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Funneling of the internal cervical os

Cervical funneling is a sign of cervical incompetence and represents the dilatation of the internal part of the cervical canal and reduction of the cervical length.

Greater than 50 % funneling before 25 weeks is associated with approximately 80 % risk of preterm delivery.

Radiographic assessment

Good scanning technique is essential, as excessive pressure with the probe, or presence of a distended bladder may artificially narrow the canal.

Measurement 
  • percentage funnelling : funnel length / ( functional cervical length + funnel length)
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