The threat may hang over each of the expectant mothers at any gestation period and for one of many reasons for this. One such is a short cervix in pregnancy.
What threatens the short cervix in pregnancy?
Normally, the size of the cervix of the woman is on average 4 cm. But in some cases it is shortened or even short. Such a diagnosis is made if the length of the cervix is ??2 or less centimeter.
The short neck of the uterus can be one of the signs of so-called isstiviko-cervical insufficiency (ICS). This is a condition in which pregnancy is at risk because of the physiological impossibility of the cervix and the isthmus of the uterus to hold the fetus in the cavity. That is, under the pressure of an ever-growing baby, the cervix is ??opened and miscarriage or childbirth occurs before the term. In addition, the deformed neck of the uterus is not able to protect the fetus from infections. And in the period of childbirth, this condition is dangerous, and the rapid course of events and as a result - ruptures of the cervix and vagina.
That the cervix is ??shortened, the gynecologist may suspect during the examination, but usually the pathology is revealed during the transvaginal ultrasound.
Why is the cervix short?
The cervix is ??congenitally short (when there are anatomical features of the structure), but more often it is an acquired sign. In what cases does the cervix shorten?
Well, first of all, during pregnancy, this can happen against the background of hormonal disorders. The risk of developing this condition rises in the period from 1 to 27 weeks of pregnancy, most often it occurs at a period of 16 weeks.
Also, the cervix often becomes shorter after mechanical damage due to various intra-uterine interventions: abortions, scraping or previous pregnancies. It forms scars, as a result of which the neck loses its ability to stretch, it deforms and shortens.
What if the cervix in pregnancy is short?
The very first and true - complete peace and a very considerate and careful attitude to yourself. If you have a short cervix, you must always be under medical supervision, periodically undergoing examinations at the gynecologist.
Caused by hormonal disorders, ICI is usually corrected with the help of medications.
If the situation is critical, most likely you will be imposed temporary stitches on the uterus, which before delivery will be removed. This procedure is called cervical cerclage, it is performed under anesthesia, so it is not worth worrying about.
Your doctor may suggest that you wear a pessary - a special gynecological ring that will hold the cervix in a stable state, preventing its premature opening. Wearing a ring can cause some discomfort at first, but it quickly passes, and for the sake of maintaining a pregnancy it is quite possible to endure.
It should be said that often women refuse any safety measures, relying on the case. Sometimes they really happily wear out the kids and give birth on time. But many for their decision pay too high a price. So if your doctor insists on suturing or installing a pessary and you trust him, it's best to obey.
But ideally, of course, let everything be good and stable!