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Cleft cervix is a condition in which the cervix thins and opens before the fetus is large enough for the baby to be born. This is one of the causes of sudden miscarriage in pregnant women. The effective treatment of cervical ectropion is the suture of the cervix, a combination of medication and rest.1. What is cervical ectropion?
According to the American Association of Obstetricians and Gynecologists (ACOG), cervical ectropion is the inability of the uterus to sustain a pregnancy despite the absence of signs and symptoms of labor or uterine contractions. Cervical insufficiency can cause miscarriage, especially in the second trimester of pregnancy (from the 4th to the 6th month). You may experience unusual bleeding or abdominal pain before the miscarriage. Many miscarriages happen suddenly, without warning. A woman suddenly breaks her amniotic fluid, the fetus is born very quickly, but because the fetus is too premature, it often dies soon after.Causes of cervical cleft include:
Congenital Cleft Cervical Cleft cervix due to damage to the cervix from previous abortions or related diseases. Cervical incompetence is caused by a tear in the cervix from a previous birth.
2. Treatment of cervical cleft palate
Cases of cervical isthmus during examination are often indicated by doctors to be hospitalized to stitch the cervix.
Cách điều trị hở eo cổ tử cung là khâu eo cổ tử cung kết hợp sử dụng thuốc
Currently, medicine still does not have a good method to screen for cervical cleft. However, if you have signs of this condition, from the 16th week of pregnancy, your doctor will order a transvaginal ultrasound to check the length of your cervix. This screening is usually done every two weeks until 23 weeks pregnant. If your doctor detects any significant changes, for example your cervix is shorter than 25mm, you are at very high risk of preterm birth and need to be examined and treated promptly.
The time of cervical suture is usually from 16-20 weeks of pregnancy. It is best to stitch the cervical spine between 16 and 18 weeks, to avoid miscarriage before intervention. If the patient has a history of miscarriage due to cervical cleft before, the doctor will choose the time of stitching before the patient's last miscarriage.
By the 38th week of pregnancy, the patient will have sutures removed to be ready for a normal delivery. If the patient shows signs of early birth, the suture can be removed earlier to avoid tearing or breaking the cervix.
3. Stitching the cervix to prevent premature birth or miscarriage at Vinmec Ha Long
The cervical stitch technique at Vinmec Ha Long International Hospital helps to prevent premature birth or miscarriage. When the pregnancy is full-term, the suture removal procedure will be performed so that the mother can have a vaginal birth as normal physiologically.
Indications:
Cervical suture technique at Vinmec applies to the following cases:
Diagnosed with cervical incompetence Having a history of cervical stitches Having had two or more miscarriages of unknown cause . In some special cases: pregnancy with twins, multiple pregnancies with cervical length less than 25 mm. Contraindications:
Uterine contractions; fetus >24 weeks; stillbirth.. Bleeding from the uterus Inflammation of membranes Amniotic fluid rupture prematurely Fetal abnormalities Acute genital inflammation Doctor performed:
Specialist Doctor II Bui Minh Phuc - more than 18 years of experience in the field of Obstetrics and Gynecology, proficiently performs basic and specialized techniques in the field of obstetrics and gynecology.
Specialist Doctor II Le Thi Phuong - with 29 years of experience in the field of Obstetrics and Gynecology, proficiently performs surgeries with high technical requirements: Uterine fibroid removal surgery, Laparoscopic surgery with conservative treatment tubal tubes in the treatment of ectopic pregnancy,...
Ths.BS Nguyen Thanh Vinh - many years of experience in the field of obstetrics with domestic and foreign certificates: Certificate of Intrauterine Insemination in Infertility Treatment, Pelvic floor surgery for genital prolapse and urinary incontinence,...
4. Why should cervical stitches be performed at Vinmec Ha Long?
Experienced doctors in Obstetrics and Gynecology surgery. Modern equipment, high treatment efficiency. Professional services: Modern civilized disease prevention system, comprehensive care, meals, rest, exercise, health education, each room is equipped with amenities like a hotel apartment 5 stars, patient information is confidential. Vinmec Ha Long's Hybrid operating room is the most modern operating room system in the world today, integrating operating room and advanced imaging equipment (CT, MRI, ultrasound...) to help reduce surgery time and bring the best surgical effect for the patient. In anesthesia resuscitation, Vinmec adheres to anesthetic protocols, anesthesia safety guidelines, anesthesia checklists for 100% of surgeries to minimize incidents and unwanted effects.
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