ICI and a suture on the cervix (personal experience). View Full Version
Good afternoon!
At week 17, the cervix was sewn up (miscarriage in the past in this period, shortening of the cervix in dynamics and opening of the internal os). I re-read everything on the site about ICI and suturing and tokalitic therapy and there are a number of questions regarding which (due to great experiences) I would very much like to receive an additional answer. (Brains in experiences give in to panic)
Do I understand correctly that after stitching:
1) there is no particular point in lying down, because according to research, this does not affect the situation (except for multiple births)
2) there is no point in using tokalitiks, because there are no effective ones anyway (or are there some that are still justified? Do I need to drink any special pills after stitching?
3) whether it is necessary to prick-drink antibiotics right after sewing up? How many days? (It’s not useful for a child, so it worries me a lot, I’ve been injected for 5 days now)
4) Is sanitation of the seams necessary? If yes, how often? Only immediately after applying a couple of days or then too?
5) is it true that the tone of the uterus during sutures is not dangerous, because the tone was not known at all (it is often incorrectly set on ultrasound) and the phenomenon is not permanent. In addition, in fear of fighting with tone, the path is useless, since it appears from this. It's right? If not, what about the tone at the seams? How to approach this issue? Is he dangerous at all?
6) Do I understand correctly that after stitching every 2 weeks, smears and examinations on the chair and ultrasound are recommended? And what exactly is checked during these procedures? The strokes are still somehow clear, but not so much with the rest. On smears, they look primarily at leukocytes, right?
7) And in light of the question above. What dynamics of the neck length and opening of the internal os should be after suturing (ultrasound)? Everything has to lengthen and close? How fast? And if it shortens and opens further? Or is it a minor factor? And why then regular ultrasound?
I beg your pardon for the number of questions, but I know the official answers of traditional gynecologists to them (even many options), but I don’t really trust, because no one can really explain anything and they prescribe "because". At the same time, sometimes even I can understand that the logic in the answers is broken and the person most likely does not understand what he is talking about. She messed with it herself.
I really trust your site! I'll be waiting for an answer!
THANKS IN ADVANCE!!!
Pregnancy 16 weeks. At 15 weeks, a suture was placed on the cervix. Since there was a miscarriage in the past. IVF pregnancy - twins. I really want to keep it. What actions are carried out after suturing the cervix: drugs, ointments, sanitation?
The fact is that after suturing, I was given a magnesium system for 6 days, and now for the third day I just lie in a hospital bed. After asking the doctor whether it is necessary to somehow treat the vagina, she received the answer: no. She asked, maybe at least candles "Hexicon" for prevention, the answer is: well, if you want, put it in. I put on candles. On the 6th day after suturing, mucous discharge appeared from the vagina (when she went to the toilet to urinate). The doctor said that most likely just accumulated discharge. On this day I received the last system of magnesia.
Three days later, i.e. today, again on a napkin, either mucous, or purulent discharge of a yellow-brown color. I called the guard nurse, showed her the discharge. She asked to call the doctor on duty. The doctor refused to come, referring to the admission of a large number of women and operations. I don't know what to do next. The attending physician will be at work in a day. I'm afraid that these discharges can harm the pregnancy. Tell me what can I do myself?
Did the attending gynecologist diagnose you with isthmic-cervical insufficiency and sent you to suture the cervix? Don't be scared. Pull yourself together, because now is just the case when you can seriously harm yourself with experiences. Let's take a look at the situation together.
When should the neck be sutured?
In non-medical terms, ICI is when the neck is very short and very loose. That is, it cannot "keep" the fetus inside the uterus. By the way, a little less than half of miscarriages in the second trimester occur precisely because of such a neck - in cases where the feature was either not diagnosed on time, or due to a medical error or disobedience of the pregnant woman, it was not resolved in a timely manner.
Observe the neck begin at about 12-16 weeks. If it is necessary to suture, this is done from about 17 to 21 weeks. When time is lost for some reason, and the deadline has exceeded 22 weeks, the expectant mother is offered to put a pessary - a special ring that holds the cervix.
Remove the seam depending on the situation. Someone at the 36th week of pregnancy, someone - closer to the 39th.
two stitches
The suturing of the cervix is carried out in the hospital, after which the pregnant woman is in the hospital for a couple more days. However, exceptions are possible - it all depends on the institution, the doctor and, in fact, the specific neck. My friend was allowed to go home 2 hours after the intervention. I spent about a week in the hospital after the procedure.
Actually, the procedure itself takes place under general anesthesia and lasts no more than 15 minutes. Doctors assure that this anesthesia is absolutely harmless for the baby: firstly, this is a special anesthesia, shallow, and secondly, it is really short-lived. And moving away from it is much easier than after a deeper anesthesia. Feels like waking up. Someone opens their eyes, gets up and can already go about their business, others need to lie down for an hour.
What can and cannot be done after the procedure?
Usually, after the operation, they are not allowed to sit for a day. Just stand and lay down. This means that you need to roll off the bed, as it were, and go to the toilet almost standing up. By the way, do not be alarmed if you find droplets of dark secretions on your panties. A day or two after suturing may bleed a little.
Depending on your situation, your doctor may either allow you to live a fulfilling life with little to no restrictions, or recommend that you stay on a semi-bed rest. Be sure to check this question with your doctor.
You will have to monitor intimate hygiene even more carefully than before. While washing in the shower, did you find a thread in the vagina? Don't you dare pull on it!
But most importantly - from now on you need to make every effort to prevent the occurrence of uterine tone. The tension of this organ increases the load on the neck and is fraught with cutting through the thread of tissues. So, firstly, you should never have sex. I clarify: both oral sex and masturbation are strictly contraindicated. In medicine, this is called complete sexual rest. You should not be excited and have an orgasm, because at such a moment the uterus is very tense. However, if you had an erotic dream that led to an orgasm, do not be discouraged. Try to relax - and the tone will pass.
Secondly, women who have had a suture on the cervix are forbidden to be nervous, since experiences can provoke a strong tone. Try to control yourself. Do not neglect the sedative therapy prescribed by the doctor - sedatives on herbs. If your attending gynecologist has not prescribed these drugs for you, check with him - it may be worth taking them. The point is not only in their sedative effect, but also in the fact that such drugs relax the muscles of the uterus.
And, of course, refuse products that provoke tone. These are coffee, green and strong black tea, various sweet carbonated drinks containing caffeine. I won’t dwell on the fact that you can’t run, jump, dance and lift heavy things.
Suture vs pessary
“I am offered to suture the cervix, but my friend was given a pessary, why is that?” is a question often heard on the forums. Let's figure it out.
A pessary is a special ring that is placed on the neck. The pessary prevents it from opening and supports the uterus. It is usually placed when it is already too late to suture. This is done in 5 minutes in a gynecological chair, after which the pregnant woman can be free. It would seem an ideal option: no anesthesia for you, no week in the hospital, no “sewing” on your neck ... a logical question arises: why then does the practice of suturing still exist if the problem can be solved much faster and easier? However, not everything is so clear.
- First, the pessary is usually perceived by the body as a foreign body. The process of its rejection begins - that is, a sluggish inflammatory process appears. It must be constantly stopped by the drugs prescribed by the doctor. After all, inflammation next to the uterus, amniotic fluid is completely unnecessary.
- Secondly, experienced women in labor say that the pessary can fall out. You yourself, of course, will not fasten it back, which means that you will need to urgently run to the doctor.
By the way, removing both is completely painless. Just a little embarrassing. The removal procedure lasts from one to several minutes.
What if childbirth?
Regardless of whether you have a pessary or a suture, you need to see a doctor periodically. And the closer to the PDR, the more often. The gynecologist, based on the current state of the cervix, will set a date for you to remove the "lock" from the uterus.
Of course, at the first suspicion of contractions, you need to run to the doctor. Otherwise, the consequences can be disastrous: up to the rupture of the neck. At the same time, it’s also not worth worrying about every lost minute, especially if the birth is the first.
There is a belief among women in labor: if, after removing the suture or pessary, childbirth occurs in the period from a couple of hours to three days, then it was really necessary to carry out the procedure of "closing" the cervix. If later, then the seam or pessary was a reinsurance measure. However, if you have childbirth a week after removal, do not rush to reproach your gynecologist. Perhaps your cervix itself has undergone changes.
Bloody discharge after stitches on the cervix during pregnancy
Asked by: Victoria
Gender Female
Age: 37
Chronic diseases: not specified
Hello, I am worried about bloody, pink discharge 8 days after suturing the cervix at 19 weeks. Since the previous pregnancy ended with the opening of the cervix and the outflow of water at 18 weeks, in this pregnancy I have been following the cervix since 12 weeks. Scheduled hospitalization at 18 weeks, on admission the cervix was closed, 3.7 cm (in 2013 there was conization of cervical cancer), soft. Examination on the chair a day after the operation - the condition is satisfactory, ultrasound vaginally after 7 days - the neck is closed, 3.4. During the operation, the doctor noted that the neck is plump, but short. Recommendations for discharge - ginipral 0.5 every 6 hours with verapamil, utrozhestan drink 3 r 200, sanitation with miramistin 1 time in 2 weeks. How long can pink discharge last? Thank you!
Can the combination of Isoprinosine, Superlymph and Uro-Vaxom cause bleeding? Bleeding for 2 days I have been suffering from profuse vaginal discharge for 2 years now. They are white, transparent, dark brown all the time, regardless of the day of the cycle. The gynecologist did not treat anything, nothing helps, there is not even a small remission. I was diagnosed with cervical erosion (0.5 mm) about 4 years ago. The analyzes were always consistently bad, with leukocytes and inflammation. The last smear on the flora was good, but the cytogram showed inflammation of the cervix. Before that, she was tested for STDs, they found only Ganderella. Went to another doctor. She said that there was no erosion at all, she anointed with something and immediately diagnosed HPV. She prescribed me a course of treatment for HPV: 1) Superlymph suppositories at night for 20 days. 2) Immunomodulator Isoprinosine (I bought Groprinosin, they said it was the same). 28 days, 2 tablets. 3 times a day In addition, I visited a urologist, because I have problems with urination. Tank culture of urine showed E. coli 1x10 in 2 tbsp. The urologist supplemented the treatment with URO-VAXOM (take at least a month). A simple analysis showed bacteria +++ and erythrocytes unchanged 3-4 in pts. Before that, she was treated with Suprax-solutab, which gave temporary relief. On the 3rd day of taking these drugs together, she began to bleed. I continued therapy. On the 4th day, the blood began to bleed more strongly, almost the same as during menstruation, with clots. Menstruation should come only after 2 weeks. Could you tell me, please, what could cause such a reaction? Which of the drugs should be discontinued? Or continue treatment? I used to bleed too, but not as much. I'm very afraid of bleeding. Thanks in advance for the information provided!
1 answer
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Hello. Pink discharge can occasionally bother you. The main thing is that there should not be bright scarlet spotting.
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