Recently, in the obstetrics and inpatient department of Suzhou Kowloon Hospital, Ms. Yin, a citizen, finally welcomed the long-awaited baby. Holding this child who had undergone many twists and turns before giving birth to full term, she was full of tears of excitement. When she was discharged from the hospital, Ms. Yin and her family presented a pennant to Wang Jie, chief physician of the obstetrics department of the hospital, to thank Wang Jie and her team for their help.
It is understood that when Ms. Yin underwent a routine obstetric examination at Kowloon Hospital three months ago, she suddenly felt bloated in her lower abdomen. After examination, it was confirmed that her cervical opening was dilated, and she was diagnosed with "cervical insufficiency" at that time and was immediately admitted to the hospital. Wang Jie personally took the lead in the knife and urgently implemented the cervical ring ligation, and sewed Ms. Yin's cervix with a thread, so that her support ability was improved and the gestational week was extended.
▲Schematic diagram of cervical insufficiency
With the meticulous and gradual fetal protection treatment after the operation, Ms. Yin gave birth smoothly and naturally at 39 weeks of pregnancy, giving birth to a baby weighing 3700 grams. With the joint efforts of obstetric medical staff, the mother and baby are very healthy and recovering well, and the family is immersed in the joy of happiness.
Schematic diagram of cervical cerclage
Wang Jie introduced, "cervical insufficiency" refers to the cervical structure or function defects, the emergence of cervical internal orifice relaxation, cervix is too short, in pregnancy can not occur similar to the role of the sphincter, when the weight of intrauterine pregnancy exceeds the capacity of the cervical mouth, resulting in mechanical and progressive expansion of the cervix, amniotic sac protrusion and miscarriage or premature birth, is one of the important causes of very early and early preterm birth, the incidence rate accounts for about 3-5% of the preterm population. "The occurrence of this cervical function degradation is often more insidious, especially in pregnant women who have had preterm birth for the first time, many of whom do not have obvious early symptoms, but will find abnormalities in routine obstetric examinations." Ms. Yin is an example of this. ”
Pregnant women with factors such as adverse pregnancy history, cervical trauma, advanced age, obesity, cervical congenital dysplasia, infection, polycystic ovary syndrome, and multiple pregnancies are all high-risk groups prone to cervical insufficiency. In order to avoid insufficient birth and gestational weeks and improve the survival rate of newborns, Wang Jie reminded that if there is vaginal bleeding, vaginal fluid, lower abdominal distension and other uncomfortable conditions during pregnancy, it is necessary to come to the hospital immediately. At the same time, pregnant women with the above risk factors should also visit the obstetric department during early pregnancy or even during pregnancy preparation, assess the cervical situation, and determine whether prophylactic cervical cerclage is required.
In addition, activities that increase abdominal pressure such as lifting heavy objects, walking for a long time (more than 1 hour), stimulating nipples, and long-term cough should also be avoided during pregnancy, and regular obstetric outpatient visits should be followed up according to the doctor's recommendation, and it is recommended that the length of the cervix be reviewed by vaginal ultrasound. Progressive shortening of the cervix or cervical length of less than 25 mm before 24 weeks' gestation are indications for cervical cerclage. (Zhu Lin)