Repeat abortion
07.10 // 0 comments // Goed@Ng-KL // Category: Tips Sehat , Wanita dan Kesehatan , Women in Topics //Science in midwifery, Inkompetensia Serviks term is to take the difference in the neck musculature womb or neck (serviks) that is too soft and weak, so that little opening in the middle of the pregnancy because they were not able to withstand pressure of the larger fetus.
The length of the mouth of the womb during pregnancy is normal 2,5-4 cm. The mouth of the womb is weak, or inkompeten, memendek to be less than 2.5 cm, can be even up to 1.5 cm. This condition is clearly not able to hold the fetus up to the end of pregnancy, because the contraction appears much earlier. As a result, the fetus at risk premature birth.
On a normal pregnancy, the womb neck should always be closed during pregnancy until the meeting ended, ie after reaching 37-38 sunday. This condition usually occurs in the new age when the pregnancy has entered the second or third trimester. Neck before opening the womb this time will cause the baby is born premature and also cause miscarriage.
Causes Weak Neck Rahim
According to dr Wiweko SpOG Budi (K), Division of Reproductive Imunoendokrinologi Department Obstetri and gynecology FKUI-RSCM, women who have weak neck womb usually have a number of specific health history. For example:
- Once on the trauma experienced serviksnya. Trauma such as this because once kuretase.
- He had difficulty time before childbirth so that the process resulted in "damage" in the rahimnya.
- Because operatif certain actions such as the konisasi take some action to the mouth of the womb-shaped cone (mengerucut). Done for therapy and diagnosis if there is suspected malignancy in the mouth of the womb.
- Deviation in rahimnya, had twin pregnant, or have a family history with the same aberration rahimnya on the neck, the most likely suffering from aberration.
- Aberration as the womb is too weak not able to hold weight, the developing fetus. Pregnancy in the womb, such as this are usually only able to survive until the end of the first semester course, and then the fetus will come out.
- The likelihood can also occur in women who had experienced miscarriage in the 2nd trimester, or more than 2 times in a row.
Symptoms
Uterus neck opening in the middle period of pregnancy is generally marked by symptoms such as:
- Bleeding. The most common and often marked with The speck-The speck until bleeding great (a lot of blood volume).
- Feel that the burden is very heavy and concentrated in the lower part of the stomach.
Action
Action to overcome the Inkompetensia Serviks with sewing the mouth of the womb, known as the Shirodkar suture technique. Or also known with cervical cerclage, or fastening the mouth of birth. This can avoid the threat of premature birth fetus. Success factor to 85 - 90 percent.
This is usually done before the pregnancy reaches the age of 20 sunday with "binding" so that the mouth of the womb is closed again until the end of pregnancy and the fetus is ready to be born.
Action "fastening" the mouth of the womb is done with local anesthesia and use the yarn berdiameter 0.5 cm, which can not be absorbed by the body. "Stitches" will be released at the time of the pregnancy reaches the age of 36-37 weeks, or when the baby is ready to be born. So that action fastening function optimally, you must be fasting associated with the pair during intimate 1-2 sunday stable enough to bond.
Fastening this generally will be opened after the pregnancy reaches 37 weeks, pregnancy days is about 7 months, or if there are signs the birth.
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