The length of the cervix is of great importance in bearing pregnancy, so obstetrician-gynecologists pay much attention to this issue, both during the planning of pregnancy and throughout pregnancy. A shortened cervix is rarely a congenital anomaly, a change in its size is most often the result of aggressive interventions (abortions, scraping, hysteroscopy ). Pregnant with a short cervix of the uterus are put on the record regarding the threat of miscarriage. Next, let's see what are the peculiarities of managing pregnant women with a shortened cervix.
What is the short cervix?
The normal length of the cervix is usually 4 cm, and if it is less than 2 cm, it is considered short. During pregnancy, the cervix of the cervix tightly closes and does not allow the fetus to appear before the established, and also does not pass the infection inside the uterus. A condition in which the cervix uterus tends to prematurely open is called ischemic-cervical insufficiency. This condition threatens the expectant mother with spontaneous abortion or premature birth. And in childbirth, significant ruptures of the cervix are possible.
An experienced gynecologist can determine the shortening of the cervix during a vaginal examination, but with greater certainty this diagnosis will be made by a specialist who performs an ultrasound with a vaginal sensor.
Short cervix - treatment
The most important curative measure with a shortened cervix is a severe restriction of physical activity. If the occurrence of ischemic-cervical insufficiency is caused by the deficiencies of pregnancy hormones, then this condition is corrected with the help of special medications. If there is a threat of premature termination of pregnancy, then such a woman will be offered a doctor to apply sutures to the cervix and staples. These manipulations are very painful, therefore they are produced under general anesthesia. Stitches and braces are removed by the doctor in the delivery room, when the woman began labor activity. Another way to keep the cervix closed before delivery is to dress a special ring on it (pessary), which in the early days can cause a woman a feeling of discomfort.
Having considered what danger the short cervix of the uterus can carry, I would like to advise future mothers to visit the doctor of a gynecologist on a timely basis and adhere to all his recommendations.