Is cervical ectropion during pregnancy dangerous?

This is an automatically translated article.

The article is professionally consulted by doctors of Obstetrics and Gynecology Department, Vinmec Ha Long International General Hospital

Cervical insufficiency is the leading cause of recurrent miscarriage and preterm birth. So how dangerous is cervical ectropion and what to do when it comes to cervical ectropion during pregnancy?

1. What is cervical ectropion?

The isthmus is the part between the cervix and the body of the uterus. When not pregnant, the waist of the uterus is only about 0.5cm. During pregnancy, the waist of the uterus will lengthen. At birth, the isthmus becomes the lower uterine segment up to 10 cm long.
Normally, the waist of the uterus and cervix are closed and only open during menstruation to let the menstrual flow out. During pregnancy, the isthmus and cervix are closed throughout the pregnancy, until labor, the cervix has a dilation phenomenon to allow the fetus and its appendages to come out.
Cervical fissure is a condition in which the cervix opens before and during pregnancy. At 16 weeks of pregnancy, the pressure in the amniotic cavity increases, pressing on the cervix, causing the cervix to gradually dilate, leading to rupture of membranes, miscarriage or premature birth.

2. How dangerous is cervical incompetence?

Uterine isthmus often has no early warning signs, so many pregnant women ignore it. When having a cleft palate during pregnancy, pregnant women may face the risk of
Miscarriage in the 4th month onwards, consecutive miscarriages. Premature birth and its impact on the health of the newborn. Causes of cervical cleft include
Congenital short cervix Dilation of the cervix during abortion has disrupted the structure of the hole in the cervix Due to cervical laceration during pregnancy Conical surgery or cut the cervix.

3. What to do when the cervical spine is open?

Pregnant women who are diagnosed with cleft palate are often admitted to the hospital to have the isthmus stitched to help keep the pregnancy until near the month of delivery.
Timing of suture
Based on age of last miscarriage. Usually, the best time to suture is around 16-20 weeks of pregnancy.
Conditions for suturing the uterus
The fetus develops normally and labor does not occur (no uterine contractions, the cervix is ​​dilated less than 2cm and less than 80% cleared, no amniotic fluid has been established).
Attention after suturing the uterus
The doctor uses some drugs to reduce uterine contractions and antibiotics to fight infections. Do not do heavy work at least for the first week after the suture of the uterus. Periodic antenatal check-up as directed by the doctor When there are signs such as: Abdominal pain and vaginal bleeding, you need to see a doctor immediately. Time to remove sutures
When the pregnancy is 36 weeks old However, when the woman has an early labor, the sutures will be removed as soon as the woman goes into labor to avoid the risk of uterine rupture and cervical tear due to sutures.

4. Treatment of uterine incompetence at Vinmec Ha Long Hospital

Professional and comprehensive care services, modern disease prevention system, each room is equipped with amenities equivalent to 5-star hotel standards. Customers are served meals, rest, and exercise fully.
The method of cervical stitches to prevent premature birth or recurrent miscarriage is applied to mothers with a diagnosis of cervical incompetence; have a history of cervical stitches and some special cases such as: twins, multiple pregnancies with cervical length less than 25 mm.
Contraindicated for mothers whose uterus has contractions; fetus over 24 weeks; stillbirth ; bleeding from the uterus; amniotic fluid inflammation ; premature rupture of membranes ; fetal abnormalities; acute genital inflammation...
Advantages of treating cervical ectropion at Vinmec Ha Long General Hospital:
Cervical suture to prevent premature birth or recurrent miscarriage is the most optimal method of prevention. Risks of preterm birth or miscarriage Patients are examined, consulted and treated by specialized doctors with extensive experience in the field of obstetrics and gynecology surgery such as: Specialist Doctor II Bui Minh Phuc, Specialist Doctor II Le Thi Phuong, MSc Nguyen Thanh Vinh .... Patients are operated in the most modern Hybrid operating room in the world with modern equipment to help achieve high treatment efficiency. The surgical procedure is tight, minimizing incidents and unwanted effects for the patient. Cleft palate during pregnancy is very dangerous because it is the main cause of miscarriage and premature birth. To ensure reproductive health, women should go to the doctor before and during pregnancy fully according to the instructions of the doctor, if unfortunately there is a cleft palate or other problems, the doctor will diagnose. and have an appropriate treatment plan, creating a premise to prepare for a healthy pregnancy.

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