Salvi Pankaj, Gaikwad Vidya, Dsouza Ashton, Ankem Sravani
Obstetrics and Gynaecology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pune, IND.
Cureus. 2024 Jan 30;16(1):e53264. doi: 10.7759/cureus.53264. eCollection 2024 Jan.
Recurrent pregnancy loss, premature birth, and associated complications exhibit a multifactorial etiology and persist as substantial challenges during pregnancy, despite the notable advancements in the medical field. Among several factors, cervical insufficiency or incompetence emerges as a prominent causal factor, characterized by painless softening and shortening of the cervix associated with absent contractions. The implementation of emergency cerclage represents a pivotal intervention in mitigating preterm birth among individuals with advanced cervical insufficiency. By extending gestational age, this procedure increases the likelihood of neonatal survival without elevating the risk of chorioamnionitis or preterm rupture of the membranes. In this study, an antenatal woman presented with advanced changes in the cervix along with intravaginal bulging amniotic membranes at 18 weeks and underwent a rescue cervical cerclage, resulting in a successful pregnancy.
复发性流产、早产及相关并发症病因多因素，尽管医学领域有显著进展，但在孕期仍是重大挑战。在诸多因素中，宫颈机能不全或宫颈功能不全是一个突出的致病因素，其特征是宫颈无痛性软化和缩短且无宫缩。实施紧急宫颈环扎术是减轻宫颈机能严重不全者早产的关键干预措施。通过延长孕周，该手术增加了新生儿存活的可能性，而不增加绒毛膜羊膜炎或胎膜早破的风险。在本研究中，一名孕妇在孕18周时出现宫颈晚期变化及阴道内羊膜囊膨出，接受了挽救性宫颈环扎术，最终成功妊娠。
