Managing Cervical Insufficiency Through Lifestyle Modifications and Cervical Cerclage: An Analytical Literature Review
Asian Journal of Pregnancy and Childbirth,
Page 226-230
Abstract
The goal of this study is to determine how beneficial each of these treatment options could be in assisting women to have a safe pregnancy free from worry about problems. The term "cervical insufficiency" describes the uterine cervix's failure to hold the fetus in place in the absence of any vigorous uterine contractions or labor. Only 0.5% of women, or 1 in 2000, are affected by this extremely rare illness. But when it does, there will undoubtedly be a more complicated etiology and pathogenetic mechanism at play. A rare anatomical or functional cervix deficiency called cervical insufficiency causes labor to start spontaneously or without any discomfort, which results in deliveries. It affects one in every 2000 women and typically starts during the beginning of the second and third trimester. Numerous studies have been conducted to find a cure for cervical insufficiency since it invariably results in preterm labor. In order to entirely prevent this citation, bed rest, water, and rigorous limitation on all forms of intense work are now regarded to be effective. However, it's still important to consider what could be done to completely avoid this circumstance.
Keywords:
- Cervical insufficiency
- hysterosalpingography
- radiographically
- pathogenetic mechanism
- embryological development
- mullerian ducts
How to Cite
References
Han Y, Li M, Ma H, Yang H. Cervical insufficiency: a noteworthy disease with controversies. J Perinat Med. 2020;48(7):648–55.
Roman A, Suhag A, Berghella V. Overview of cervical insufficiency: Diagnosis, etiologies, and risk factors. Clin Obstet Gynecol. 2016;59(2):237–40.
Tantengco OAG, Menon R. Breaking down the Barrier: The role of cervical infection and inflammation in preterm birth. Front Glob Womens Health. 202218;2:777643.
Prendiville W, Sankaranarayanan R. Anatomy of the uterine cervix and the transformation zone. In: Colposcopy and Treatment of Cervical Precancer [Internet]. International Agency for Research on Cancer; 2017 Available:https://www.ncbi.nlm.nih.gov/books/NBK568392/
[Accessed on: 2023 Aug 17].
Dugas C, Slane VH. Miscarriage. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available:http://www.ncbi.nlm.nih.gov/books/NBK532992/
[Accessed on: 2023 Jul 22].
Lotgering FK. Clinical aspects of cervical insufficiency. BMC Pregnancy Childbirth. 2007;7(1):S17.
Mourali M, Gharsa A, Fatnassi A, Binous N, Ben Zineb N. [Cervical incompetence: diagnosis, indications and cerclage outcome]. Tunis Med. 2012;90(4):300–5.
Li W, Li Y, Zhao X, Cheng C, Burjoo A, Yang Y, et al. Diagnosis and treatment of cervical incompetence combined with intrauterine adhesions. Ann Transl Med. 2020;8(4):54.
Lee HJ, Park TC, Norwitz ER. Management of Pregnancies With Cervical Shortening: A Very Short Cervix Is a Very Big Problem. Rev Obstet Gynecol. 2009;2(2):107–15.
Bigelow C, Stone J. Bed rest in pregnancy. Mt Sinai J Med N Y. 2011;78(2):291–302.
Abdel‐Aleem H, Shaaban OM, Abdel‐Aleem MA. Cervical pessary for preventing preterm birth. Cochrane Database Syst Rev. 2013;(5):CD007873.
Conde-Agudelo A, Romero R, Da Fonseca E, O’Brien JM, Cetingoz E, Creasy GW, et al. Vaginal progesterone is as effective as cervical cerclage to prevent preterm birth in women with a singleton gestation, previous spontaneous preterm birth, and a short cervix: updated indirect comparison meta-analysis. Am J Obstet Gynecol. 2018;219(1):10–25.
Putora K, Hornung R, Kinkel J, Fischer T, Putora PM. Progesterone, cervical cerclage or cervical pessary to prevent preterm birth: a decision-making analysis of international guidelines. BMC Pregnancy Childbirth. 2022;22(1):355.
Wang HL, Yang Z, Shen Y, Wang QL. [Clinical outcome of therapeutic cervical cerclage in short cervix syndrome]. Zhonghua Fu Chan Ke Za Zhi. 2018; 53(1):43–6.
Bieber KB, Olson SM. Cervical cerclage. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available:http://www.ncbi.nlm.nih.gov/books/NBK560523/
[Accessed on: 2023 Jul 22].
Brix N, Secher NJ, McCormack CD, Helmig RB, Hein M, Weber T, et al. Randomised trial of cervical cerclage, with and without occlusion, for the prevention of preterm birth in women suspected for cervical insufficiency. BJOG Int J Obstet Gynaecol. 2013;120(5):613–20.
Issah A, Diacci R, Williams KP, Aubin AM, McAuliffe L, Phung J, et al. McDonald versus Shirodkar cerclage technique in women requiring a prophylactic cerclage: A systematic review and meta-analysis protocol. Syst Rev. 2021;10:130.
Wu Q, Chen J, Zou Q, Zeng X, Yang Y, Zhou Y, et al. An analysis on the factors for cervical insufficiency causing adverse emotions among pregnant women at different gestation phases. Front Psychiatry. 2022;13:764345.
Althuisius SM, Dekker GA, Hummel P, Bekedam DJ, van Geijn HP. Final results of the cervical incompetence prevention randomized cerclage trial (CIPRACT): therapeutic cerclage with bed rest versus bed rest alone. Am J Obstet Gynecol. 2001;185(5):1106–12.
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