Uterine waistline

Uterine waistline's disease overview

The cervix is ​​a narrow tubular structure in the lower section of the uterus out of the vagina. The cervix when not pregnant is slightly opened so that the sperm can easily move into the uterus to help the conception process also let the menstrual blood from the uterus escape.

During pregnancy, the mucus in the cervix will form a cervical mucus, this mucus has the function of protecting the bacteria to prevent bacteria from entering the fetus.

Cervical open waist is a condition that the cervix wipes off the mucus button earlier than the expected date of birth leading to early labor.

During pregnancy, the cervix will become hard, long and closed until the cervical labor will become soft, erase the cervix so that the baby can get out.

cervical open waist during pregnancy is the most important cause of miscarriage, premature birth, especially in a row, is a disease that can be treated so it is necessary Early detected and spare waist stitches at the right time.

Causes of Uterine waistline's disease

uterine waist openings due to many causes of divided into two main groups:

  • innate

    • Mosa: The cervix is ​​damaged after the cervical plastering procedure for the previous abortion, the cervix torn at birth at the previous birth, after the tip or cutting surgery or the cutting surgery Cervical section for a certain reason, ...

    Symptoms of Uterine waistline's disease

    There may be no symptoms or very faint symptoms that may be confused with some other diseases, the symptoms may start to appear from the 14th week such as: feeling pelvic pressure, back pain,, Vaginal discharge more, pale pink or brown, vaginal bleeding.

    Signs of miscarriage due to uterine open waist are quite characteristic: sudden appearance, no symptoms of abdominal pain or abdominal pain very little, after a few mounds and rupture of the fetus escape very quickly. P>

    People at risk for Uterine waistline's disease

  • miscarriage in 3 months in the middle of pregnancy without finding the cause

    • Pre -history history

    History of consecutive miscarriage, premature birth (at least 2 times) with fast, painless characteristics.

  • Intervene in the uterus through the lower lines: Cervical plastic for abortion, cervical tear, tip ...

    • abnormalities in the uterus such as 2 -horned uterus

    Prevention of Uterine waistline's disease

  • Apply safe contraceptive measures, avoid unintended pregnancy to have abortion
  • Cervical safety abortion
  • Restricting procedures, surgery into the cervix
  • Examination and measurement of cervical length through ultrasound early detection of uterine open waist
  • If pregnant is less than 24 weeks, the ultrasound measures the cervical length through the vaginal line under 25mm and appears signs of uterine waistline, it is necessary to be stitched by the cervical waist. Prevention of miscarriage and birth

    • Diagnostic measures for Uterine waistline's disease

    Uterine open waist diagnosis is based on the following signs:

  • History of obstetrics: Malnetic or premature birth 28 weeks at least 2 times with painful labor without pain

    • History of miscarriage or premature death of 14-36 weeks with painful labor without pain accompanied by risk factors of the uterine open waist.

  • Measure cervical length via vaginal ultrasound below 25mm

    • Uterine waistline's disease treatments

    Uterine open waist treatment by the method of cervical ring stitching is highly effective, reducing the risk of miscarriage and premature birth. The cervical cycle can be done through 2 roads:

  • The cervical ring across the vagina: is a procedure to help the cervix closed a strand of thread through the vagina, to reduce the risk of preterm birth, bringing efficiency to the effect People with a history of miscarriage or premature birth in the middle in the middle, are common techniques that are easy to implement.
  • The cervical ring stitching through the abdominal wall: Can be done between pregnancy, can be done in the first 3 months The next pregnancy is because the uterus stitches are still capable of keeping the next pregnancy. However, this technique is difficult to do, leaving scars on the abdominal wall, having a cesarean section.

    • Attention after tips:

  • Monitor the mound, abdominal pain, bleeding, vaginal water
  • Rest at beds for at least 12 hours
  • discharged from the hospital without uterine contractions after 48 hours, no bleeding, vaginal water
  • Reasonable diet to ensure nutrition, limit movement in the first week
  • Avoid intercourse, hard work, stand for too long
  • Cut the stitching thread when pregnant> = 38 weeks or during labor
  • Preventive antibiotics, can use additional drugs
  • Periodic examination: Ultrasonic cervical length
  • Examination as soon as abnormalities: abdominal pain, bleeding, vaginal water

    • See also:

  • Cervical open waist during pregnancy is dangerous? Cervical at Vinmec
  • cervical ring stitching for premature birth or consecutive miscarriage

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