Cervical insufficiency, often referred to as cervical laxa or intracervical atresia
Cervical insufficiency, often referred to as cervical laxa or intracervical atresia. If the second half of pregnancy, obstetrical examination found that the cervix is incomplete, the cervical opening part of the excessive relaxation, easy to cause premature labor. This condition occurs more often in patients who have had cervical surgery before, or in women who have had multiple natural births. If the cervix is found to be incomplete in the middle of pregnancy, how should I deal with it?
1. Non-surgical treatment. These include limiting pregnant women's activities, absolute bed rest, the use of pelvic supports, and the use of vaginal pessaries under the guidance of a doctor.
2. Surgical treatment of cervical insufficiency. Non-surgical treatment is difficult to improve symptoms, and surgical management is recommended if surgical indications are present.
(1) If in the second trimester of pregnancy, labor and placental abruption are excluded, the physical examination finds that the uterine orifice has been dilated, or even the amniotic sac has been removed from the external opening of the cervix, emergency cervical ceration is required.
(2) For patients with a history of late abortion or preterm birth, this pregnancy is a single fetus, and the length of the cervix is less than 25mm before 24 weeks of gestation, cervical cervix cervix can be performed with ultrasound as an indication, and the suture can be removed after term, that is, about 37 weeks of pregnancy.
(3) In addition, if a pregnant woman has a history of three or more spontaneous abortions in the second trimester or preterm birth, prophylactic cervical cervix is generally recommended at 12-14 weeks of gestation.
Women with cervical insufficiency must not be too careless, while closely observing, we must pay attention to rest more during pregnancy, strengthen nutrition, avoid standing for a long time, and avoid strenuous exercise. In addition, once the cervical ring is tied, near the due date must be hospitalized in advance for observation, if necessary, remove the suture in advance, must not be forgotten, otherwise it will affect the natural delivery.
1. Non-surgical treatment. These include limiting pregnant women's activities, absolute bed rest, the use of pelvic supports, and the use of vaginal pessaries under the guidance of a doctor.
2. Surgical treatment of cervical insufficiency. Non-surgical treatment is difficult to improve symptoms, and surgical management is recommended if surgical indications are present.
(1) If in the second trimester of pregnancy, labor and placental abruption are excluded, the physical examination finds that the uterine orifice has been dilated, or even the amniotic sac has been removed from the external opening of the cervix, emergency cervical ceration is required.
(2) For patients with a history of late abortion or preterm birth, this pregnancy is a single fetus, and the length of the cervix is less than 25mm before 24 weeks of gestation, cervical cervix cervix can be performed with ultrasound as an indication, and the suture can be removed after term, that is, about 37 weeks of pregnancy.
(3) In addition, if a pregnant woman has a history of three or more spontaneous abortions in the second trimester or preterm birth, prophylactic cervical cervix is generally recommended at 12-14 weeks of gestation.
Women with cervical insufficiency must not be too careless, while closely observing, we must pay attention to rest more during pregnancy, strengthen nutrition, avoid standing for a long time, and avoid strenuous exercise. In addition, once the cervical ring is tied, near the due date must be hospitalized in advance for observation, if necessary, remove the suture in advance, must not be forgotten, otherwise it will affect the natural delivery.
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