What is cervical stitch for preterm birth?

Cervical isthmus is an advanced technique, using medical sutures to overcome the cleft palate, prevent premature birth in mothers at high risk of miscarriage. Read the article now to better understand this method.

Effect of cervical suture

The most common cause of cleft palate is congenital, because the cervix has been damaged or because women have a history of previous abortions.

Therefore, the method of cervical suture was born to strengthen the strength of the uterus, prevent the cervix from dilating and opening before 37 weeks of pregnancy to protect the safety of the fetus in the womb. supply of the mother, limiting dangerous conditions such as miscarriage or premature birth.

According to obstetricians and gynecologists, not all pregnant women need cervical stitches, except for the following cases that should be considered for intervention with this procedure:

• Women who have given birth prematurely or miscarried in the second 3 months of pregnancy without notice or with little warning signs such as abdominal pain, change in vaginal discharge, bleeding, … This condition occurs in 2 consecutive times. continued and usually aborted before 24 weeks of pregnancy.
• Women with a history of second-trimester miscarriage and whose screening ultrasound results demonstrate that the length of the cervix is less than 25mm before the 24th week of pregnancy.
• Pregnant women are found to have cleft palate such as widening, dilated cervix, and amniotic sac formed in the second trimester of pregnancy.

Effect of cervical suture

How many weeks should I stitch the uterus on?

The best time to suture the cervix is prescribed by doctors between the 12th and 24th weeks of pregnancy.

The majority of miscarriages due to foreign bodies usually occur in the first trimester and the first trimester of the second trimester. Therefore, pregnant women should go to the hospital for screening, ultrasound assessment of fetal foreign bodies in the first 3 months before the intervention of the suture procedure.

It should be noted that the isthmus is not performed in the last 3 months of pregnancy because if the baby is born prematurely during this time, it is still possible to be raised in an incubator.

Instead, if the procedure is still performed in the last 3 months, it will lead to more unpredictable and dangerous consequences such as rupture of membranes, infection, cervical tear, etc. The best time to perform a cervical suture, if available, is from the 12th to before the 24th week of pregnancy.

How many weeks should I stitch the uterus on?

Methods of suturing the cervical waist

According to specialist doctors, cervical stitch is one of the safe methods regularly applied to prevent the risk of miscarriage and premature birth.

Normally, cervical cerclage is not painful because during the stitching process, you will be anesthetized or anesthetized in the spinal area and the procedure takes about 30 minutes. There are two most common methods of suturing the cervical spine: the cervical suture through the vagina and the cervical suture through the abdomen.

Sew the cervix through the vagina

During the process of suturing the waist through the vagina, the doctor will insert a speculum into the vagina, making the vagina wider, and then continue to use a clamp to pull the cervix out to perform the suture. waist.

The doctor can then apply one of two methods to stitch the waist:

• McDonald’s method: With this method, the doctor will use a non-dissolving needle, then use the needle to thread stitches around the cervix to tighten the cervix.
• Shirodkar method: With this method, the doctor needs to make a small incision near the opening of the cervix and then insert a needle right at the incision to sew around the cervix. Finally, use another needle to close the incision.

Sew the cervix through the vagina

Sew the cervix through the abdomen

This method requires a professional and experienced doctor to perform because it has to make an incision in the pregnant woman’s abdomen, lift the uterus and then use sutures to thread across the cervix and force the cervix to close. The uterus is then returned to its original position and the incision closed.

Sew the cervix through the abdomen

Is cervical suture safe?

Cervical cerclage is a safe and uncomplicated method of preventing premature birth and miscarriage, recognized by many experts and doctors worldwide.

Some research results show that the complication of waist suture affects only 6% of cases performed. The frequency of complications will be higher when the gestational age is large or there are signs of cervical dilation before suturing. Some common complications are:

• Amniotic membrane rupture
• Amniotic fluid infection
• Amniotic membrane infection
• Cervical tear
• May just be in the wrong place
• Cervical trauma
• Difficulty giving birth

To ensure absolute safety, after cervical suture, pregnant women need to closely monitor their own health status. If you have unusual symptoms such as bleeding, uterine contractions, vaginal discharge, high fever, etc., you should immediately go to the nearest medical facility for timely treatment.

Is cervical suture safe?

The above is the most important information about cervical suture for preterm birth. Hope this article will be useful to you. Don’t forget to follow other articles from Tnhelearning.edu.vn.

Source: Vinmec

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