In this case, the cervix as it begins to thin out, becomes soft and supple, which is easily determined by gynecological examination. At the same time, there is a shortening and opening of the cervical canal, which provokes the possibility of miscarriage.
How is the violation manifested?
Diagnosis of this phenomenon is difficult, because when pregnancy symptoms of ischemic-cervical insufficiency (ICS) are hidden. A woman can find out about her presence only with the next passage of a gynecological examination.
In rare cases, mainly in the development of complications, the same symptoms can be observed at short gestation periods, as in the case of a threat of miscarriage: spotting, spotting the discharge, pulling the pain in the lower abdomen, feeling of vomiting into the vagina.
How is the diagnosis of ICI?
Diagnosis of isthmico-cervical insufficiency, the symptoms of which are almost always hidden during pregnancy, is based on ultrasound data. On the presence of a violation, the doctor can assume and when examining the cervix. During the evaluation, the diameter and length of the channel itself are measured.
How is the disease treated?
Treatment of ischemic-cervical insufficiency, which developed during pregnancy,
With functional ICI (occurs when hormonal failure) hormone therapy is prescribed. Its duration is on average 1-2 weeks. In the case where the disorder did not lend itself to hormone correction, a pessary is placed.
The third method of treatment of the disorder is of a radical nature - surgical intervention. Supposes the imposition of a suture on the cervix, resulting in the formation of an artificial isthmus. Suture removal is performed at 37-38 week of pregnancy.