How to Determine Cervical Insufficiency?
The diagnosis of cervical insufficiency can be made with a simple examination. The cervical opening should not be more than 8 mm. The cervical insufficiency is more than 8 mm. There aren’t any tests that can be done before pregnancy to reliably predict an incompetent cervix. However, certain tests done before pregnancy, such as an MRI or an ultrasound, can help detect uterine abnormalities that might cause an incompetent cervix. It is more difficult diagnos in pregnant women. Births due to cervical insufficiency, which can be more difficult to detect than premature birth, are usually seen between 18 and 22 weeks of gestation. Premature birth, on the other hand, usually occurs after the 26th week of pregnancy.
How and When to Perform Cerclage?
The ideal period for cerclage is between the 12th and 14th weeks of pregnancy. This is called prophylactic cerclage. On the other hand, in some cases, cerclage may be required after delivery. In such cases, cerclage should be performed in future pregnancies. On the other hand, urgent cerclage should be performed in individuals who have had premature birth or in cases where the length of the cervix is 2 cm or shorter in vaginal ultrasonography or when funneling is seen in the amniotic sac. However, when birth starts actively, when bleeding occurs in the uterus, when the water breaks, there is no cerclage performs in fetal anomalies and in cases where the fetus is not alive when inflammation occurs in the uterus or amniotic sac.