The treating gynecologist diagnosed you with isthmic-cervical insufficiency and sent you to put a suture on the cervix? Don't be alarmed. Pull yourself together, because now is the time when you can seriously harm yourself with worries. Let's look into the situation together.
When does a neck need to be hemmed?
In non-medical terms, ICI is when the cervix is very short and very loose. That is, it cannot “hold” the fetus inside the uterus. By the way, a little less than half of miscarriages in the second trimester occur precisely because of such a cervix - in cases where the peculiarity was either not diagnosed in time, or due to a medical error or disobedience of the pregnant woman, was not resolved in a timely manner.
The cervix begins to be observed at approximately 12-16 weeks. If a suture is necessary, this is done from approximately 17 to 21 weeks. When time is lost for some reason and the period has passed the 22nd week, the expectant mother is offered a pessary - a special ring that holds the cervix.
The suture is removed depending on the situation. Some are at 36 weeks of pregnancy, others are closer to 39.
Two stitches
The cervix is sutured in the hospital, after which the pregnant woman remains in the hospital for a couple of days. However, exceptions are possible - it all depends on the institution, the doctor and, in fact, the specific cervix. My friend was allowed to go home 2 hours after the intervention. I spent about a week in the hospital after the procedure.
Actually, the procedure itself takes place under general anesthesia and lasts no more than 15 minutes. Doctors assure that this anesthesia is absolutely harmless for the baby: firstly, it is a special anesthesia, shallow, and secondly, it is really short-lived. And it is much easier to recover from it than after a deeper anesthesia. The feeling can be compared to waking up. Some people open their eyes, get up and can already go about their business, others need to lie down for an hour.
What can and cannot be done after the procedure?
Usually after surgery you are not allowed to sit for 24 hours. Just stand and lie down. This means that you need to kind of roll out of bed, and go to the toilet almost standing up. By the way, don’t be alarmed if you find droplets of dark discharge on your panties. A day or two after the suture is applied, there may be some bleeding.
Depending on your situation, your doctor may either allow you to live a full life with little to no restrictions, or recommend that you stay on semi-bed rest. Be sure to check this issue with your doctor.
You will have to take care of your intimate hygiene even more carefully than before. While washing in the shower, did you feel a thread in your vagina? Don't even try to pull on it!
But the most important thing is that from now on you need to make every effort to prevent the occurrence of uterine tone. The tension of this organ increases the load on the cervix and is fraught with cutting through the tissue by the thread. This means, firstly, you should never have sex. Let me clarify: both oral sex and masturbation are strictly contraindicated. In medicine this is called complete sexual rest. You should not get excited and have an orgasm, because at such moments the uterus becomes very tense. However, if you had an erotic dream that resulted in an orgasm, do not be upset. Try to relax - and the tone will go away.
Secondly, women who have had a suture placed on the cervix are not allowed to be nervous, since worries can provoke strong tone. Try to control yourself. Do not neglect the sedative therapy prescribed by your doctor - herbal sedatives. If your treating gynecologist has not prescribed you such medications, check with him - it may be worth taking them. The point is not only their sedative effect, but also the fact that such drugs relax the muscles of the uterus.
And, of course, give up foods that provoke tone. This includes coffee, green and strong black tea, and various sweet carbonated drinks containing caffeine. I won’t dwell on the fact that you can’t run, jump, dance or lift heavy things.
Suture vs pessary
“I am offered to put a suture on the cervix, but my friend was given a pessary, why is that?” is a question often heard on forums. Let's figure it out.
A pessary is a special ring that is placed on the neck. The pessary prevents it from opening and supports the uterus. It is usually placed when it is too late to apply a suture. This is done in 5 minutes in a gynecological chair, after which the pregnant woman can be free. It would seem that the ideal option: no anesthesia, no week in the hospital, no “sewing” on the neck... a logical question arises: why then does the practice of suturing still exist if the problem can be solved much faster and easier? However, not everything is so simple.
- Firstly, the pessary is usually perceived by the body as a foreign body. The process of its rejection begins - that is, a sluggish inflammatory process appears. It must be constantly treated with medications prescribed by a doctor. After all, inflammation near the uterus and amniotic fluid is completely unnecessary.
- Secondly, experienced women in labor say that the pessary can fall out. Of course, you won’t be able to put it back on yourself, which means you’ll need to urgently run to the doctor.
By the way, it’s not at all painful to shoot both. It's just a little unpleasant. The removal procedure lasts from one to several minutes.
What if childbirth?
Regardless of whether you have a pessary or a suture, you need to see a doctor periodically. Moreover, the closer to the PDR, the more often. The gynecologist, based on the current condition of the cervix, will set a date for you to remove the “lock” from the uterus.
Of course, at the first suspicion of contractions, you need to run to the doctor. Otherwise, the consequences can be disastrous: up to cervical rupture. At the same time, you shouldn’t worry about every lost minute, especially if it’s your first birth.
There is a belief among women in labor: if after removing a suture or pessary, labor occurs within a period of a couple of hours to three days, then it was really necessary to carry out the procedure of “closing” the cervix. If later, it means that the suture or pessary was a reinsurance measure. However, if you give birth a week after removal, do not rush to blame your gynecologist. Perhaps your cervix itself has undergone changes.
07.05.2018, 13:37
Good afternoon.
Woman, 32 years old, weight 62 kg, height 168 cm.
Menstruation from the age of 12, regular (28 days), normal in volume, painful. There were no gynecological diseases.
Infertility for 5 years (male factor)
Previous topics
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1 IVF pregnancy in 2016, froze at 6-8 weeks. The fetal karyotype is trisomy 21. Vacuum aspiration.
2 hysteroscopies were performed.
Last menstruation - 12/08/2017, currently 2 IVF-induced pregnancy 21-22 weeks.
At 20 weeks, cervicometry revealed a V-shaped expansion of the internal os up to 8 mm, the length of the unexpanded section of the cervical canal was 27 mm. The length of the cervix is 31 mm.
Three days later (exactly at 21 weeks), a suture was placed on the cervix, no antibiotics were used, and she was discharged from the hospital on the third day after the operation with a free regimen.
Currently prescribed: duphaston, noshpa, magnesium, papaverine at night. A visit to the doctor is scheduled after May 14.
After discharge (in the evening of the 3rd and in the morning of the 4th day after the operation), several times there was a mucous brown discharge in the form of clots of mucus, after which there was a brown “spotting” discharge with small flakes.
Today is the 5th day after the operation, the discharge is lighter, but still light brown, it has become more abundant, and the consistency resembles normal. Otherwise I feel good.
Questions:
1. Is this normal discharge or should I go to the doctor earlier (difficult, since the doctor I trust is on vacation, that’s why this is the date)?
2. how long should you drink duphaston? Does it make sense to switch to utrozhestan?
3. Are suppositories or antibiotics needed for prevention?
4. Do I understand correctly that there is no need for bed rest if nothing bothers you?
07.05.2018, 16:25
Hello.
3. No, if there is no colpitis.
4. Yes, that's right.
07.05.2018, 16:47
Hello.
1. May be normal. Were the stitches examined upon discharge?
2. Duphaston is not needed, the need for morning is doubtful.
3. No, if there is no colpitis.
4. Yes, that's right.
Thanks for such a quick response!
1. Upon discharge, she was examined, but not in mirrors, but manually. They said that everything was fine, my cervix was going back, there would be discharge for a few more days, but I didn’t think to ask about consistency, etc.
2. Duphaston was prescribed before the appointment, if the doctor cancels it in person, then after 22 weeks?
3. That is, if the “flakes” and brown color finally disappear, there will be no strange color and itching, and you won’t have to worry about the discharge?
07.05.2018, 19:17
No progesterone needed
12.05.2018, 17:37
No progesterone needed
Please tell me how often you need to visually inspect the stitches, go for an ultrasound, and whether you need to take smears (and if so, which ones?)
And could frequent, painless urination be associated with stitches?
13.05.2018, 18:27
27.05.2018, 17:58
One visual inspection is enough, 1-2 days after the suture is applied.
Ultrasound, smears during screening periods or when complaints arise.
Painful urination is not associated with stitches, do a urine test.
Urine tests showed no abnormalities; bacteria did not grow in the culture.
Now for a week I have been bothered by a pulling sensation between the navel and the line where pubic hair begins to grow. It's not pain, but it feels like muscle tension. The feeling can last for a long time, up to half a day. Intensifies with gases, pressure bands, movements (sometimes provoked by movements), a little easier in the knee-elbow position.
The doctor at the hospital said that the abdomen is soft at this time, she does not see any tone.
Should I insist on treatment or are these normal “pregnant” sensations?
28.05.2018, 10:31
May be the norm
12.06.2018, 13:07
May be the norm
Unfortunately, gestational diabetes mellitus was diagnosed.
I interact with an endocrinologist (the diet does not reduce fasting sugar, Lantus was prescribed). But while on a diet and taking iron (Sideral Forte), difficulties with bowel movements began.
There was no long-term constipation, but once every two days there was voluminous, hard feces, after going to the toilet the whole day there was a pulling in the vagina, as if there were stitches.
I will continue to struggle with constipation, the questions are: are these really stitches? Do I need to go to the doctor to look at the stitches if the pulling sensation has passed and the nature of the discharge has not changed?
And one more additional question, now I’m 26 weeks, at 28 I’m planning an immunoglobulin injection, since I have 4-, the father of the child has 2+. I will buy the medicine myself, which one is better to choose?
12.06.2018, 15:04
12.06.2018, 15:38
If there are complaints, check with a full-time doctor.
Hyperrow, camrow, immunocedrion.
At the moment there are no complaints, so it’s not clear whether to go to an in-person appointment or not.
17.06.2018, 13:48
If there are complaints, check with a full-time doctor.
Hyperrow, camrow, immunocedrion.
Please help me with the regulatory documents of the Russian Ministry of Health.
The situation is as follows:
GTT results (with 75 g glucose):
fasting sugar 5.12
in an hour 10.65
in two hours 6.9
I went to see an endocrinologist at a paid clinic, take sugar measurements, and follow a diet. Unfortunately, on a diet, sugar after meals is still up to 7, but on an empty stomach it is above 5.1. I give Lantus injections at night (currently 8 units, but try 5.3 units in the morning).
However, the antenatal clinic sent me through compulsory medical insurance to a republican hospital, since with GDM it is necessary to plan birth in a specialized institution.
There, the head of endocrinology says that the results of my test are not diabetes, the readings are low, after an hour there was no need to look at all.
He ordered me to donate glycated hemoglobin (for a fee) and blood without first injecting insulin on an empty stomach and then make a decision on the diagnosis.
When I said that gestational and simple diabetes are different, he said no, they are the same thing.
What regulatory documents can be used in a new conversation with the manager, where the procedure for establishing the diagnosis of “gestational diabetes mellitus” is approved?
10.07.2018, 21:00
If there are complaints, check with a full-time doctor.
Hyperrow, camrow, immunocedrion.
Good afternoon.
At 28 weeks, hyperrow was introduced.
I am currently 30 weeks 4 days.
According to the results of the 3rd ultrasound: lagging coolant and expansion of the internal pharynx,
I feel normal, my blood pressure is low (95/60), there is no edema, my GDM is compensated (glargine), I have periodic (painless) pulling in my lower abdomen and right groin area.
Is hospital treatment required?
I have attached a photo of the ultrasound.
10.07.2018, 22:18
18.07.2018, 10:02
The width of the internal opening is permissible.
Monitoring fetal growth after 10-14 days.
We were admitted to the hospital for a week, CTG was done every day, and on discharge: there were no signs of fetal hypoxia.
According to ultrasound, a week from the previous one (1450 g), the weight is 1740. Is this normal growth?
18.07.2018, 14:38
Normal
30.07.2018, 15:46
Normal
Hello.
Now I am 33 weeks 3 days, with active movements the pain shoots into the bladder and into the perineum from different sides, and it radiates strongly to the clitoris. It is especially noticeable when walking. It goes by quickly.
Is this somehow connected with the cervix (I have had a circular suture since 21 weeks), should I go for cervicometry or urgently see a doctor?
Pregnancy 16 weeks. At 15 weeks, a suture was placed on the cervix. Because I had a miscarriage in the past. IVF pregnancy - twins. I really want to save it. What actions are carried out after suturing the cervix: medications, ointments, sanitation?
The fact is that after the stitches were put in, I was given a magnesium system for 6 days, and now for the third day I’m just lying in a hospital bed. After asking the doctor whether the vagina needed to be treated somehow, she received the answer: no. I asked, maybe at least Hexicon candles for prevention, the answer: well, if you want, put it in. I put candles. On the 6th day after suturing, mucous discharge appeared from the vagina (when I went to the toilet to urinate). The doctor said that most likely the discharge had just accumulated. On this day I received the last magnesium system.
Three days later, i.e. Today, again on a napkin there is either mucous or purulent discharge of a yellow-brown color. I called the guard nurse and showed her the discharge. She asked to call the doctor on duty. The doctor refused to come, citing the arrival of a large number of women and operations. I don't know what to do next. The attending physician will return to work in a day. I'm afraid that this discharge may harm the pregnancy. Tell me what I can do myself?
Sometimes a long-awaited pregnancy is complicated by the threat of not bringing the baby to term. Various pathologies of the cervix can cause istic-cervical insufficiency. In some cases, the expectant mother is recommended to have suturing on the cervix. We will talk about why this is done and how this manipulation takes place in this material.
What it is?
Putting sutures on the cervix is a necessary necessity, which gives a real chance to preserve and prolong pregnancy if the cervix for some reason cannot cope with its direct responsibilities. After conception has taken place, the cervix closes tightly. The cervical canal closes and fills with mucus. The task facing this part of the female reproductive organ is large and important - keep the growing fetus in the uterine cavity and prevent it from leaving it prematurely.
In addition to retention, the cervix with a mucus plug prevents pathogenic bacteria, viruses, and other unpleasant uninvited “guests” from entering the uterine cavity from the vagina, which can cause intrauterine infection of the baby. This is dangerous, because infections suffered in the embryonic and later periods usually result in developmental defects and severe congenital pathologies, and intrauterine death of the baby.
If the cervix does not provide adequate protection to the growing baby, the likelihood of miscarriage and premature birth increases. If by this time the baby is not yet able to survive on his own in this world, then such a birth will end tragically. In order to strengthen a weak neck, doctors recommend in certain situations to sutured it so that the mechanical barrier in the form of sutures prevents it from opening prematurely.
Indications
For this type of surgical intervention during pregnancy there must be strict indications and clear recommendations from the attending physician. These factors include:
- high risk of miscarriage or premature birth due to the presence of similar cases in the anamnesis;
- recurrent miscarriage in the 1st and 2nd trimesters of pregnancy;
- miscarriage in the third trimester;
- earlier shortening and opening of the cervix, expansion of the internal or external pharynx;
- dubious scars left as “memories” from previous births in which cervical ruptures occurred;
- any destructive changes in the cervix during the process of bearing a child, which are prone to further development.
The doctor cannot make a decision that there is a need for such an extreme measure as suturing based on an examination on the gynecological chair alone. He needs comprehensive information about the condition of the lower segment of the uterus, which is the cervix. For this purpose it is assigned full biometric examination, which includes colposcopy and ultrasound diagnostics, as well as laboratory smear testing.
Only after all risk factors have been identified, the length and width of the cervix have been measured, the condition of the cervical canal inside it has been assessed, as well as the patient’s personal history, can a decision be made to suture the cervix.
Contraindications
Suturing this organ during pregnancy is possible only if, apart from a weak cervix, no other global problems have been identified in this pregnancy. If some concomitant pathologies are detected, the operation will have to be abandoned. Contraindications include:
- diseases of the heart and blood vessels, kidneys, which have worsened in the expectant mother due to pregnancy, the risk of death of the woman in the event of mechanical prolongation of pregnancy;
- bleeding, increasing in strength and character, as well as recurrent bleeding when there is a threat;
- gross malformations of the baby;
- hypertonicity of the uterine muscles, which cannot be reduced with medical conservative treatment;
- chronic inflammation of the female reproductive organs, the presence of sexually transmitted infections, STDs;
- late detection of cervical pathologies - after the 22nd week of pregnancy (the best time for successful intervention is considered to be the period from 14 to 21 weeks).
How is the operation performed?
The timing of the operation is of great importance. From 14 to 21 weeks, the child is not so large as to greatly stretch the walls of the uterus and the muscles of the cervix; at later stages, suturing is not recommended due to the fact that highly stretched tissues may not be able to withstand and the sutures will cut through with subsequent rupture.
The operation, which in medical language is called "cervical cerclage", carried out only in a hospital. It is not considered painful or excruciating because the woman is given an epidural or intravenous anesthesia.
There is no need to be afraid of it, because experienced anesthesiologists will calculate the dosage of drugs solely taking into account the gestational age, physique, weight and health status of the expectant mother herself and the developmental characteristics of her baby. The dose will be safe for mother and fetus.
The duration of the entire manipulation does not exceed a quarter of an hour. Depending on the condition of the cervix, the doctor will suture either the external or internal os of the cervix. The external one will not be touched if there is erosion, dysplasia, or pseudo-erosion on the neck. The technique is very simple - surgeons suture the edges of the outer part of the neck together with strong surgical threads.
This method requires careful preparation. If there is an infection in the uterus, the consequences will be more than dire. Stitching will create a closed space inside the female reproductive organ in which any microbe can begin to multiply quickly. The woman is first treated with antibiotics, and the vagina is thoroughly sanitized. However, this does not always help.
There will be no closed space if the doctor decides to sew up the internal os of the cervix. In this case, specialists leave a small drainage hole. The sutures themselves are applied in different ways, each surgeon has his own favorite, and much depends on the anatomical characteristics of the patient.
The cerclage itself can be performed laparoscopic method. It has many advantages - speed, fairly easy postoperative period, low blood loss, lower risk of complications.
Laparoscopic cerclage is indicated for women with congenital shortening of the cervix and those who have had unsuccessful vaginal suturing surgery.
Possible problems and complications
Like any surgical procedure, cerclage can also have its complications. The most dangerous are considered to be the addition of an infection, the development of an inflammatory process and an increase in the tone of the uterine muscles. Inflammation may develop due to an internal infection that could not be “defeated” in the preoperative period. Sometimes a woman has an individual allergic reaction to the suture material used by doctors.
Possible problems can be discussed prolonged discharge after surgery, burning sensation, mild pain. Moreover, inflammation can appear not only immediately after surgery, but also several weeks after suturing. This is why it is important to visit your doctor more often and monitor any changes.
Hypertonicity is also a reaction of the uterus to surgery and suture material foreign to its structures. Some heaviness in the abdomen, slight tugging sensations may be quite normal in the first time after surgery, but subsequently they should disappear. If this does not happen, you should inform your doctor.
It’s not common, but it also happens that a woman’s body categorically refuses to accept a foreign body, which is surgical threads, and a violent immune process of rejection begins, which can be accompanied by high fever, atypical discharge, and pain.
In the later stages, cerclage can have another unpleasant consequence - the sutured cervix can be seriously damaged if labor has already begun and the stitches have not yet been removed. Therefore, it is important not to ask the doctor to “stay at home for another week,” but to go to the hospital in advance.
After the intervention, the woman needs to remain under 24-hour medical supervision in the hospital for several more days. She is prescribed antispasmodic drugs to reduce the muscle tone of the uterus, as well as strict bed rest. The vagina is sanitized daily to avoid infection. After this, the pregnant woman can be sent home. Discharge after the intervention continues for approximately 3-5 days.
Stitches on the cervix will require the expectant mother to reconsider her lifestyle until the very birth. Physical activity, prolonged standing in an upright position, and prolonged walking are contraindicated. Under no circumstances should you lift heavy objects. You should also abstain from sexual activity so as not to provoke hypertonicity of the uterus, which can lead to the cutting of sutures.
Until childbirth, a woman will have to monitor her stool - constipation is extremely undesirable, since pushing is prohibited. Therefore, you will have to go on a diet, introduce more fresh vegetables and fruits, juices into your diet, limit salt, an abundance of protein foods, as well as baked goods.
You will have to go to the doctor more often, than women in an “interesting position” usually do. The doctor will monitor the condition of the sutures, take smears for the vaginal microflora, and, if necessary, prescribe unscheduled ultrasound examinations, the purpose of which will be to measure the parameters of the cervix and evaluate its internal structures.
A woman with stitches on her uterus will have to go to the maternity hospital at 36-37 weeks. Around this time, the sutures are removed. Labor can begin at any time after this, even on the same day.
It is not painful to remove the sutures; there is no need to use anesthesia or other anesthesia methods.
Predictions and consequences
The pregnancy rate after cerclage is quite high - more than 80%. Prognosis depends on the degree of cervical insufficiency and the reasons why the woman was indicated for surgery. If after the operation she follows all the doctor’s recommendations, then the chances of carrying a baby to 36-37 weeks are significantly increased.
Pregnancy is an important and responsible period in the life of every woman. Unfortunately, health problems are not uncommon at this time. And in some cases, the doctor recommends a special procedure to the patient, during which a suture is placed. Sutures are needed on the cervix during pregnancy to prevent miscarriage or premature birth.
On the other hand, surgery during pregnancy frightens women. So in what cases is such a procedure prescribed? What risks does it involve? What is the surgical procedure and how is the rehabilitation period? The answers to these questions are of interest to many patients.
Suturing the cervix during pregnancy: why is it necessary?
The uterus is an important organ of the reproductive system. This is where implantation of the fertilized egg and further development of the embryo occurs. Normally, the cervix begins to dilate slowly starting at the 36th week. But in some patients the discovery occurs in the early stages.
This is fraught with extremely dangerous consequences for the child, because the growing organism may not yet be viable. Miscarriage or premature birth are consequences that an expectant mother may face. It is in such situations that doctors prescribe suturing the cervix during pregnancy - such a procedure can save the child’s life.
Main indications for the procedure
Of course, there are situations when cervical stitches are simply necessary. Indications for the procedure are as follows:
- Isthmic-cervical insufficiency is a pathology that is accompanied by expansion or shortening. A similar phenomenon develops with anatomical defects of the cervix, which in turn can be associated with mechanical damage, previous inflammatory diseases, cancer, etc.
- Hormonal imbalances, because it is hormones that control the condition of the walls of the reproductive organ. A change in the amount of certain hormones in the blood can cause relaxation or contraction of the muscles of the uterus, and early opening of the cervix.
- If the patient’s history includes information about previous miscarriages or premature births, then the doctor will probably closely monitor the patient’s health and, if necessary, prescribe surgical intervention.
A suture on the cervix during pregnancy can ensure the normal development of the child. However, only an experienced obstetrician-gynecologist is able to decide on the procedure.
What preparation does suturing require?
Applying a suture to the cervix during pregnancy is not a very complicated procedure. However, the doctor can decide to perform surgery only after passing all the necessary tests and tests.
Starting from the 12th week of pregnancy, women are sent for an ultrasound examination, during which a specialist can determine the early dilatation of the uterus. An ultrasound may be repeated to confirm the diagnosis. Naturally, as before any other operation, it is necessary to take blood and urine tests, check the level of hormones in the blood of a pregnant woman and conduct other tests. Immediately the day before the operation, the vagina is sanitized.
Features of surgery
Naturally, patients are interested in questions about how exactly the surgical intervention occurs. In fact, this is not such a complicated procedure, and it lasts no more than 15-20 minutes. Suturing is carried out under general anesthesia. To strengthen the uterus, strong nylon threads are usually used.
The doctor may place a suture on the outer or inner edges of the pharynx. The tissue is usually accessed through the vagina, but in some cases a laparoscopic procedure (through small punctures in the abdominal wall) is required. The number of stitches depends on how far the cervix has dilated.
When are stitches removed?
Already placed sutures on the cervix during pregnancy help preserve the fetus inside the womb. As a rule, they are removed at 37 weeks. Naturally, before this, the woman undergoes an examination and an ultrasound examination, during which it is possible to find out whether the child is developed enough to be born.
Removal of suture material is carried out without anesthesia - this procedure may not be very pleasant, but it is painless and quick. In most cases, birth occurs on the same day. But even if there are no contractions, the woman should be in a hospital setting.
It is worth saying that in some (rare) cases, a suture on the cervix during pregnancy, unfortunately, cannot prevent early labor. Then the stitches are removed as an emergency. If the procedure is not carried out on time, the suture threads can severely damage the pharynx, complicate childbirth and create problems in the future (if the woman wants another child).
Postoperative period: rules and precautions
Sutures on the cervix during pregnancy provide the child with normal intrauterine development. However, the success of the procedure largely depends on how the rehabilitation period goes. The woman spends the first 3-7 days after surgery in a hospital setting, under the constant supervision of doctors. She is prescribed strict intake of antibacterial agents (to prevent inflammation) and antispasmodics (to prevent contraction of the uterine walls). In addition, the seams are regularly washed with antiseptic solutions.
In the first few days, patients feel mild pain in the lower abdomen. Vaginal discharge may appear in the form of ichor, mixed with blood. Such phenomena are considered normal and go away on their own. Gradually the woman returns to her usual way of life.
There are some requirements that should be followed until the end of pregnancy. In particular, the expectant mother should not lift weights, engage in physical labor, or overexert herself (physically or emotionally). Sexual life is also contraindicated. Rest and healthy sleep are important for women and children. Proper nutrition (will help prevent constipation) and walks in the fresh air will have a positive effect on your health.
Suture on the cervix during pregnancy: complications
Like any surgical procedure, suturing involves some risks. The procedure may cause some complications, in particular inflammation. Such a pathology can have different causes - sometimes pathogenic microorganisms penetrate the tissue during the procedure, sometimes even during rehabilitation. In addition, it is possible to develop an allergic inflammatory reaction when tissue comes into contact with suture material. These complications are usually accompanied by the appearance of uncharacteristic vaginal discharge, pain in the lower abdomen, and increased body temperature.
The cervix may become hyperactive after suturing during pregnancy. Due to hypertension, women feel a tugging in the lower abdomen. As a rule, the patient’s condition can be returned to normal with the help of special medications and bed rest.
We should not forget that premature dilatation of the uterus is a consequence, and not an independent problem. It is necessary to conduct a thorough diagnosis, find out what exactly caused the pathology, and eliminate the primary cause. For example, in case of hormonal disorders, the patient is prescribed to take special hormonal medications. Chronic inflammation also requires specific therapy.
Contraindications to the procedure
It is worth noting that this procedure cannot be carried out in every case. A suture on the cervix during pregnancy is contraindicated in the following cases:
- The presence of a sluggish inflammatory process in the organs of the reproductive system.
- Increased excitability of the uterus (this refers to cases when it cannot be eliminated with medication).
- Bleeding.
- Blood clotting disorders, as massive blood loss is possible.
- Severe chronic diseases, including damage to the kidneys, heart or liver.
- Frozen pregnancy, death of a child in the womb.
- The presence of certain anomalies in the process of child development (if this is confirmed through diagnostic procedures and tests).
- Suturing has a time limit - the intervention is not performed after the 25th week of pregnancy.
It is worth saying that if for some reason the surgical procedure is impossible (for example, if the problem was diagnosed too late), then a special pessary made of durable plastic is placed on the uterus. It not only keeps the cervix closed, but also partially relieves the load on the uterine walls. In addition, the patient is recommended to undergo strict bed rest.
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