If ACTH independent, it is due to the autonomous function of one or both adrenal glands, including adrenal adenomas, adrenocortical carcinomas, and micronodular or macronodular hyperplasia. The clinical manifestations of Cushing's syndrome are protean and reflect the catabolic actions of cortisol on skin, muscle, bone, liver, and fat.
Prior to pregnancy and into much of the third trimester your cervix is long and thick. As labor nears it begins to shorten and thin out. This action is referred to as effacement. Effacement is generally measured in percentages by doctors and midwives.
Gestational age is the âageâ of the pregnancy. It often is counted in weeks and days. For example, â24 and 2/7 weeks of pregnancyâ refers to 24 completed weeks and the next 2 days of pregnancy. Medical advances have helped some preterm babies survive and overcome health challenges.