Rupture of the cervix during childbirth, the consequences
The cervix is the narrow part at the bottom part of the reproductive organ. During the first stage of labor it is revealed, and from that moment, the movement of the child through the birth canal. In the second stage of childbirth, a woman’s body is striving to help the child to be born. Ideally, attempts during the delivery starts only after the cervix reveals a natural way.
The resulting Zev should have size about 10 – 12 cm, But, if not, then possible rupture of the cervix during childbirth. This greatly complicates the process of bringing a child into the world. In addition, trauma during childbirth slows down the recovery process of women and can have serious health consequences.
The causes of the gaps
In most cases rupture during labor, the cervix is due to a wrong management of the process by the doctor or due to inappropriate behavior of most mothers. The thing is that at the time when the cervix is not yet fully revealed, and is approximately 8 cm, in women there is strong desire for the labors. Therefore, at this time, if the staff allows the mother to push, or she does not listen to the advice of experts, the probability of occurrence of rupture.
To provoke this complication can premature or very quick delivery and discharge of amniotic fluid on the day before. The probability of rupture of the cervix in women with a narrow pelvis.
Often insufficient opening of the cervix and, as a result, breaks will result in the following:
- poor tissue elasticity due to age factor or repeated abortions;
- scarring from previous childbirth or other operations;
- the birth of a large baby (over 4 kg);
- a long birth due to lack of tribal activity;
- discoordinated labor activity;
- the passage of the fetus through the birth canal in the pelvis or legs forwards;
- multiple pregnancy and childbirth vaginally;
- inflammatory diseases of the cervix.
All of the above reasons lead to spontaneous ruptures of the cervix that can be prevented only competent actions of a doctor, a leading childbirth. But the risk of complications significantly increases, if there is not one factor, but several.
Should also mention violent causes, which can lead to tearing. This happens when to save the child or mother, the decision to extract the fetus by vacuum or thorns. Also to violent causes are rough palpation or other unprofessional actions of the doctor.
Diagnosis and classification of discontinuities
Rupture of the cervix is unable to remain undiagnosed, as mothers pass obligatory examination with mirrors immediately after delivery. In cases of damage being suturing of the tissue with a special material.
Cervical cancer is classified according to the depth of soft-tissue injuries as follows:
|The severity||The size of the gap||Features|
|First||Not more than 2 cm||Uncomplicated breaks that do not threaten the life of the mother and not complicate the birth process. Damage can occur both with one and two sides of the cervix.|
|Second||More than 2 cm, but the damage does not reach the vagina.||Uncomplicated breaks, which do not pose a threat to the life of the mother, but can complicate the process of childbirth. Damage can occur both with one and two sides of the cervix.|
|Third||The gap of great length, which reaches the vault of the vagina and goes through it.||Complicated breaks, passing to the uterus, exciting the peritoneum disturb the birthing process and threaten the life of the mother and child.|
You should know that the lateral tears of the cervix are physiological, and they indicate that the woman gave birth.
Symptoms of rupture are different and always individual. This complication after childbirth is always accompanied by bleeding of varying intensity. The amount of blood depends on the involved in the rupture of the vessel. As for pain, the intensity depends entirely on the pain threshold of the mother.
In most cases rupture during labor, the cervix of the 1st degree is asymptomatic, this is especially the case when its length is less than 1 cm If there is a suspicion that there was a gap involving the uterine body, necessarily carried out additional examination of the reproductive organ manually.
Important! A small amount of bleeding does not always indicate the presence of deep tissue damage. Sometimes the blood flows under the vaginal mucosa, which is very dangerous.
When large amounts of damage to the tissues of the cervix during childbirth as mothers is much worse. The weakness, pallor, drop in blood pressure. Severe pain on the background of the convulsive contractions may indicate gaps of 3 degrees, which affects the uterine body. It is very dangerous and requires immediate intervention specialists, as this complication threatens the health of women, and can lead to fetal death.
Any rupture of the cervix, regardless of complexity, is sutured special kedgotoline threads. This biodegradable material does not require later removal of the sutures.
Because pain receptors in the cervix are absent, minor damage of its tissues associated with a gap of 1 degree, sewn with a without the use of anesthesia immediately after birth. Local anesthesia is used in cases if there are perineal or vaginal walls.
If there are significant gaps 2 and 3 degrees is used in intravenous anesthesia. After giving birth sleep operation is conducted, in which everything is sewn with a tissue damage. However, no pain in women does not occur. In severe cases, in complicated rupture with the formation of a hematoma at the adipose tissue around the uterus is surgical opening the abdominal cavity.
If the stitches are professionally, then special care is required. An important requirement for the positive forecast is the observance of rules of personal hygiene. It is not recommended to take a bath and to lift weights. Complete healing of breaks in the absence of complications occurs approximately a couple of months. This is necessary to avoid sexual activity. After the birth defects to plan a new pregnancy can be no earlier than 2 years.
After surgery, in the case of massive blood loss put droppers with hemostatic drugs and saline solution. To prevent infection with antibiotics and local antiseptics.
Complications of fractures
If the damage has been poorly sutured at birth, the consequences can be very serious. Poorly executed seams lead to the eversion of the cervix. Subsequently, this pathology may lead to the development of cervical cancer. In this case, the reproductive organ is necessary to remove, that is, a woman becomes infertile.
In addition, poor provision of medical care due to birth trauma or poor personal hygiene may cause festering wounds. This complication leads to the development of sepsis that can cause death if not provided with timely surgical care.
Any goes untreated damage to the tissues of the cervix can lead to the occurrence:
- chronic inflammation;
- postpartum ulcers.
The risk of miscarriage or premature birth in the presence of scars on the cervix during the next pregnancy increases significantly.
Prevention of birth trauma
To prevent rupture of the cervix during labor, we must first listen to the doctor. It is especially important to implement all the recommendations of the midwives at the stage of emergence attempts. Proper breathing, which teach pregnant women to take special courses, will help to focus on the birth process and avoid common mistakes. You should know that if necessary it is possible to use a spasmolytic and analgesic drugs to prevent premature attempts.
It should be remembered that the planned pregnancy should be taken very seriously, namely, beforehand:
- to cure all chronic diseases;
- to perform exercises for the vagina;
- take a course of vitamin;
- fully fed and to rest.
If the doctor believes that ruptures during childbirth cannot be avoided, it is best to consent to surgical dissection of the cervix. Tissue damage with smooth edges are easier to sew, in order to avoid possible negative effects and reduce the risk of complications.