In which case is it necessary to appoint cervical stitch?

This is an automatically translated article.

Article by Doctor Pham Thi Tuyet Mai - Department of Obstetrics and Gynecology, Vinmec Hai Phong International General Hospital.

Cleft cervix is a condition in which the cervix thins and opens before the pregnancy is large enough for the baby to be born. This is one of the causes of sudden miscarriage in pregnant women. Cervical cerclage is a procedure of stitching a circle around the cervix to narrow the hole in the uterus, protect the baby's safety in the abdomen, and prevent miscarriage and premature birth.

1. What is cervical stitch?

Cervical collar stitch is a treatment method when pregnant women have cervical cleft palate, preventing premature birth or recurrent miscarriage. Cervical suture removal will be performed when the fetus is 37-38 weeks old, or when the pregnant woman shows signs of labor.

Các nguyên nhân gây sảy thai — Khâu vòng tử cung chỉ định khi thai phụ bị sảy thai liên tiếp

2. Indications and contraindications of cervical stitch technique

Indications for cervical cerclage:
Diagnosed with cervical incompetence Have a history of cervical stitches Have had two or more miscarriages of unknown cause. In some special cases: pregnancy with twins, multiple pregnancies with cervical length less than 25 mm. Contraindications to cervical stitch:
Uterine contractions; fetus >24 weeks; stillbirth.. Bleeding from the uterus Amniotic fluid infection, amniotic fluid infection Premature rupture of membranes Fetal abnormalities Acute genital inflammation.

Xử trí khi thai nhi ngôi vai — Không khâu vòng cổ tử cung khi thai nhi quá 24 tuần tuổi

3. The best time to perform cervical suture?

The time to suture the cervical spine is usually from 16 - 20 weeks of pregnancy. It is best to stitch the cervical spine between 16 and 18 weeks, to avoid miscarriage before intervention.
By 37 - 38 weeks of pregnancy, the patient will have sutures removed to be ready for a normal delivery. If the patient shows signs of early birth, the suture can be removed earlier to avoid tearing or breaking the cervix.

4. Normal expression after performing the technique

After the cervical spine is stitched, the patient will rest for about 3 days at a medical facility for the doctor to monitor bleeding, uterine contractions, and rupture of membranes.
After about 4-6 hours of waist stitching, the doctor will remove the gauze.
Pregnant women will be treated with antibiotics and uterine contractions

Làm gì khi sản phụ bị băng huyết sau sinh? — Thai phụ được theo dõi 3 ngày tại cơ sở y tế trước khi được về nhà

5. After performing the technique, the following symptoms are abnormal and need to be re-examined immediately?

Have uterine contractions Vaginal bleeding Amniotic fluid is present throughout the Vinmec system and has significantly reduced the rate of premature birth because women are periodically monitored from the 12-week maternity package, Early diagnosis of cervical insufficiency, and timely treatment.
Vinmec International General Hospital now has a package maternity service as a solution to help pregnant women feel secure because of the companionship of the medical team throughout the pregnancy. When choosing Maternity Package, pregnant women can:
The pregnancy process is monitored by a team of highly qualified doctors Regular check-ups, early detection of abnormalities The package pregnancy helps to facilitate Convenience for the birthing process Newborns receive comprehensive care To register for examination and treatment at Vinmec International General Hospital, you can contact the nationwide Vinmec Health System Hotline, or register Check online HERE.

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