<prompt> A gravida 3 female with Ho 2 previous 2nd trimester aboion presents at 22 weeks of gestation with funneling of cervix. Most appropriate management would be:Administer dinoprostone and bed restAdminister misoprostol and bed restApply fothergill stretchApply McDonald stitch  <response>: Cervical incompetency is the one of the cause for recurrent 2nd trimester miscarriage20 Management of cervical incompetence is by two types of operations named after Shirodkar and McDonald Reference:DC Dutta;s textbook of obstetrics,8th edition,page no:199 p 