Ho Chi Minh City Ms. Trang, 32 years old, was 23 weeks pregnant when her uterus prolapsed and she was at risk of premature birth. The doctor stitched her cervix to prevent complications.
This is Trang's second pregnancy. Six years ago, she gave birth prematurely to her first child at 26 weeks, and the baby had motor cerebral palsy. This time, at 23 weeks, her cervix had dropped to 17 mm.
On September 26, Dr. Nguyen Huy Cuong, Obstetrics and Gynecology Center, Tam Anh General Hospital, Ho Chi Minh City, said that the normal cervix during pregnancy is about 30-50 mm. A cervical length of less than 25 mm before the 24th week of pregnancy is considered a short cervical length, requiring treatment to prevent the risk of miscarriage and premature birth. Cervical cerclage is usually performed at the 14th-18th week of pregnancy. Ms. Trang is a special case, performed at the 24th week of pregnancy.
Doctors predicted that the intervention would be difficult due to the large fetus, high risk of rupture of membranes, and the possibility of premature birth and infection. The team used special thread to suture and tie tightly, keeping the cervix closed.
After the procedure, the fetus developed healthily. Ms. Trang had her stitches removed at the beginning of the 38th week of pregnancy. A week later, in mid-September, her water broke and she went into labor and gave birth to a healthy baby.
Trang's family welcomed their newborn baby at Tam Anh Hospital. Photo: Tue Diem
According to the World Health Organization (WHO), premature birth is the leading cause of death in children under 5 years of age. Every year, an estimated 15 million babies are born prematurely worldwide, accounting for 1 in 10 newborns.
According to Dr. Cuong, cervical cerclage (CTC) helps pregnant women maintain their pregnancy and is indicated for women with a history of two or more major miscarriages or premature births before 28 weeks with characteristics of rapid, painless labor; women with risk factors such as conization or core biopsy of the CTC, resection, cervical injury due to dilation and curettage with a history of premature birth before 36 weeks; short CTC length of less than 25mm at a gestational age of less than 24 weeks or with changes over examinations.
After the procedure, pregnant women are usually monitored at the hospital for 2-3 days, rest at home, avoid heavy work, and abstain from sex.
Tam Anh General Hospital in Ho Chi Minh City recorded more than 10 cases of threatened premature birth due to short cervix in August out of a total of 400 births. All cases of cervical cerclage resulted in healthy babies born at 35-38 weeks of pregnancy.
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