What is ICI?
Isthmiko-cervical insufficiency is one of the most common causes of premature birth. This condition is characterized by the fact that the isthmus and cervix during pregnancy can not cope with the increasing burden. Normally, the cervical muscular ring should hold the fetus in the uterine cavity during the period of gestation, but when the ICSC the muscular ring does not cope with its function, which provokes the opening of the uterus and creates a threat of miscarriage.
Functional ICI can develop against the background of an increase in the content of male sex hormones in the female body and is most often formed at the 16-27 week of pregnancy. As a result of the development of the NIH, excessive pressure on the cervix occurs, especially in multiple pregnancies.
INC traumatic develops against abortion or other intra-uterine interventions. With such manipulations, the integrity of the cervical muscular ring is damaged, which forms the connective scar. The connective tissue, unlike the muscle, is not free to stretch and contract. Also, the cause of the development of traumatic NIC may be ruptures of the uterus, which took place during the previous birth.
Symptoms of NIH in pregnancy
Unfortunately, ischemic-cervical insufficiency is asymptomatic and only in some cases, in the early stages of pregnancy can manifest itself in the form of smearing bloody discharge and drawing pains in the lower abdomen. Also, there are possible bursting sensations inside the vagina.
Since the NIC in most cases is asymptomatic, then diagnosing this disease is not an easy task. That is why a regular visit to a gynecologist is very important during pregnancy. At the same time, the doctor must perform a vaginal examination at each visit in time to identify and prevent the development of the NIH. A more accurate diagnosis can be made using ultrasound, which is performed by a vaginal sensor.
Based on the results of the study, doctors pay attention to the length of the cervix and the presence of opening the internal pharynx, after which confirm or exclude isthmic-cervical insufficiency.
Treatment of NIH in pregnancy
If the development of the NIC is provoked by hormonal or endocrine disorders, the treatment will consist in prescribing drugs that correct the hormonal level. Naturally, the treatment is carried out under careful medical supervision.
As for the treatment of ICI, which was formed as a result of trauma, surgical intervention may be required. To do this, seams are placed on the cervix, which later help it cope with the growing load. Note that the surgical procedure is performed under general anesthesia.
An alternative to surgical intervention in certain forms of NIs is the special construction of the pessary, which also reduces the burden on the cervix.
In conclusion, we note that adherence to the pregnant regime also plays a big role in the success of treatment of the NIH. Therefore, try to minimize physical exertion, avoid sexual contact as much as possible, avoid stress and regularly visit a doctor. Naturally, to ignore the appointment of the treating doctor in any case impossible.
And do not forget about the positive psychological attitude and belief in success. It is positive thoughts and belief in yourself that will allow you to endure and give birth to a healthy baby!