ICN during pregnancy, features, symptoms, treatment

One of the indicators of the health of the population is its increase. That is, the ratio of people born to the number of people who died. Therefore, in order to increase this indicator, it is necessary to eliminate the problems that lead to such problems. The increase is reduced not only when the high mortality of newborns, but also of unborn children. One of the pathologies leading to this is the ICI during pregnancy. Isthmiko-cervical failure is a pathology of the cervix and isthmus of the uterus, in which spontaneous miscarriage occurs . Typically, this is the second or third trimester.

The causes of ICI during pregnancy are different:

- childbirth, abortions, various operations lead to the fact that the cervix of the uterus is injured;

- congenital pathologies also play a significant role;

- hormonal disorders, as a result of which functional insufficiency occurs, leading to ICI during pregnancy;

- Often the cause of ismiko-cervical insufficiency can serve as an extra burden on the cervix - multiple pregnancy, polyhydramnios, large fetus.

With ICI, the symptoms are often imperceptible for the woman herself. There are no painful sensations, as there is no tonus of the uterus. Therefore, ICI in pregnancy can be determined only by doctors, by manual examination or ultrasound. The specialist will be able to understand that the neck is open or the tissues are softened. Then the gaping external throat is already taking place. Also, in the case of a severe degree of ICI in pregnancy, you can palpate a fetal bladder.

Such women undergo a thorough examination and treatment. Moreover, during pregnancy with ICV treatment is significantly different from the treatment of a woman who is not in a position. In the latter case, treatment is associated with the reasons for which failure occurs. With hormonal deficiency - the hormone is used, with the stretching of tissues - surgical intervention.

In such women , pregnancy planning begins with the treatment of endometritis and restoration of the normal flora of the vagina. After all, the pharynx is open and there is direct access to various bacteria in the uterine cavity. To do this, antibiotics are administered.

During pregnancy, everything is more complicated, because inside the womb is a child, and it is important that he is born, and healthy. Since the open throat in the uterus can freely penetrate the infection, then the probability of infection of the fetus is high.

Therefore, there are certain dates when any surgical intervention is possible. In the period from 13 to 17 weeks on the cervix to establish seams. They can be of different types in connection with the peculiarities of the neck structure. For example, a cord round suture, a U-shaped seam.

When the gestation period is more than 24 weeks, use a special bandage for the cervix, called a pessary. It has the form of a ring and anatomically suits the features of the structure of the vagina. Use pessary can be at such a late date, because it significantly reduces the likelihood of infection of the bladder.

Do not forget about contraindications. Surgical intervention is performed only if:

- the fetus is alive and no vices are observed;

- there is no infection of the bladder, fetus, uterus and vagina;

- the fetal bladder is intact;

- the uterus does not come into tonus;

- There are no any vaginal discharge.

Otherwise, the termination of pregnancy.

In any case, with ischemic-cervical insufficiency, delivery takes place by caesarean section. Because during labor there can be a rupture of the cervix. Stitches and various bandages are removed in a period of 37 weeks, or in the event that the birth activity begins.

Thanks to the diagnostic capabilities and new types of pathogenetic treatment, it is not so dangerous for a pregnant woman to have an ischemic-cervical insufficiency. If you find the problem in time and treat it, you can save the pregnancy and prolong it until the fetus is fully formed and ready to be born.