What is cervical insufficiency? скачать в хорошем качестве

What is cervical insufficiency?

Cervical insufficiency refers to painless cervical dilation that leads to second-trimester fetal expulsion (miscarriage or preterm birth). Although the diagnosis may be suspected in the first pregnancy in which it occurs, the diagnosis is confirmed when it recurs in consecutive pregnancies. The ACOG definition of cervical insufficiency is “the inability of the uterine cervix to retain a pregnancy in the second trimester in the absence of clinical contractions, labor, or both”. Structural cervical weakness is the likely cause of cervical insufficiency. The weakness may be secondary to (see ‘Risk factors’ below): ●Prior cervical trauma (eg, rapid mechanical cervical dilation, childbirth) ●Decidual inflammation/infection, bleeding at the interface of the decidua and placenta, or uterine overdistension, which initiates biochemical changes that lead to premature cervical shortening. This pathway likely results in a single rather than recurrent second-trimester miscarriage or preterm birth. ●A congenital cervical abnormality (rare) Patients with cervical insufficiency in the current pregnancy may be asymptomatic or may present with mild symptoms, such as: ●Pelvic pressure ●Braxton-Hicks-like contractions ●Premenstrual-like cramping and/or backache ●Change in vaginal discharge. Discharge volume may increase; the color may change from clear, white, or light yellow to pink, tan, or red spotting; and the consistency may become thinner. Symptoms, if present, typically begin between 14 and 20 weeks of gestation and may be present for several days or weeks before the diagnosis of cervical insufficiency is made. #cervicalinsufficiency #cervicalincompetence #cerclage *********************************** Welcome to my channel and be sure to hit “subscribe”!   I am a double board certified ObGyn and Maternal-Fetal Medicine specialist focusing on the care of people with maternal and/or fetal complications of pregnancy. I discuss hot topics related to fertility, pregnancy and the postpartum period, and do a little myth-busting and fact-checking to keep things real! Not only am I a doc, but I was also a patient who had infertility, a high-risk twin pregnancy and preterm delivery, and NICU stay at age 43 as a first-time mom--so I GET IT! Leave requests for new topics in comments!   *********************************** Follow me on social media and elsewhere! Instagram and Facebook: Babies After 35 TikTok: babies_after_35 Website: BabiesAfter35.com Email: [email protected] *********************************** DISCLAIMER: This channel is provided for educational and informational purposes only and does not constitute providing medical advice. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with their physician or other healthcare provider. Views expressed here do not represent the views of Dr. Clark's employer.