What are the symptoms of cervical insufficiency in pregnancy? Is it dangerous?


Cervical insufficiency is one of the problems during pregnancy that occurs for some women. If during pregnancy examinations it is determined that your cervix has opened before the appropriate time, you have cervical insufficiency. In this article, we explain what changes this condition causes in the cervix. What are the symptoms? Why do some people have this problem? Which factors increase the risk of this condition? What problems does this failure cause for the mother and fetus? How does the doctor diagnose it? What is its treatment and how can it be prevented? If you have problems with pregnancy or have any suspicious symptoms, be sure to visit a gynecologist. You can contact a gynecologist through your doctor’s website. In addition to the face-to-face appointment system, Doktorto also offers online and telephone consultations. What is cervical insufficiency? The cervix is ​​located in the lower part of the uterus and reaches the vagina. When you are not pregnant, the cervix is ​​closed and rigid. But during pregnancy, the cervix gradually becomes soft, shortened and opened. This condition prepares you for childbirth. Cervical insufficiency is one of the complications of pregnancy that occurs for some women. This complication is one of the diseases of the cervix and causes the cervix to open too early during pregnancy and causes premature birth or miscarriage. The weakening of the cervical tissue is the cause of this problem. In a healthy pregnancy, the cervix should be firm and closed until the end of the third trimester. In late pregnancy, it gradually becomes shorter, wider and softer. In this case, the mother is prepared for childbirth and the baby comes out more easily. Cervical insufficiency is usually painless and not easy to diagnose. One out of every 100 pregnancies may be associated with this problem. Cervical insufficiency occurs in one out of every 100 pregnancies. As you can see in the picture, this complication causes the opening of the cervix. Symptoms of Cervical Insufficiency In many cases, cervical insufficiency has no symptoms. This problem is usually diagnosed in the second trimester after abortion. If you have had a history of miscarriage before or if you have risk factors for this complication, you should visit a gynecologist for timely diagnosis. Examinations should be done in the 16th to 20th week of pregnancy. Sometimes the following symptoms may appear in the 14th to 20th week of pregnancy. If you experience any of the symptoms mentioned during pregnancy, be sure to visit a gynecologist. You can contact a gynecologist through your doctor’s website. In addition to the face-to-face appointment system, Doktorto also offers online and telephone consultations. Some women have no symptoms despite cervical insufficiency. But sometimes they may experience mild discomfort. Cause of cervical insufficiency The exact cause of cervical insufficiency is not known. Any woman may experience this problem during pregnancy. But some conditions can cause this problem. Among them: Abnormal formation of the uterus or cervix, a history of cervical surgery, a short cervix, uterine injury due to abortion or previous birth, exposure to the synthetic hormone diethyl acetylbestrol, risk factors for cervical insufficiency, some factors may increase the likelihood of developing this complication. give Of course, many women suffer from this problem during pregnancy without having any risk factors. The following are the most important risk factors. Cervical trauma: sometimes the Pap smear test results may be abnormal and surgery may be performed to treat the abnormality of the cervix. These types of surgeries can increase the possibility of cervical insufficiency in pregnancy. Usually, cervical tear in previous childbirth does not cause this problem. Race: Among different races, black women suffer more from this condition. Congenital conditions: Some uterine abnormalities and genetic disorders can cause this problem. For example, a genetic disorder affects the fibrous protein of connective tissue (collagen) and causes failure. Complications of Cervical Failure Opening of the cervix, especially in the second trimester of pregnancy, can bring risks. Among its most important risks, the following can be mentioned. With the opening of the cervix in the second trimester of pregnancy, the possibility of premature birth increases. Diagnosing Cervical Insufficiency Diagnosing Cervical Insufficiency is difficult and sometimes it cannot be diagnosed; Especially in people who have this problem during their first pregnancy. The doctor should check all the symptoms and ask about the medical records. If you have already had an abortion in the second trimester of pregnancy or have performed surgery on the cervix, you must inform your doctor. If you have a history of giving birth in the second trimester of pregnancy or if your cervix has opened without pain and uterine contractions, the gynecologist can diagnose this complication. Quoted from mayoclinic in relation to performing a test to diagnose cervical insufficiency before pregnancy: There is no test that can be done before pregnancy and reliably predict cervical insufficiency. However, certain tests performed before pregnancy, such as an MRI or ultrasound, can help detect uterine abnormalities that may be causing this complication. Some diagnostic tests and methods help identify this complication in the second trimester of pregnancy. We will explain each one below. 1. Transvaginal ultrasound Transvaginal ultrasound is used to check the length of the cervix and the protrusion of the membrane from the cervix. To perform this test, the thin transducer of the ultrasound device is placed in the vagina. The device sends sound waves and the image appears on the monitor. By viewing the image of the cervix, the doctor can diagnose problems in this area. 2. Pelvic examination In the genital examination, the doctor must check whether the amniotic sac protrudes from the cervix or not. If the examination shows that the fetal membrane has entered the cervical canal or vagina, this condition is a sign of cervical insufficiency. Also, the gynecologist should check the contractions of the uterus and take the necessary measures if necessary. 3. Laboratory tests If it is determined in the pelvic examination that the fetal membrane has entered the cervical canal and cervical inflammation is detected in the ultrasound, laboratory tests are needed. In this test, a sample of amniotic fluid (amniocentesis) must be sent to the laboratory. In the laboratory, it is determined whether the amniotic sac and the chorio-amniotic fluid are infected or not. If you have suspicious symptoms or risk factors related to cervical insufficiency, be sure to visit a gynecologist for diagnostic tests. According to your symptoms and conditions, the doctor prescribes the necessary tests and performs a pelvic examination. You can contact the best gynecologist through the website of your doctor. In addition to the face-to-face appointment system, Doktorto also offers online and telephone consultations. Cervical insufficiency treatment This condition is treated in different ways. After examining your condition, the doctor will choose one of the following methods for treatment. 1. Progesterone supplement If you have a history of premature birth, the doctor recommends injecting a type of progesterone hormone called hydroxyprogesterone caproate weekly to prevent the recurrence of this problem. Weekly injection of this hormone is done in the second and third trimester. Various researches are being investigated for the use of progesterone in the prevention of cervical insufficiency. 2. Repeated ultrasound If you have had a history of premature birth or any of the risk factors for this complication are true in your case, the gynecologist recommends repeated ultrasound. You should do an ultrasound every two weeks from 16 to 24 weeks of pregnancy. In this test, the length of the cervix is ​​checked. If the doctor determines that the cervix is ​​dilating or is shorter than the standard length, a treatment called cervical cerclage is used. 3. Cervical Cerclage If you are less than 24 weeks pregnant and the ultrasound shows that your cervix is ​​opening or you have had a history of premature birth in the second trimester, your doctor may recommend a surgical procedure called cervical cerclage. This surgery prevents premature birth. Preventive cerclage is performed for people who have had a history of premature birth due to cervical insufficiency. In this situation, this surgery is performed before the 14th week of pregnancy and the opening of the cervix. During cerclage surgery, the doctor closes the cervix with strong stitches. The stitches are removed in the last month of pregnancy or at the time of delivery. Cervical cerclage is not suitable for all women. Before surgery, you should consult a gynecologist about its benefits and complications. For example, women who are pregnant with multiples should not use this method. You can consult a gynecologist through your doctor’s website. In addition to making an appointment in person, you can consult online and by phone. Quoted from my.clevelandclinic regarding the success of cervical cerclage treatment: Women who have had cervical insufficiency in a previous pregnancy are likely to suffer from this complication in subsequent pregnancies. Treatment with cervical cerclage is successful in about 90% of cases. Cervical insufficiency can be diagnosed with frequent ultrasound and cervical cerclage can be performed. Complications of Cervical Cerclage Cervical cerclage can have risks and complications. You should be aware of these complications before surgery. Among the most important complications, the following can be mentioned. Uterine rupture (sudden rupture) Internal bleeding Cervical tear or incision Infection In cervical cerclage, the doctor closes the cervix with strong stitches, this method is 90% successful. Prevention of cervical insufficiency There is no specific solution to prevent cervical insufficiency. But with some measures, you can help to have a healthy pregnancy without complications. Among them: take checkups before pregnancy and during pregnancy seriously. Regular visit helps to check the health of you and the fetus. Any suspicious signs should be carefully investigated. Have a healthy diet. Consult your doctor about the vitamins you need during pregnancy. You will need more essential nutrients like folic acid, calcium and iron during pregnancy than before. Have a good weight gain. The slow process of gaining weight helps the health of the fetus. If your weight was in a healthy range before pregnancy, you can gain between 11 and 16 kg during pregnancy. Avoid smoking, alcohol and drugs. Consult your doctor before taking any medicine or supplement. Your frequently asked questions If you have cervical insufficiency or there is a possibility of this complication due to the existence of risk factors, you have probably encountered questions about this issue. For this reason, we have raised some of your frequently asked questions and provided their answers. Is back pain a sign of cervical insufficiency? One of the signs of cervical insufficiency in the second trimester of pregnancy is back pain. If you have new back pain in the 14th to 20th week of pregnancy, be sure to visit a gynecologist to check the condition of the cervix. Does cervical insufficiency cause miscarriage? Usually, this complication has no symptoms and cannot be diagnosed in time. If left untreated, cervical insufficiency can lead to miscarriage or premature birth. This problem is usually diagnosed after abortion. Does cervical insufficiency cause changes in vaginal secretions? One of the signs of this condition can be a change in vaginal secretions. Tell your doctor if your vaginal discharge changes or you have spotting during the 14th to 20th week of pregnancy. Which doctor should we see to diagnose and treat cervical insufficiency? Cervical insufficiency is one of the complications of pregnancy that some women experience. During the last weeks of pregnancy, the cervix gradually becomes softer, open and shortened. This condition prepares the cervix for childbirth and the baby comes out easily. But in some women, the cervix opens in the second trimester of pregnancy and causes premature birth or miscarriage. People who have had a history of premature birth or surgery on the cervix are more prone to this complication. Cervical insufficiency usually has no symptoms and is diagnosed after miscarriage or premature birth. But sometimes it is associated with symptoms in the 14th to 20th week of pregnancy. A person may have back pain, abnormal vaginal discharge and spotting. If these symptoms occur, you should see a gynecologist. To diagnose this complication, a pelvic examination is performed and the condition of the cervix is ​​checked with ultrasound. Surgery called cervical cerclage is usually used to treat it. In this surgery, the cervix is ​​stitched and the stitches are opened near the time of delivery. You can refer to a gynecologist and obstetrician through your doctor’s website. In addition to the face-to-face appointment system, Doktorto also offers online and telephone consultations. Your doctor takes care of your health!

منبع: نی نی نیوز

دیدگاهتان را بنویسید