What to do if the uterus is relaxed? These are the scientific treatment methods!

The female uterus is a very complex system and many abnormal conditions may occur. For example, some women's uterus may become loose. This type of looseness can be divided into congenital and acquired types. It is reported that if the uterus becomes loose during pregnancy, the probability of premature birth will greatly increase, and even miscarriage may occur. In addition, there are many other hazards. So how to solve the problem of uterine relaxation?

First, how to treat cervical relaxation

There is no medical treatment, only surgery.

1. Cervical cerclage: It is a surgical method of removing the bladder and tying it high up at the internal cervical os. Cerclage during non-pregnancy period, pregnancy after surgery, and cesarean section in the future.

2. Cervical cerclage: Between 12 and 26 weeks of pregnancy, a special thread is used to tie the external cervical os, and the pregnancy can still continue afterwards. Wait until 37 weeks to remove the stitches.

3. Cervical pessary treatment: A rubber product made of special materials, in a ring shape, placed between the vagina and the cervix to prevent further expansion of the cervix, with ideal results.

If there is a history of miscarriage in late pregnancy, it is recommended to check the cervix during the non-pregnancy period. If relaxation is found, surgery can be performed between 12-15 weeks, with a high success rate. For the first pregnancy, if relaxation of the cervix is ​​found at 20 weeks, emergency cervical cerclage can be performed, which increases the miscarriage rate.

Second, taking medication

If the cervix is ​​loose, you can take medicine to deal with it. The medicine will increase the tension of the uterine tube. Of course, this medicine will not affect the pregnancy and childbirth of the pregnant woman in the future. However, taking medication is not 100% effective.

Third, cerclage

If taking medicine doesn’t work, what should I do to relieve my cervical relaxation? You can choose surgery, which involves suturing the weak cervix to strengthen it. If a pregnant woman experiences bleeding, uterine contractions, or premature rupture of membranes, surgery cannot be performed. Many early miscarriages usually occur before fourteen weeks, so this operation should be performed after fourteen weeks. There is no unified answer as to the specific time for cerclage. The larger the fetus, the greater the chance of miscarriage and premature rupture of membranes caused by cerclage. Therefore, it is recommended that women in the second and third trimesters of pregnancy adopt conservative treatment methods such as rest. Cerclage is generally not recommended after 24 weeks of pregnancy. Before performing the cerclage, an ultrasound should be performed to confirm the survival of the fetus and the presence of any major malformations.

Fourth, how to maintain uterine relaxation

It is usually diagnosed by palpation of the abdomen and is marked by a soft uterus. About 75% of postpartum hemorrhage is caused by uterine atony, which is the main cause of postpartum hemorrhage and often leads to unstable vital signs.

The diagnosis of uterine insufficiency can be based on the following:

1. Have a history of cervical surgery such as cervical dilation and curettage, or a history of emergency delivery or forceps delivery.

2. It is easier to conceive, but also more prone to miscarriage or premature birth, and most women have a history of more than two spontaneous abortions in mid-pregnancy. The characteristics of miscarriage are that there is no obvious paroxysmal abdominal pain before miscarriage, sudden rupture of the fetal membrane, and rapid delivery of the fetus, which is mostly fresh and has no congenital developmental abnormalities.

3. During the non-pregnancy period, if the cervix is ​​shorter than 1.5 cm or a size 8 cervical dilator can easily pass through the internal os of the uterus without resistance or pain. During pregnancy, the cervical canal is short and the internal and external openings of the uterus are relaxed, allowing fingers to pass through.

4. Hysteroiodized oil angiography shows that the cervical canal is pathologically dilated and the diameter is greater than 6 mm. B-ultrasound examination shows that the internal os of the uterus is wide. If it is larger than 19 mm and there is a history of miscarriage, the diagnosis will be confirmed.