Cervical incompetence represents the failure of a healthcare provider to diagnose and treat a particular type of cancer correctly. Of all women, women over 50 are most likely to develop invasive breast cancer, yet most do not receive adequate screening. The most recent estimates show there will be nearly 300,000 new cases of invasive breast cancer diagnosed among U.S. women age 50 and above in 2018. For women age 50–59, the expected number of new cases is approximately 36,400.
How to increase cervix length during pregnancy
What do you do to increase the length of your cervix during pregnancy?
Using a cervical suffocation device known as a neck brace can be an option for first-time moms who need immediate care during labor and delivery. It can prevent serious complications for mothers and babies, including death. But the decision about whether to use such equipment rests with you and your doctor. And should you feel inclined to have an induction dropped into your delivery, there are plenty of things you can do to make the experience less traumatic if you decide to proceed. This is when the cervix is so weak that it cannot hold the product of conception
- Congenital weakness of the cervical Os.
- Previous trauma to the cervical Os especially during birth.
- Frequent surgical dilatation of the cervical Os as in repeated
- Dilatation and curettage.
- Cervical amputation.
The clinical features include painless recurrent abortions after the sixteenth week of pregnancy. The subsequent abortion occurs earlier than the previous one. Vaginal examination shortly before the abortion will show membrane bulging through party dilated cervical Os. In a non-pregnancy woman, if the doctor or the midwife passes a Hegar dilator of 1cm diameter through the cervical Os, there will be the absence of Os snap-on withdrawal of the dilator. Management of a pregnant woman with an incompetent cervix is:
- (a) Bed rest
- (b) Shirodkar stitch before the 14th week of pregnancy.
The stitches are removed if there is an abnormal (Premature) contraction or remove two weeks before term.
Downward descent of the uterus and or the vagina towards or through the introitus. Often times the bladder, urethra, bowel, and rectum may be secondarily involved.
There are three degrees of prolapse:
- Descent of cervix to the introitus.
- Cervix and part of the uterus through the introitus
- Cervix and the whole uterus through the introitus. The third degree is called procidentia.
Causes of Prolapse:-
1. Imperfect development of the supporting tissues of the uterus.
2. Stretching of the supporting tissues by childbirth.
3. Chronic increase in intra abdominal pressure such as obesity, chronic cough, and tumors.
4. Postmenopausal atrophy of supporting tissues of the uterus due to estrogen withdrawal.
The clinical features of prolapse include:
- Feeling of “something coming down” like a bearing down sensation in labor. It may occur suddenly or may be gradual.
- Difficulty with micturition and defaecation.
- Severe back pain.
- The fullness of the vagina.
How to avoid uterovaginal prolapse:
1. Avoid pushing before the cervix is fully dilated
2. Avoid obesity, cigarette and treat chronic cough
3. Appropriate hormone replacement therapy in some post-menopausal women.
Treatment: it is held with ring pessaries. If this fails, surgery is done. (Colporrhaphy).