When you’re pregnant, you learn a lot about the details of your body that you probably didn’t know before. It makes you more careful to monitor it to ensure its safety, and it will therefore be responsible for fetal safetyOne of these things is if you have a short cervix.
Details about this information conveyed to you by “Madam and your child” after consulting experts and specialists.
What is the cervix?
The cervix is the opening at the bottom of the uterus that, when you’re not pregnant, is very short, about 25 mm, and closed. But during pregnancy, the cervix gets longer, putting a greater protective distance between your baby and the outside body.
In one study, including 930 pregnant women, the average length of the cervix at 8 weeks gestation was about 41 mm. But as the pregnancy progresses, it begins I dont know shrinking again in preparation for childbirth. In fact, it is the shortening, opening, thinning and softening of the cervix that allows the baby to pass through the birth canal and face the new outside world.
A short cervix is a complication of pregnancy
If your cervix is, basically, shorter, and this appears early in pregnancy, and as the first weeks pass, it will become shorter, leading to preterm labor or can cause a miscarriage, then you may miss the pregnancy before 20 weeks of it. Researchers have found that women whose cervix measures 15 mm or less when they reach 23 weeks of pregnancy make up the majority of preterm births that occur at or before 32 weeks. Premature birth. Since the goal of the care of the pregnant woman is her safety and the safety of the fetus, by preserving it inside the womb for as long as possible, it is important to diagnose and treat a short cervix to prevent cervical insufficiency, or its softening and opening (dilation during pregnancy).
Causes of a short cervix
The main cause of short cervix or cervical insufficiency is:
1 – Trauma to the cervix, such as a dilation or curettage, but this is rare.
2 – damage to the cervix during difficult childbirth.
3 – Exposure to the hormonal drug “Diethylestyl Bistrol”, which complements the deficiency of estrogen, which is used in the treatment of menopausal syndrome, or breast cancer, and many other indications for treatment, (that is, if your mother took it during her pregnancy with you).
4 – rupture of the cervix;
5- Cervical insufficiency can also be congenital.
Two signs that indicate a short cervix
I dont know The short itself does not cause symptoms. However, there are some signs that indicate a short cervix:
1 – Previous miscarriage in the second trimester of pregnancy, which is the main cause of a short cervix.
2- Previous preterm labor, spontaneous labor before 37 weeks, and if you have these reasons, your doctor will suggest cervical measurement as part of prenatal monitoring.
Symptoms of short uterus
You may experience some symptoms during pregnancy that are associated with an insufficiency of the cervix. But during the second trimester of pregnancy, tell your doctor if you have any of the following symptoms:
1 – Unusual contractions.
2- Pelvic pain or pressure.
3 – Light bleeding, of course you should tell your doctor any bleeding you get.
4 – back pain.
5 – changes in secretions.
How to diagnose a short cervix?
If you’re at higher risk of developing a short cervix due to preterm labor or a previous delivery, have a history of miscarriage, or have a family member with a short cervix, your doctor will perform an ultrasound to measure the cervix. Because of your condition, your doctor may take this measurement at the beginning of the second trimester of pregnancy, or about 12 to 14 weeks, and if the measurement of the cervix is less than 25 mm at this stage, your doctor will take the necessary precautions.
And remember that you may not have symptoms that warn you of the condition, so you can always ask your doctor to measure your cervix, even if there is no risk.
Treatment of short cervix
The good news for you and your baby is that, once your doctor knows about a short cervix, there are treatments that can help delay labor for as long as possible, including:
This is basically a strong stitch that closes the cervix that the doctor makes in the second trimester of pregnancy. It is done if the size of the cervix is less than 25 mm, or if you already have an insufficiency of the cervix, to prevent miscarriage and keep your baby. Rest assured, a cerclage won’t last forever, as your doctor will remove the stitches as soon as it’s safe to go, when you’re 36 to 38 weeks.
Your doctor may prescribe progesterone as an injection or suppository. Progesterone is helpful in preventing preterm labor, by half, studies have shown.
A newer alternative to cerclage with sutures and progesterone, it’s a small ring designed to wrap around and close the cervix, doesn’t require surgery, and is a better option for doctors.
Note from “Madam Net”: Before applying this recipe or this treatment, consult a specialist doctor.