When it comes to ischemic-cervical insufficiency , physicians often use the term "prolapse of the bladder". What is it, when and how there is and what danger holds up for the pregnant and the baby, we will tell in our article.
Expansion of the cervical canal - causes
First of all, let's remember that with cervical ischemic failure, the cervix can not cope with its main function - to lock the exit from the uterus and keep the growing fetus in the womb. This occurs in the following cases:
- deficiency of progesterone or an excess of androgens in the body of a pregnant woman;
- scars on the body of the cervix, caused by her injuries;
- congenital malformations of the uterus,
- multiple pregnancy.
Fetal bladder prolapse - symptoms
So, with ICS, the softening and opening of the cervix is gradual, and this always happens unnoticed for a woman. If the expansion of the cervical canal during pregnancy is large enough, then prolapse of the bladder may occur - protrusion into the cervix. This situation is especially dangerous: firstly, under the pressure of the fetus and amniotic fluid, the expansion of the cervical canal of the cervix is accelerated, and secondly, if there is an infection in the vagina, inflammation of the membranes can occur. In both cases, at any time, a ruptured bladder rupture, an outflow of amniotic fluid, and then a miscarriage can occur.
It is almost impossible to suspect the prolapse of the fetal bladder - symptoms are usually absent. The only thing that may indicate a danger is the leakage of amniotic fluid. In this case, the chances of delivering a child and giving birth on time are extremely low. Therefore, with the slightest suspicion of NIC, it is necessary to strictly follow the doctor's instructions, not to give up operative or conservative (pessary) treatment and to comply with bed rest.