Pregnant women face some problems during pregnancy, which are specifically related to the uterus that holds the fertilized egg that will later develop into a fetus. The female uterus consists of several parts, one of which is the cervix or the cervix, which plays an important role during the birth process. I may have encountered a Dalili Medical related to shortness of the cervix before, so we will discuss the causes of shortness of the cervix and its effect on pregnancy in the following article.

Is it cervical insufficiency?

 

Before pregnancy, the cervix, which is located in the lower part of the womb towards the navel, is closed and fixed. As the due date of childbirth approaches, the cervix begins to expand and expand to facilitate the delivery of the child through the vagina. However, in the case of cervical insufficiency, there may be softening, dilatation or shortening of the cervix before the fetus reaches the appropriate age for delivery, which may lead to premature birth or miscarriage.

**Does shortened cervix lead to premature birth?**

 

Cervical shortness can cause premature birth and miscarriage. Premature birth is defined as labor that occurs before the end of 37 weeks of pregnancy, while miscarriage occurs when the fetus dies in the womb before the end of 20 weeks of pregnancy.

**What is the palace of the neck of the neck?**

 

Cervical shortness is a condition in which the length of the cervix is ​​less than normal, which increases the possibility of premature birth and miscarriage in some cases.

**What are the reasons for the short neck?**

 

Cervical shortness can be caused by hereditary factors, previous injuries or surgeries in the cervix, or inflammation.

**How ​​to diagnose short cervix?**

 

Cervical shortening is diagnosed during the ultrasound examination to measure the length of the cervix, usually during the second trimester of pregnancy.

**What are the symptoms of the cervical canal?**

 

Most of the time, there are no obvious symptoms of cervical insufficiency, but some symptoms include abnormal vaginal secretions, back pain, and the feeling of pressure in the pelvic area.

**How ​​can you cure shortness of the cervix?**

 

The treatment options include the employment of the uterine cervix (attatiq), the administration of progesterone hormone, and complete rest.

Is it possible to prevent shortness of the cervix?

 

It is possible to reduce the risk of shortness of the cervix by adhering to regular prenatal care, and avoiding unnecessary surgeries on the cervix, in addition to properly treating any inflammation.

What is the effect of shortening of the cervix on pregnancy?

 

Cervical shortening can lead to an increase in the risk of premature birth, which negatively affects the overall health of both the fetus and the mother.

Does shortening of the cervix affect pregnancy in the future?

 

Yes, cervical shortening can affect the future pregnancy, so it is necessary to monitor the condition carefully and manage any possible risks.

What are the necessary tests to follow up the cervical canal?

 

It includes periodic ultrasound examinations to measure the length of the cervix, in addition to assessing the health status of the mother and fetus.

Does it require shortness of the cervix, comfort and healing?

 

In some cases, doctors recommend complete rest and avoid strenuous activities to reduce pressure on the cervix and reduce the risk of premature birth.

**Normal length of cervix**

In general, there is no fixed figure for the length of the cervix, as it varies according to the stage of pregnancy.

**Cervical length before pregnancy**
The length of the cervix in women is between 35 and 55 mm.

**The length of the cervix between the 16th and 24th weeks of pregnancy**

Usually, the length of the cervix in this period is between 35 and 48 mm. The cervix is ​​considered short if its length is at least 25 mm before the twenty-fourth week.

**The length of the cervix between the 32nd and 34th weeks of pregnancy** The cervix begins to contract naturally, until its length reaches at least 30 mm by the middle and last trimester of pregnancy.

**How ​​to measure the length of the cervix using ultrasound**

 

Cervical length measurement using vaginal ultrasound. The doctor inserts the probe of the ultrasound device into the vagina, and then calculates the length of the cervix accordingly.

**The best time to measure the length of the cervix during pregnancy**

The 19th and 20th week of pregnancy is considered the ideal time to perform an ultrasound to measure the length of the cervix. And in cases where the birth date is early, the measurement can be performed at the beginning of the second trimester (weeks 19 to 20).

** Causes of cervical insufficiency **

1. **Previous cervical surgery**: includes previous procedures such as cone biopsy, where the doctor removes a conical piece of cervical tissue. This process leads to tissue weakness in the cervix, which contributes to shortness of breath.

2. **Congenital cervical abnormalities**: Some women suffer from natural structural abnormalities in the cervix, which may lead to miscarriage during pregnancy.

3. **Deformations of the uterus**: Some structural deformities in the uterus, such as the uterus of the middle ear or the separated uterus, can affect the length of the cervix.

4. **Hormonal disorders**: Hormonal changes during pregnancy affect the strength and health of the cervix. The lack of hormonal support of height contributes to the shortness of the cervix.

Weakness or insufficiency of the cervix during pregnancy can be caused by the previous conditions of the woman, among the possible factors:

- Previous cervical injury as a result of previous pregnancy.

- The history of my abortion in the second third of my pregnancy without knowing the reason.

Diethylstilbestrol (Diethylstilbestrol) drug intake during pregnancy in female fetuses. This drug was previously used to prevent abortion, but it has been banned in many countries due to its harmful effects that cause abnormalities in the reproductive system of the fetus. However, the continuation of its use in some countries has led to an increase in the cases of fetuses with cervical defects.

Also, there was a previous infection with an open cervix.

Are there signs of cervical insufficiency?

 

Cervical insufficiency, also known as anq al-rahInadequate, always showing clear symptoms or signs until a major problem occurs. However, there are some common signs that indicate the presence of cervical insufficiency, including:

**Non-painful cervical dilation:** The cervix begins to dilate early without any contractions or pain. This extension can be discovered during the examination of the pelvis by a specialist.

** Vaginal pressure:** Some women suffering from cervical insufficiency may feel pressure or heaviness in the vaginal area, as if something is pushing or pushing us down.

**Light contractions:** Some women suffer from light and irregular contractions in the lower abdomen or pelvic area.

**Changes in vaginal secretions:** You can notice an increase in vaginal secretions, which may be watery or mucous in consistency. In some cases, there may be a noticeable change in the color of secretions or quantities.

**The sensation of something coming out of my vagina:** The feeling of women who are suffering from the shortness of the cervix, as if something is coming down or protruding from the opening of my vagina.

What is the effect of short cervix on pregnancy?

 

A short cervix does not directly affect pregnancy, but the abnormal or abnormal structure of the cervix may have negative effects. Therefore, it is important to perform an ultrasound examination to detect any height abnormalities affecting the short cervix. It is also considered necessary to check the cervix or pelvis, as it can facilitate the process of early labor.

**Cervical prolapse and positive effects** The use of pregnancy positives that contain the hormone progesterone for women who suffer from cervical prolapse. It is believed that progesterone helps prevent premature birth in pregnant women who suffer from this condition during the second trimester of pregnancy. Progesterone combinations include vaginal progesterone tablets or progesterone gel. Progesterone also contributes to reducing the possibility of the fetus needing to miscarry after birth, and shortens the length of stay in the hospital after birth.

**Cervical shortness in the fourth month** Pregnancy positives containing the hormone progesterone are used in cases of shortness of the cervix in women, as it is believed that progesterone helps to reduce the risk of premature birth during the second trimester of pregnancy. The forms of progesterone used include vaginal tablets or pills. Progesterone also contributes to reducing the probability of the fetus needing abortion after delivery, as well as reducing the length of stay in the hospital after delivery. The fourth month of pregnancy lasts from week 14 to the end of week 17. I have an incompetent cervix during this period, as long as there are no signs or symptoms in the early stages of my pregnancy. However, some women suffering from cervical insufficiency may suffer from non-specific symptoms such as:

- Back pain.

- Consciousness of pressure in the pelvic area.

- Mild contractions in the abdomen.

- Light vaginal bleeding.

- Changes in vaginal secretions.

If the cervix is ​​short during the fifth month, which extends from week 18 to week 20, it can be detected during regular ultrasound of the abdomen. There are several treatment options, including:

- comfort

- Employing a daily vaginal suppository of progesterone to reduce cervical contractions.

- There may be a need for a surgical procedure known as cervicectomy, which can help prevent premature birth. If the woman is pregnant for at least 24 weeks and the ultrasound examination shows that the cervix is ​​open, the cervix is ​​sutured with strong sutures, and the uterus is removed in the last month of pregnancy or during labor.

The sixth month of pregnancy lasts from week 27 to week 30, and the condition of the cervix during this period is as follows:

Qad recommends repeated examinations to monitor the length of the cervix, where the first examination is performed in the fourth month, then an ultrasound examination is performed every two weeks until the sixth month.

If the length of the cervix is ​​short before 24 weeks of pregnancy, a suture of the cervix may be performed using a strong suture to reduce the risk of premature birth. If the condition is not suitable, the grafting procedure may not be performed.

**Cervical contraction in the seventh month** Cervical contraction in the seventh month, extending from week 27 to week 30, means that the cervix expands a lot before the baby's growth is complete, and this happens in the second or early third trimester of pregnancy. If the cervix is ​​softer and weaker than usual or abnormally short in the beginning, because the weight of the growing child puts pressure on it more and more.

**Cervical failure in the eighth month** The name of cervical failure in this month extends from week 31 to week 35, "incompetent cervix" and it leads to premature birth, where premature rupture of the membranes occurs and the occurrence of premature birth lasts for one week. 31 to the 35th week, with "incompetent cervix". This may lead to premature birth, as premature rupture of the membranes can occur, which leads to premature birth.

**Treatment of cervical insufficiency**
The most important treatment methods include the following:

1. **Progesterone Supplements** If you have a history of premature birth, your doctor may suggest taking weekly doses of the progesterone hormone known as hydroxyprogesterone cabruate during the second and third trimesters of pregnancy.

2. **Periodical monitoring by ultrasound** If you have a history of premature birth or factors that increase the risk of cervical insufficiency, your doctor may start monitoring the length of the cervix carefully during the ultrasound every week between the 16th and 24th week. pregnancy If there is a dilation of the cervix or a shortness of a certain length, your doctor will recommend the application of cervical tightening.

3. **Cervical tightening** If you are pregnant for at least 24 weeks and have a history of premature birth, and ultrasound examinations show that the cervix has begun to dilate, it may help to perform the procedure.A way known as cervical dilation to reduce the risk of premature birth. This procedure involves suturing the cervix using strong threads

4. Cervical cerclage If you are pregnant for at least 24 weeks or have a history of premature birth, and the ultrasound examination shows that the cervix has begun to open, cervical cerclage may be useful in reducing the risk of premature birth. This procedure involves suturing the cervix using strong threads. However, it is not suitable for all women who are at risk of premature birth, nor is it recommended for women who are pregnant with twins or multiples. Therefore, it is important to discuss the possible risks and benefits of this procedure with your doctor.

5. Bed rest, if your doctor detects cervical insufficiency in the advanced stages of pregnancy, he may advise you to rest in bed for the rest of your pregnancy. This means that you have to stay in bed and avoid normal daily activities.

What are the ways to prevent cervical insufficiency?

 

If you are at risk of cervical insufficiency or if you show signs of cervical dilatation very early, your doctor may recommend preventive treatment to avoid pregnancy complications.

Cervical insufficiency cannot be prevented, but simple steps can be taken to promote a healthy pregnancy. These steps include:

Attending all our prenatal appointments.

Following a healthy and balanced diet.

Gaining healthy weight during pregnancy.

Avoid substances such as alcohol and drugs. (Orphan add the directory)

Taking our prenatal vitamins.

Ask the doctor before taking any supplements or medicines.