How to avoid premature labor. Cervical ring and cerclage

How to avoid premature labor. Cervical ring and cerclage

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So far, the cervical cerclage it was the method used by gynecologists and obstetricians to close the cervix and prevent premature labor. Now with the introduction of a silicone ring Around the cervix, which has the effect of closing and pressing on the lower part of the uterus, 75 percent of preterm births can be avoided.

We tell you how to avoid preterm labor with cervical ring and cerclage.

This ring can be the salvation for 13 million premature babies that are born every year in the world, since prematurity is the main cause of death in the first month of the baby's life, in such a way that a baby born before time is 180 times more likely to die than one who has been able to complete a full pregnancy.

The uterus is the organ where the baby develops during pregnancy. The cervix is ​​the opening of the uterus into the vagina. During pregnancy, the cervix remains tightly closed until the baby is ready to be born. However, a too short or weakened cervix may not have enough strength to hold itself closed as the baby grows in size. This weakness is also known as cervical insufficiency or cervical incompetence and can lead to premature labor or miscarriage when the cervix opens too early.

Cervical cerclage is the most widely used procedure so far to close the cervix during pregnancy by suturing to prevent miscarriage or premature delivery. However, now with the introduction of a silicone ring in the uterus, which produces the effect of closing and pressing on the lower part of the uterus, the baby will shift the weight from the head to the part of the mother's belly, avoiding thus direct pressure towards the cervix.

The use of a silicone ring to close the cervix is ​​recent and manages to prevent premature labor in 75 percent of cases. The ring is placed in the second quarter of pregnancy by a professional, measures seven centimeters in diameter, and costs around 38 euros. The insertion of this ring is indicated for women at high risk of early labor due to a short cervix, which causes the uterus not to have the necessary strength to support the weight of the baby. This is the most common cause that facilitates early labor and the possibility of having a premature baby.

Its main advantage over traditional cervical fencing is that it is not an invasive method, since it does not require surgical intervention, as it is introduced vaginally and is placed around the cervix and is easy to place and remove.

The goal of cerclage is to hold the cervix closed by suturing to prevent the baby from exiting the uterus before it is fully developed. Cerclage is performed when other procedures to close the cervix fail from the 12th week of gestation. The surgery consists of accessing the uterus through the abdomen, and closing the cervix with sutures. After the procedure and after a few hours the pregnant woman receives a medical discharge. Once at home, the pregnant woman must rest, avoiding physical exercise and sexual intercourse.

The specialist must ensure that the cervical cerclage is maintained correctly through a series of reviews, but above all, must monitor at what moment the pregnant woman begins to dilate or when labor contractions begin, since the points of Suture before labor begins to prevent the cervix from tearing. This procedure is considered safe, but like all surgical procedures it carries certain risks.

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