Укорочение шейки матки в 17 недель. Истмико-цервикальная недостаточность (ИЦН) Причина, что делать?

Shortening of the cervix at 17 weeks. Isthmic-cervical insufficiency (ICI). Cause and what to do? Schedule an online consultation at the CIR by following this link: https://vk.cc/9LJxc9 ​ In this video, Dr. Guzov, creator of the CIR https://vk.cc/9z2aLK, answers the question: "Can an inflammatory process cause the cervix to shorten rapidly at 17 weeks of pregnancy? My cervix is ​​18 millimeters. Doctors refuse to perform stitches due to elevated C-reactive protein." Chronic inflammatory diseases, specifically. That is, an imbalance of microflora in the vagina and cervix is ​​one of the important factors that creates the risk of cervical insufficiency, because it triggers cascades of inflammatory reactions that lead to increased levels of enzymes involved in the degradation of connective tissue, prostaglandin levels rise, and the cervix begins to soften, dilate, and shorten. And if the cervix is ​​shortening—it's truly shortened—then, of course, your doctors can prescribe a course of topical and general antibacterial medications to cover all of these issues. A very strict, not quite bed-rest, home regimen is certainly necessary to prevent further development. Of course, the issue of stitches or an obstetric pessary—a silicone ring placed on the cervix—can't be resolved in absentia. And if they don't want stitches, then maybe they should at least check to see if there are any conditions that require it. To apply an obstetric pessary. Because the situation is very alarming, and the timing is very alarming. Therefore, you are absolutely right to ask about chronic inflammatory processes. Because when we had very little opportunity, I recall my experience in the late 1980s. The literature on the use of obstetric sutures was very contradictory. Because there was data showing that they are practically useless, and if premature labor begins, the uterus ruptures these sutures, causing additional trauma to the cervix due to the fact that these sutures simply cut through, creating trauma to the cervix, which will further cause problems. In any case, I cannot give recommendations from a distance. It can be very dangerous. You can schedule an online consultation by following this link: https://vk.cc/9LJxc9​. Find out how to get tested at the CIR if you don't live in Moscow: https://vk.cc/ak3guR ​ To schedule an in-person consultation, call our multi-line number +7 (495) 514-00-11 or visit our website at https://vk.cc/9z2cyu ​ Our doctors: ​Our website: https://vk.cc/9z2aLK ​Laboratory: https://vk.cc/9z2b91 ​Facebook:   / cironline   ​Instagram:   / cironline_l.  . ​Facebook: https://vk.com/socialnetcir ​ Center for Immunology and Reproduction (CIR): https://vk.cc/9z2aLK- ​A network of fertility, obstetrics, and prenatal diagnostic clinics with its own medical testing laboratory, "CIR Laboratories" https://vk.cc/9z2b91 ​. We've been operating since 1996. Our main areas of expertise: Diagnosis and treatment of infertility and miscarriage Preparation for IVF Pregnancy planning and management Urology and andrology Care and prevention of severe pregnancy complications, preeclampsia, APS, thrombophilia All types of testing. We help people become parents even in the most challenging cases! Our channel is dedicated to obstetrics, gynecology, and reproductive medicine. We publish videos about medical news, reviews of articles from international scientific journals, analyses of complex clinical cases, and also answer subscribers' questions in our videos. Our videos will be useful for physicians of various specialties whose work is related to reproductive medicine, as well as for patients and the general public interested in obstetrics and gynecology and seeking answers to their questions. On Mondays, at 2:30 PM Moscow time, our channel hosts live broadcasts with Igor Ivanovich Guzov, MD, PhD, obstetrician-gynecologist, in which he discusses medical news and answers your questions. Subscribe to our channel to stay up-to-date with broadcasts and new videos! This video:    • Укорочение шейки матки в 17 недель. Истмик...   Other videos about pregnancy complications: https://vk.cc/9lV1qG Pregnancy: https://vk.cc/9jHfbR Pregnancy at the CIR: https://vk.cc/a4DilT Lots of interesting videos: https://goo.gl/64X3c1 ​ #CIR #Guzov #pregnancy #cervix #ICN #obstetrics