Cervical Cerclage: Why And How Is It Done During Pregnancy
During pregnancy, as the baby grows and becomes heavier, it presses on the cervix. This pressure can cause the cervix to start to open before the baby is ready to be born. This condition is called cervical incompetent or weakened cervix, and can cause or premature birth. However, an incompetent cervix that occurs only about 1 in 100 pregnancies.
Bring your developing baby to full term is the goal of every pregnancy. Most of the losses while due to chromosomal abnormalities. or loss then often the result of an incompetent cervix
A weakened cervix can be caused by one or more of the following conditions :.
incompetent cervix is not routinely checked for during pregnancy and because it usually is not diagnosed until after the second or miscarriage has occurred. Women can be evaluated before pregnancy or early in pregnancy with ultrasound if they have one of the factors that potential causes of cervical incompetence. Diagnosis can be made by your doctor despite a pelvic exam or by. Ultrasound is used to measure the opening of the cervix or cervical length.
An incompetent or weakened cervix that occurs in approximately 1-2% of pregnancies. Nearly 25% of infants had a miscarriage in the second trimester is due to an incompetent cervix
You can not prevent cervical incompetence -. But experts recommend following tips to help promote the full term healthy pregnancy.
treatment for incompetent or weakened cervix is the procedure SEWS cervix closed to strengthen a weak cervix. This procedure is called a cerclage and is usually performed between 14-16 weeks of pregnancy. The stitches will be removed between 36-38 weeks to prevent problems when you go into labor. Elimination cerclage does not result in spontaneous labor infants
A woman will not be eligible for the cerclage if :.
Possible complications include uterine rupture, maternal hemorrhage, bladder rupture, cervical laceration, preterm labor and premature rupture of membranes. Likelihood of this risk is minimal, and most health care providers feel that cerclage is a life-saving procedure that is worth the possible risks involved
Compiled using information from the following sources :.
William Obstetrics Twenty-Second Ed. Cunningham, Gary F., et al, Ch. 9.
Danforth Obstetrics and Gynecology Ninth Ed. Scott, James R., et al, Ch. 4.
incompetent cervix. (2019, July 25). Retrieved from https://www.mayoclinic.org/diseases-conditions/incompetent-cervix/symptoms-causes/syc-20373836.
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