Bleeding Due To A Short Cervix During Pregnancy?
Greetings, doctor, I want to ask, I am currently pregnant at the age of 5 months, at first my womb was fine, until one day I had to go to the hospital because of coughs, colds and extraordinary nausea at the gestational age of 3-4 months. After I was in the hospital for 4 days, the next day I was allowed to go home but the bleeding came out. The blood that came out was dark brown. I was immediately referred again to check with the obstetrician again, the result was that the baby’s placenta shifted slightly to the left. After that I was getting better but the spots continued to bleed every now and then a little and sometimes it didn’t come out at high school. I went to the doctor again. The ultrasound results of my uterus were only 2.5cm, which caused the discharge of blood. During the spots or discharge of blood, I have never felt pain or cramps in the abdominal area, which I felt, even though my baby was active, sx his movements. The doctor said I needed bedrest and wasn’t sure if it would last up to 9mths. I want to ask, how is the correct bedrest so that I can run it maximally, is it still permissible to walk to the bedroom or to the kitchen occasionally or not at school? With my condition like this, what should I do so that my cervix is strong and lasts until late pregnancy? And lastly, is there still a possibility that I will not give birth prematurely? What steps and paths should I take? Thank you doctor before .. wasalam
Perhaps what your doctor meant was a short cervix. A short cervix can cause cervical insufficiency because it is not strong enough to hold a pregnancy. A short cervix, which is less than 25 mm (2.5 cm), can increase the risk of preterm birth. Usually, in uterine insufficiency, the dilation / opening that occurs can be asymptomatic (painless) so you don't feel any complaints. But on examination, you can find an opening or amniotic fluid that rises / protrudes, and can even break.
Treatment of uterine insufficiency is cerclarge, which is a suture is performed on the cervix. However, not all of these procedures are performed. Usually women with uterine insufficiency can be monitored regularly at 16-24 weeks so as to avoid unnecessary procedures. Cerclarge is also not performed on women whose cervix is short in the second trimester and who have never had a preterm birth before (as in your case). Usually given hormonal therapy to prevent premature birth.
When you go to bedrest, you don't actually have any activities at all. Not doing anything at all can have a bad effect because it can lead to muscle weakness and poor blood circulation. Going to the bathroom or to the kitchen every now and then is allowed as long as it's not tiring. Don't do activities that can stretch your body excessively and are tiring, for example cleaning the bathroom while squatting, and so on. The possibility of not giving birth prematurely remains, you can still think positive, but at this time you must remain in control according to the time prescribed by the doctor regularly.