Treatment of soft cervix
The physiological phenomenon considered in this article can be both a symptom of a number of diseases, then therapy of a particular disease should be conducted, and a natural norm process. Therefore, the treatment of a soft cervix is a mixed question.
If we are talking about childbirth, the maturity of the cervix in this period is determined by experts on the special scale of Bishop. This indicator the obstetrician-gynecologist receives at survey of the woman in childbirth.
In order for labor to pass without significant disruptions and other injuries, both the parturient woman and her child, the diameter of the channel cross-section at the first stage of obstetrics should be about ten centimeters.
But if the time of delivery has not yet come, and a woman has a soft cervix diagnosed - this does not mean that she can not report and give birth to a healthy baby. This patient is attributed to bed rest and almost to the birth itself will have to lie in bed. The legs of this orthopedic bed rise to an angle of 30 degrees.
Such women in labor should avoid strong overloads. This applies to both the physical and emotional aspects of life.
If the uterine cervix is also recognized, and uterine hypertension is an unambiguous hospitalization of a pregnant woman, it is put "for preservation".
In such a situation, the patient will be prescribed drugs that relax the muscles of the uterus, in some cases they work as a stimulus to the neck, strengthening it.
In a number of cases, the softening of the organ under consideration is accompanied by the observation of its small size. This clinical picture is designated by doctors as an inconsistency of the cervix, which can lead to the loss of the fetus already in the late stages of pregnancy (20 - 30 weeks of gestation). In this case, the obstetrician-gynecologist can resort to the help of a pessary. This is a special medical device representing the shape of the ring. It is fixed on the neck, not allowing it to disperse before the due time. It also protects the organ in question from the excessive pressure produced by the growing fetus.
The installation procedure is fast enough, without causing any special discomfort to the pregnant woman. Take it off immediately when the term of childbirth approaches: after 37 - 38 weeks. This procedure of setting and removing is carried out only in the conditions of a specialized hospital (maternity home). This is due to the possibility of the onset of labor activity immediately after removal of the device.
This innovation allows the child to reach the due date and produce a strong and healthy baby.
Another method of solving the problem that has been created by physicians is the imposition of surgical sutures on the cervix. The essence of the technique is the contraction of the organ considered in this article by special surgical sutures, using catgut.
This method of closing the canal is carried out only in a hospital under anesthesia. The most suitable time for the procedure is the period from the 14th to the 20th week of gestation. Before the procedure, the pregnant woman must undergo the necessary examination. Such a patient remains under constant monitoring of the treating doctor almost to the birth itself. Like any operation, this method can lead to a number of complications or not to give the expected result. But still, in most cases, such activities allow a woman to successfully deliver the fetus, and give birth to a healthy baby.
With functional insufficiency of the cervix, the patient receives medical support of the body. These are mainly preparations based on progesterone. They do not allow premature weakening of the muscular tissues of the cervical canal.
If the pregnancy has not yet occurred, the question of the plasticity of the cervix can be raised. At the same time, anamnesis of a woman is necessarily taken into account: the number of births, pregnancy interruptions, the presence of gynecological diseases and so on. Although such a correction does not exclude the presence of pregnancy.
Perhaps, almost none of the diseases can be stopped without the use of medicamental methods of affecting the patient's body. Medications used in this case are referred to progesterone-containing drugs. You can note, for example, such as: progesterone, progestogen, morning.
The progesterone drug can be given to the patient in the form of injections, both under the skin and into the muscle.
The dose of the injected drug in this case is prescribed by the attending physician individually in the range from 5 to 25 mg. The schedule of injections can be daily, and can be taken in a day. Duration of admission - until complete relief of signs of a threatening miscarriage. Contraindications to the appointment of this medication can be an average or severe degree of hepatic or renal dysfunction, the presence in a woman's history of a cancerous growth in the mammary gland, hepatitis, increased thrombosis, a predilection for nervous disorders and lactation. Alternative treatment
It should immediately be noted that any treatment, be it traditional or nontraditional methods of therapy, should only take place under monitoring and with the consent of the attending physician. As practice shows, an alternative treatment for a softened cervix does not bring a positive result.
This unconventional technique can be an auxiliary method of solving the problem: increasing the body's immune forces, stopping inflammatory processes in the body, and so on. Most of these recipes are based on the use of minerals, herbs, other plants.
Modern healers are ready to offer a great many recipes of alternative medicine that will support the body and allow you to quickly solve the health problem. But applying them as the only method of treatment is strictly prohibited.
Treatment with herbs with a soft cervix is not applied. You can offer only a number of recipes that will increase the body's defenses, as well as conduct antibacterial and anti-inflammatory therapies.
Unfortunately, modern homeopathy is not able to help future mothers in the matter of the soft cervix.
Modern classical medicine is equipped with a number of techniques that allow for operative treatment of the softened cervix of the uterus (istmiko - cervical insufficiency).
If the cause of this factor are ruptures and trauma to the cervix - a consequence of previous births, then the plastic of the organ in question can be done as a surgical treatment. The operation is performed before the planned pregnancy. This technique gives the woman a chance in the future to become a mother again.
If a woman is already waiting for a child, then the only indication for surgical treatment may be a threat of spontaneous abortion, or already available in an anamnesis of pregnant premature births.
Another reason that can raise the issue of surgical treatment is ismiko - cervical insufficiency of the muscular tissues of the body in question.
Surgical treatment of this pathology is not carried out if a woman's history includes diseases that become contraindications to conception, bearing and childbirth: severe pathology of the cardiovascular system, renal system, liver and a number of other diseases.
In the soft uterus, the blocking ability is broken, which removes the barrier that prevents the invasion of pathogenic flora and infection into the genital organs of the body.
Another method of surgical treatment is the application of catgut sutures. They tighten the neck, not allowing it to open, even with increasing loads received from the growing fetus.
The most optimal time for this operation is the thirteenth - seventeenth week of pregnancy. Although the term of such intervention, the attending physician appoints individually, based on the timing of the manifestation of pathology.
At the same time, as the pregnancy period increases, the pressure on the cervix increases, which leads to an even greater opening, increasing the risk of miscarriage. Drawing a conclusion from the above, it can be understood that surgical treatment at later terms of gestation is less effective.
This operation is carried out only in a hospital of a specialized clinic.
The first two days after suturing, the place of intervention is sanitized by specially appointed antiseptics. The duration of inpatient treatment is usually five to seven days. Everything depends on the threat of complication.
In the future, such a patient undergoes medical monitoring every two weeks outpatiently with her obstetrician-gynecologist.
Periodically, she needs to take a swab of vaginal discharge for analysis. Such a study is conducted at least once every two to three months.
The applied seams are removed in a hospital without anesthesia after the expiration of 37 to 38 weeks of gestation. After this, a woman should be under medical supervision for at least 24 hours. This is done because during the first day after removal of the catgut, contractions and labor can begin.
If the mother is beginning to feel contractions, and the seams have not been removed, she should call an ambulance or taxi and go to the nearest maternity hospital.
At the waiting room, medical staff should immediately say that seams have been placed on the cervix. Catgut is necessary in such a situation to remove necessarily, without looking back for a week of pregnancy. Since during fights, a surgical thread can injure the organ in question by cutting it.
Modern medicine in recent years has increasingly begun to use a different, less traumatic organ to eliminate softening - the placement on the cervix of a special fixator - the ring Meyer, which has another name - pessary.
The obstetrician-gynecologist wears a special ring for the organ under consideration, which does not allow, until a certain time, the opening of the cervix and thereby removes the threat of miscarriage.
All the above methods should be applied in the early stages of pathological manifestations. This will protect the future mother and her fetus from infection, which can only add problems.