During pregnancies, an incompetent cervix can occur.It means that your cervix has become weak and could be opening up, increasing your risk for a premature birth.There are some things you can do to support your baby's development.
Step 1: Understand what an incompetent uterus is.
An incompetent cervix can be referred to as a cervical insufficiency.This means that you had a shortened, funneled, or dilated cervix during your second trimester.If the shape of the cervix changes, there is a chance of a premature birth.A history of surgery and trauma, such as LEEPs, can cause your cervix to change.There is a history of lacerations with vaginal delivery.Anatomical anomalies are congenital defects.
Step 2: There aren't usually any symptoms.
There are no symptoms of cervical insufficiency.After the first trimester, a history of painless cervical dilations must be used to make a diagnosis.You can't have an infection, bleeding, or broken water during these procedures.Lower back pain and abdominal cramping are some of the symptoms you might experience if you do experience symptoms.Mild menstrual cramps can be experienced in the nature of the pain.Vaginal discharge.Your vaginal discharge may change in volume, color, and consistency.This is less common than vaginal bleeding.Many cases are notsymptomatic.If you have a history of previous preterm births or other risk factors for incompetent cervix, it is best to check in with your doctor on a regular basis.Symptoms will most often be present between 14 to 20 weeks.
Step 3: You can schedule an appointment.
It is important to have a physical examination by a medical specialist.cervical effacement, which is when the cervix thins and stretches in preparation for birth, is one of the things your doctor will look for.cervical dilatation is when the opening of the cervix begins to widen in preparation for birth.The doctor may push on your uterus or ask you to do certain maneuvers that increase the pressure, to see if they can see any fetal membranes poking through with the application of pressure.Fetal membranes are a very high risk factor for premature birth and this is always a bad sign if they are visible.
Step 4: Receive a mammogram.
The doctor will be able to see if your cervix has dilated in an abnormal way using this technology.You can have an abortion at 18 to 22 weeks.The fastest and most reliable way to detect and diagnose incompetent cervix is to use transvaginal ultrasound.There are strategies doctors can use to prevent further dilation of the cervix in order to ward off a premature birth.
Step 5: Discuss cerclage with your doctor.
Acervical cerclage is a type of suture that is placed below the internal opening of the cervix and is tightened with sutures in a circular fashion.If you have a high risk of developing an incompetent cervix, you should talk to your doctor about this procedure.The sutures are removed around the 36 to 38 week mark of your baby's birth.Rescue cerclage is when they can be placed at the time of diagnosis.These aren't usually done after 25 to 26 weeks.
Step 6: Discuss your treatment options with your doctor.
The "gold standard" of preventative treatment is cerclage.Your doctor may suggest additional treatment options.Ask about vaginal pessary.This is a device that is inserted into the vagina to make sure that the weight of the uterus doesn't push the cervix open.
Step 7: Get a lot of rest.
Although complete bedrest is not a reliable preventative treatment for incompetent cervix, most doctors recommend as much rest as possible if you are at risk of the condition in order to minimize the chances of premature birth.Breathing exercises can be used to keep yourself calm.Staying relaxed is Meditating each day.
Step 8: If you have an incompetent cervix, don't exercise.
If you have an incompetent cervix, you should avoid all exercise that puts pressure on your body.Running, gymnastics, and any sport that involves vigorous body movement should be avoided.Taking time off work may be recommended by your doctor.The physical demands of your line of work will affect this.Heavy lifting and other strenuous jobs are not advisable.
Step 9: Refrain from engaging in sexual activity.
The act of coitus may cause additional stress on your cervix, and could lead to further symptoms of incompetent cervix and a greater risk of preterm birth.If you want to explore other forms of sexual activity that don't put the same strain on your cervix, try it.
Step 10: You can schedule an appointment with your gynecologist every month.
If you are concerned that you might be at risk of developing an incompetent cervix, you should have a gynecologist check you at least once a month.
Step 11: Your baby can still be healthy.
If you are diagnosed with an incompetent cervix, it is important to not panic.If you follow your doctor's instructions, you can give birth to a happy baby.