Isthmicocervical insufficiency

Isthmiko - cervical insufficiency is one of the most frequent causes of premature births and miscarriages in the second and third trimesters of pregnancy. This is a condition where the isthmus and cervix begin to fail to cope with the strain and are revealed. Mostly this occurs in the second half of pregnancy, when the fetus increases rapidly in size, and the amniotic fluid becomes much larger. Depending on the reasons, they will identify functional and traumatic ICI. To provoke this terrible condition can:

• Trauma to the cervix (delivery, invasive treatment of pathologies, abortion);
• Congenital pathologies of the cervix;
• Functional failure of this organ due to hormonal disorders;
• Excessive stress on the cervix due to multiple pregnancy, polyhydramnios or large fetuses.

Isthmiko - cervical insufficiency: symptoms

Unfortunately, ischemic - cervical insufficiency almost always proceeds absolutely asymptomatically, which creates a huge risk for the life and health of mother and baby. In such cases, it is not uncommon to discover this state too late, when it is impossible to change anything for the better.

If, nevertheless, the NIH is manifested, it is most often the threat of miscarriage, the presence of stitching or drawing pains in the abdomen, especially in the lower part of it, a feeling of bursting and pressure in the vaginal area, and mucocutaneous bleeding.

Isthmiko-cervical insufficiency: treatment

The nature of the treatment depends on when an ischemic-cervical insufficiency was detected: before pregnancy or already at the time, what is its nature. If this dangerous condition is detected before the planned pregnancy, then sometimes perform special plastic surgery of the cervix. To give birth after this is possible only with the help of caesarean section, to prevent its rupture. It is possible and medical treatment in the case of nontraumatic ICI.

During pregnancy, treatment can also be medicated, if the emergence of a threatening condition is associated with an impaired hormonal background. However, in general, doctors have to resort to surgery, although more recently a nontraumatic method of treating the ICI has been used with the help of the piebald-ring Meyer, put on the cervix. Surgical treatment, conducted only in the hospital, is shown at the 13th-17th week. The superimposed seams should help to deliver the pregnancy at least up to 32 - 33 weeks, and with a successful combination of circumstances and more. When exactly the operation is decided by the doctor, proceeding from the individual characteristics of the woman, the period of pregnancy, the possible risks. Tightening with the application of seams is strictly not recommended, as the longer the period, the more likely the infection of the fetal bladder during the operation. Yes, and miscarriage can occur at any time. Indication for urgent surgery is the progression of the pathological condition. After the operation, a woman is constantly observed by a gynecologist, often drugs that reduce the probability of a woman's uterus tone are recommended, a sparing regimen is indicated.

Surgery is not performed in cases where pregnancy poses a threat to the health and life of the woman herself, and also if the fetus is diagnosed with serious malformations. The operation is postponed in the event that an infection of the genital tract is detected (until the appropriate treatment is performed).

In general, with a timely diagnosed ICP, the prognosis is favorable. For this it is important not only to strictly observe all the recommendations of the gynecologist and not to refuse (and if necessary insist on it) from regular examinations on the armchair, but also to contact specialists long before the planned pregnancy. A serious attitude and concern for one's health will help a woman to prepare herself fully for a very important stage in her life, which is the best way to affect the health of the child.