Precautions for preserving pregnancy after cervical cerclage

Pregnant women need to be protected when they are pregnant and pay attention to every aspect. Because there are many diseases that are prone to occur during pregnancy. It can happen to pregnant women if you are not careful. Some diseases can easily lead to miscarriage. Such a serious issue must be taken seriously. It must be discovered and resolved in time to avoid such things from happening. So today, based on this situation, I would like to take you to understand the precautions for preserving pregnancy after cervical cerclage.

Undergoing surgery during pregnancy, no matter how big or small, is undoubtedly a heavy psychological burden and a helpless "blow" for pregnant women and their families. The same is true for cervical suture during pregnancy. However, for couples who have experienced multiple miscarriages and are eager to have a child, it is undoubtedly a hope. The entire surgical process and everything after the operation are the focus of them and even of several generations and multiple families. They will give it their full hope and will wholeheartedly follow the doctor's orders. Pregnant women with placenta previa are particularly prone to bleeding in the late stages of pregnancy and require special observation, care, and guidance. Nurses are not only powerful assistants to doctors, but also close friends of patients. They are also the "important link" between doctors and patients and guides of health education, playing a vital role in the effectiveness of treatment and surgery.

2.2.1 Individualized psychological preparation and cooperation before surgery

Cervical suture, as a stimulus, can affect the patient's psychological activities, and psychological activities can affect the effect of the operation and the outcome of the disease. According to statistics, half of those who had emotional disorders before surgery developed complications or adaptation problems after the surgery. Generally speaking, good social adaptation, mild anxiety before surgery, full understanding of the surgery, confidence in disease treatment, sufficient motivation for recovery, reasonable expectations for surgery, and good intelligence can all indicate a good surgical prognosis (2). The experience of habitual miscarriage is a negative physical and mental experience and psychological trauma for patients, which undoubtedly aggravates the patients' persistent and intense anxiety before surgery. This is where an experienced nurse should first be familiar with the patient's past experience, starting with the husband or the patient's closest person, so that they can correctly understand the pros and cons of the operation and have reasonable expectations for the operation; then work with the family to provide preoperative education to the patient, so that they can understand the role of the operation, relieve preoperative mental concerns, and accept the operation in a good mental state. It should also be implemented in a targeted manner according to the patient's past experience, education level, family relationships and psychological endurance, etc., according to the person and the situation.

2.2.2 Family members’ guidance and cooperation during surgery

The entire cervical suture operation usually takes 30 to 60 minutes. During this stage, the husband and family members have a heavy psychological burden and are very worried. At this time, in addition to preparing items and environment to receive the postoperative patient back to the room at any time, you can explain the postoperative precautions in a timely manner, help family members distract their attention, create a good psychological environment, and welcome the patient's return together.

2.2.3 Key points of postoperative pregnancy preservation treatment and observation care

After cervical suture surgery, our hospital routinely provides 3 to 7 days of pregnancy preservation treatment, usually 25% mgso4 + 5% g.s500ml is dripped intravenously at a rate of 100ml/h in the first hour, and the rest is dripped at a rate of 80ml/h. At the same time, the presence of knee reflex, breathing (>16 times/min) and urine volume (>25ml/h or >600ml/h) are strengthened; ritodrine hydrochloride injection 50mg + 5% g.s500ml is dripped intravenously at a rate of 20-0ml/h by an infusion pump to control the drip rate. The drip rate is adjusted according to whether the uterus has a contraction reaction and the heart rate after surgery; Anbao tablets (ritodrine hydrochloride) are taken orally at 10mg, and the daily dose is maintained at 80mg-120mg according to q2h→q4h→q6h→q8h, and so on; progesterone 20mg bid×3 days is given by intramuscular injection. In the actual clinical application of drugs, it is selected according to the specific situation. At the same time, strengthen observation of uterine contractions and vaginal bleeding and discharge, and strengthen fetal testing. When the patient has no abnormal reactions mentioned above, the medication should be gradually stopped.

Due to the importance of the matter, the precautions for preserving pregnancy after cervical cerclage have been introduced in great detail. It is best to be more careful and not let this happen, because pregnancy is no longer a matter for one person, but for the whole family. You must have rest behaviors and habits at ordinary times. But if it is unavoidable, active treatment is required. And recover well. This way both of them will be safe and healthy.