Pregnancy / Childbirth

Cervix in pregnancy - normal appearance and treatment with pessary insufficiency

Cervix in pregnancy - normal appearance and treatment with pessary insufficiency


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Assessment of the state of the cervix is ​​a basic examination that is performed on every pregnant woman. It allows detecting irregularities in its structure and preventing premature birth and even miscarriage. The role of the cervix is ​​because protection of the fetus against external factors. Therefore, throughout the period of pregnancy, the cervix is ​​long and tightly closed. Her shortening and opening occurs only a short time before the solution.

What does the cervix look pregnant?

A pregnant-looking cervix has a length of pregnancy from 3 to 5 cm. As it is not tightly closed, it is through it that menstrual bleeding spills out, during pregnancy its mouth tightly tapers so-called mucus plug. It is a mixture of thick secretions, which is designed to protect the developing fetus in the womb from bacteria and other external threats. The upcoming delivery can be recognized, among others by getting out of the mucus plug.

Examination of the cervix is ​​performed by a gynecologist at each follow-up visit during pregnancy. Manual or by ultrasound he assesses its length, shape and degree of opening. The correct cervix in pregnancy is closed, hard and long. It is only at the end of the third trimester that changes occur in it that prepare the woman's body for the upcoming solution.

Cervix in pregnancy - changes preparing for childbirth

In the third trimester, the woman's body is intensively preparing for the forthcoming delivery. The child weighs a lot and puts pressure on the cervix, which together with hormonal changes is a signal for the cervical transformation. At the end of the third trimester of pregnancy, the cervix becomes shorter and begins to slowly open. Dilation in the cervix is ​​necessary for the child to be able to leave the womb safely and be born. The signal of the approaching delivery is also the expulsion of the mucous plug. Getting him outside promises to start labor.

Shortening cervix during pregnancy - what does it mean?

Sometimes, despite the fact that there are many weeks to childbirth, the doctor states in the future mother premature shortening and dilation of the cervix. The greatest risk of this complication arises at the end of the II and at the very beginning of the 3rd trimester of pregnancy, when the baby is large enough to begin to press on the neck. This is dangerous because progressive changes in the cervix in early pregnancy may carry the risk of premature delivery and even miscarriage. Therefore, if a cervical shortening is detected during pregnancy, the doctor usually recommends to the patient leading a very economical lifestyle and even lying down until the end of pregnancy. This is to reduce the risk of further changes in the cervix that could lead to the baby being born too soon.

Cervical insufficiency - treatment with collar pessary

Many pregnant women are affected cervical insufficiency. He relies on premature shortening and openingwhich, if left untreated, leads to premature delivery. Fortunately, modern medicine has developed an effective way to stop changes in the cervix. This way is the so-called flange pessary. It is small made of silicone, which the doctor places at the mouth of the cervix. Its task is to stop changes in the cervix and thereby reduce the risk of premature delivery. Pessar is put on for several weeks, and its placement in the cervix is ​​completely painless and safe for both mom and her child.

Is it possible to independently assess the state of the cervix during pregnancy?

Many pregnant women are considering self-examination of the cervix. Doctors, however, do not recommend doing it on their own, because there is a serious risk of transmission of infection or simply inefficient assessment of the state of the cervix. So it's best to leave this test to your pregnancy practitioner and limit yourself to careful observation of your body. Premature birth or miscarriage may herald not only the shortening of the cervix during pregnancy, but also other symptoms. Belong to them:

  • regular uterine contractions (may be painful);
  • bleeding or spotting;
  • intense pain in the lower abdomen and back;
  • departure of the amniotic fluid and mucus plug.

So if you notice any of these symptoms in yourself, and there is still a lot of time left before giving birth, you should immediately go to the hospital, where the doctor will also assess the condition of the cervix and the extent of its opening, and take further actions to keep the child as long as possible mother's womb.



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