Cervical insufficiency is also known as uterine headdress incompetence, while the headdress of the uterus begins to expand before the hour and without generating contractions, less than 2. 5 cm. This usually occurs at the end of the first trimester of pregnancy, which could lead to certain complications, such as an increased risk of abortion or preterm birth.
The uterine cuff is the last part of the uterus and consists of cartilaginous tissue that separates the uterine body from the vagina. The uterine cuff has a small opening, which opens to allow menstruation to come out and sperm to enter, but is usually completely closed.
- During the embargo.
- It is expected to be completely closed.
- So that the baby can grow well and only at the end of the embargo.
- Should gradually decrease in size and allow the baby to pass under the light.
Cervical insufficiency in general symptoms and, therefore, we were only able to discover by ultrasound, some situations that favor this inadequacy are:
A history of abortion before preterm birth;
Having held a meeting of the body of the uterus;
Dilation of the uterus during uterine legradation.
Your doctor identifies that your cervix is incompetent when this measure measures less than 2. 5 cm at any stage of pregnancy.
Those who were able to identify this change in transvaginal ultrasound at week 13 of inclusion or the morphological ultrasound performed at week 20 of boarding. Although less common, your doctor may do another candle trick number 8.
There is no way to avoid uterine cuff deficiency, but perform gynecological examinations annually and follow prenatal care during the embargo, the best ways to discover any changes in the reproductive system, by performing any necessary treatment.
Treatment should be indicated by the obstetrician accompanying the embargo and aims to postpone the maximum delivery of the baby, which could be done with:
This procedure can be performed in an emergency with spinal anesthesia and sedation, but its performance is less suitable between 12 and 20 weeks of shipment, however, it must be performed in women who do not have infection and there are also strains such as uterine. Infection, rupture of the amniotic sac, which could generate contractions, which can lead to childbirth.