism, she delivered at 39th week of gestation with good maternal and neonatal outcome. Expectant man agement with complete bed rest a long with an ticoagulant therapy is considered to be a safe method for man agement of cervical incompetence.