Prevention of cervical cervix insufficiency, premature delivery, birth test, and cervical length examination 2018-12-23

Free Time reporter Wu Liangyi / Taipei report original page please click me

There are 20,000 premature babies in Taiwan every year. Mothers and children still have to face a slow and arduous growth journey. The doctor reminds that the incidence of cervical atresia is about 500 to 1/two thousand. One of the high risk factors for preterm birth, but this risk can be easily avoided as long as this test is added during the test.

Cathay Hospital yesterday held a premature baby's return to her family's activities, and many parents took part in the children. A pair of lively and lovely twins Qiqi and 浤浤 were born at 25 weeks, weighing only 877 grams and 840 grams, which is a very dangerous premature baby.

When the twin mothers were doing high-level ultrasound in the 21st week of pregnancy, they found that "cervical atresia was incomplete" and had opened two fingers. The fetus was about to slide to the birth canal, and the hospitalized fetus was treated with cervical cerclage and cervical cerclage. The baby stayed in the uterus for 5 weeks and took time to give her mother a steroid to promote the maturity of the fetal lungs. Later, at 26 weeks, because the amniotic membrane was broken, she had to be born early.

The probability of occurrence is up to 500 points
Hong Yili, director of the neonatal intensive care unit of Cathay Hospital, said that the incidence of cervical insufficiency is about 1 in 1500 to 1 in 2,000. Therefore, it is recommended to add cervical cervix during the 20th to 24th week of pregnancy. Length inspection, if there is a problem, as long as the surgery can be improved, it can also greatly avoid the chance of premature birth.

At 20-24 weeks of pregnancy, Cai Mingsong, director of the Department of Obstetrics and Gynecology at Cathay Hospital, said that "cervical atresia" refers to spontaneous neck shortening without pain and swelling of the cervix without any uterine contractions. In severe cases, the amniotic membrane will swell out to the vagina through the open cervix, and there is a risk of premature birth of the fetus.

Cai Mingsong said that because pregnant women usually have no signs, many women have to go to the water or the vagina to have a foreign body to see a doctor, only to find that the cervix has been opened, if the amniotic sac has bulged, it is almost difficult to keep the child.

Cai Mingsong reminded that as long as the congenital uterus abnormality, cervical lesions or resection, multiple abortions, multiple births, etc., are high-risk groups of cervical atresia, the length of the cervix should be made in the middle of pregnancy. measuring.

When cervical insufficiency is found, cervical cerclage surgery can be considered, and antibiotics and moderate anti-fetal drugs can be given. Early treatment can effectively prolong the number of weeks of pregnancy, increase fetal survival rate and reduce complications.