Что такое ИЦН (истмико-цервикальная недостаточность) и как с этим быть?

There was a question about isthmic-cervical insufficiency. I highly recommend watching our broadcast with Vera Pykhtina. We've uploaded it to YouTube for your convenience. If you looked at the picture and didn't understand what I was talking about, feel free to stop reading. Actually, no... better yet, read on. After all, if someone in your circle encounters this problem, you'll know where to turn. ⠀ So, isthmic-cervical insufficiency Cervical insufficiency. ⠀ "The main function of the cervix during pregnancy is to maintain and carry the pregnancy to term. ⠀ A dense, long, and closed cervix throughout pregnancy prevents premature birth and miscarriage in the early stages. ⠀ When it shortens and dilates during pregnancy, it is called isthmic-cervical insufficiency, or ICI. ⠀ ICI, or an incompetent cervix, can lead to early premature birth or miscarriage in the second trimester of pregnancy." ⠀ This is an excerpt from a post by Dr. Vera Pykhtina. @doc_veraa Simple, clear, and to the point. ⠀ Vera Alexandrovna has been studying this problem for a long time. And has been working with such women for a long time. ⠀ She is an obstetrician-gynecologist. And now she heads a department at the Family Planning Center and Reproduction. ⠀ The topic of cervical insufficiency, pessary placement, premature birth, etc. often comes up in your questions. Yes, the problem is not at all uncommon. And the treatment options vary. ⠀ Let's figure it out together: ⠀ 1 How do you know if you're at risk? 2 What symptoms should alert you? 3 How to avoid missing or neglecting the problem? 4 Where should you go for diagnostics? 5 How to treat? 6 Should I monitor my length every 5-7 days? 7 Will progesterone help? 8 Pessary: ​​Pros/Cons. When/Who/Why? ⠀ ... h 00:00 start 00:01 preview 03:37 who is Vera Pykhtina and what does she do? 08:10 what is cervical insufficiency and where does it come from? 22:47 risk group for cervical insufficiency 23:27 when to start monitoring Cervix 23:44 When to place a cervical suture 25:28 Prescription of cervicometry after the first screening 26:45 Case Study 31:17 What to do if a cervical insufficiency is diagnosed at the second screening 33:17 What do the clinical guidelines say? 34:35 Doctor's recommendation 37:38 How to measure the cervix with a pessary 39:42 What is the point of a pessary Questions from listeners 42:43 Physical activity with a cervical suture 44:46 I had a pessary placed twice in different pregnancies. Will I need a suture in my third pregnancy? 46:45 What length of preserved cervix prevents mixing of vaginal and cervical flora? 47:20 Utrozhestan analogs 48:13 A second pregnancy with true cervical insufficiency increases the risk of preterm birth when a suture is placed. 49:01 Placed A 25 mm cervical pessary without a medical history - what to do? 50:40 What is the likelihood of labor, including precipitous labor, after removing the pessary? 51:55 A suture and pessary were placed during my first pregnancy. If left untreated, will cervical insufficiency recur in my second pregnancy? 52:28 Neither a suture nor a pessary was placed, although there were indications. What to do during my second pregnancy? And when is the correct time to measure the cervix? 57:47 What are the differences between true and false cervical insufficiency? 58:01 What is the ideal time for a suture if I had cervical insufficiency during my first pregnancy? 58:50 What is the risk of a shortened cervix in a subsequent pregnancy if I had a pessary? 59:06 My cervix is ​​26 mm, I was given a pessary and Utrozhestan. Are the doctor's actions correct? 59:25 Pessary for twins - physical activity, bandaging, cervicometry 01:04:20 Internal os dilation At the second screening, with a normal cervical length, what should I do? 01:09:15 I was diagnosed with cervical insufficiency at 35 weeks, but they refuse to put in stitches or a pessary. Is this correct? 01:11:15 How to mentally prepare for a second child after cervical insufficiency in the first pregnancy 01:14:07 Is it painful to remove the pessary? 01:14:58 Conclusions and conclusions Thanks to Anastasia for the time codes