How to treat cervical relaxation

During pregnancy, a woman's uterus will gradually grow larger. After delivery, the cervix will gradually soften and expand to a certain extent, and the cervix will become looser. If the cervix becomes loose, it can be treated with certain medications to promote the tension of the uterus. In addition, for some women, cerclage can also be used to promote the tension of the cervix.

1. 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.

2. 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.

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.