Pregnancy is an important and responsible period in the life of every woman. Unfortunately, at this time, health problems are by no means a rarity. And in some cases the doctor recommends a special procedure for the patient, during which a seam is applied. On the cervix during pregnancy, sutures are needed in order to prevent miscarriage or premature birth.
On the other hand, surgical intervention during the carrying out of the child scares women. So in which cases is this procedure administered? What are the risks associated with it? What is the technique of surgical intervention and how does the rehabilitation period go? Answers to these questions are of interest to many patients.
Stitching on the cervix during pregnancy: why is it needed?
The uterus is an important organ of the reproductive system. It is here that implantation of a fertilized egg occurs and further development of the embryo. Normally, the cervix of the woman's womb begins to slowly open, beginning with 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 a growing organism can still be unviable. Miscarriage or premature birth are consequences that a future mother may face. It is in such situations that doctors prescribe stitches on the cervix during pregnancy - a similar procedure can save a child's life.
The main indications for the procedure
Of course, there are situations where the sutures on the cervix during pregnancy are simply necessary. Indications for the procedure are as follows:
- Isthmiko-cervical insufficiency is a pathology, which is accompanied by the widening or shortening of the cervical canal of the cervix. A similar phenomenon develops in the anatomical defects of the cervix, which in turn can be associated with mechanical damage, previously suffered inflammatory diseases, cancer, etc.
- Hormonal failures, because hormones control the condition of the walls of the genital organ. Changing the number of these or other hormones in the blood can cause relaxation or contraction of the uterine muscles, early opening of the cervix.
- If a patient has a history of previous miscarriages or premature births, the doctor will probably closely monitor the patient's health and, if necessary, prescribe a surgical intervention.
The seam on the cervix during pregnancy can ensure the normal development of the child. Nevertheless, only an experienced obstetrician-gynecologist is able to decide on the procedure.
What kind of preparation requires suturing?
Stitching on the cervix during pregnancy - the procedure is not too complicated. Nevertheless, the doctor may decide to perform a surgical procedure only after having submitted all the necessary tests and tests.
Starting from the 12th week of pregnancy, women are referred for ultrasound, during which the specialist can determine the early opening of the uterus. To confirm the diagnosis, ultrasound can be repeated. Naturally, as before any other operation, it is necessary to pass 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 surgery, the vagina is sanitized.
Features of surgical intervention
Naturally, the patients are interested in questions about exactly how the surgical intervention takes place. In fact, this is not such a complicated procedure, and it lasts no more than 15-20 minutes. Stitches are performed under general anesthesia. To strengthen the uterus, as a rule, strong nylon threads are used.
The doctor can put a seam on the outer or inner edges of the pharynx. Access to the tissues is usually through the vagina, but in some cases a laparoscopic procedure is required (through small punctures in the abdominal wall). The number of seams depends on how much the neck has managed to open.
When are stitches removed?
Already applied seams on the cervix during pregnancy help to keep the fruit inside the womb of the mother. As a rule, they are photographed at the 37th week. Naturally, before that the woman undergoes examination and ultrasound, during which it is possible to find out whether the child is sufficiently developed to appear.
Suture removal is performed without anesthesia - this procedure may not be very pleasant, but painless and quick. In most cases, birth occurs on the same day. But even if there are no contractions, a woman must be in a hospital.
It is worth saying that in some (rare) cases, the seam on the cervix during pregnancy, alas, can not prevent the early birth process. Then the seams are removed in an emergency. If you do not perform the procedure on time, sutures can severely damage the pharynx, complicate delivery and create problems in the future (if the woman wants another child).
Postoperative period: rules and precautions
Stitches on the cervix during pregnancy provide the child with a normal intrauterine development. Nevertheless, the success of the procedure largely depends on how the rehabilitation period passes. The first 3-7 days after the operation a woman spends in a hospital, under the constant supervision of doctors. She is prescribed a strict bed rest, the use of antibacterial agents (as an inflammatory prophylaxis) and antispasmodics (prevent the reduction of the walls of the uterus). In addition, the joints are washed regularly with antiseptic solutions.
In the first few days, patients feel mild pain in the lower abdomen. Perhaps the emergence of vaginal discharge in the form of a syphilis, with blood impurities. Such phenomena are considered normal and pass on their own. Gradually the woman returns to the usual way of life.
There are some requirements that should be observed before the end of pregnancy. In particular, the future mother can not lift weights, engage in physical labor, overexert (physically or emotionally). Contraindicated and sex life. Important for a woman and a child is rest and a healthy sleep. Positively on the state of health will affect proper nutrition (help prevent constipation) and walking in the fresh air.
Seam on the cervix during pregnancy: complications
Like any surgical intervention, suturing involves some risks. The procedure can cause some complications, in particular the inflammatory process. Such pathology can have different causes - sometimes pathogenic microorganisms penetrate into tissues during the procedure, sometimes even during rehabilitation. In addition, it is possible to develop an allergic inflammatory reaction when the tissues come into contact with the suture material. These complications are usually accompanied by the appearance of uncharacteristic vaginal discharge, lower abdominal pain, increased body temperature.
The cervix after suturing during pregnancy can become hyperactive. Because of hypertension, women feel pulling, cramping pains in the lower abdomen. As a rule, you can restore the patient's condition to normal with the help of special medications and compliance with bed rest.
Do not forget that premature opening of the uterus is a consequence, not an independent problem. It is necessary to conduct a thorough diagnosis, to learn about what caused the pathology, and to eliminate the primary cause. For example, with hormonal disorders, the patient is prescribed the intake of special hormonal drugs. Chronic inflammation is also required for certain therapy.
Contraindications to the procedure
It is worth noting that this procedure can not be carried out in every case. The seam on the cervix during pregnancy is contraindicated in the following cases:
- The presence of a slow inflammatory process in the organs of the reproductive system.
- Increased excitability of the uterus (referring to cases where it can not be eliminated medically).
- Violation of blood coagulability, since a massive loss of blood is possible.
- Severe chronic diseases, including kidney, heart or liver damage.
- Frozen pregnancy, the death of a child in the womb.
- The presence of any anomalies in the development of the child (if this is confirmed through diagnostic procedures and tests).
- The application of stitches has a time limit - the intervention is not carried out 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 neck closed, but also partially relieves the load from the uterine walls. In addition, the patient is recommended strict bed rest.
Reviews of doctors and patients about surgery
Of course, a lot of useful information can be obtained by talking with women who were stitched on the cervix during pregnancy. Reviews about the procedure, by the way, are mostly positive. Many experts say that sometimes such a surgical intervention is the only way to save a child's life and give him enough time for normal development.
Women also give positive feedback. The procedure is easy - only in the first day after the operation, some discomfort is possible. Of course, there is a possibility of complications. Here a lot depends on the competence, experience and skills of the doctor, and therefore, pregnant women can only be advised to take responsibility for the selection of a specialist and abide by all his recommendations after suturing.