Experiencing Late Miscarriages? Cervical Insufficiency – Antai Hospital

Experiencing Late Miscarriage? Cervical Insufficiency – Antai Hospital

The reasons for the recurrent pregnancy miscarriage and preterm delivery are diverse and multifactorial, tabulated to be up to 43 individual causes. Some patients can have a singular factor or multiple at the same time, so in order to have a successful pregnancy, all factors need to be dealt with. The most common diagnoses of recurrent pregnancy loss include the Immunological Factor (anti-embryonic antibodies), uterine malformations (Septate or Naive Uterus), Asherman’s syndrome (intrauterine adhesions), cervical insufficiency, and uterine fibroids, accounting for 47% of the patients. The incompetent cervix is a well-recognized cause of midtrimester miscarriage, recurrent pregnancy loss in the mid-trimester, and preterm labor presenting with bulging membranes in the absence of significant uterine contractility or rupture of membranes. 

Cervical insufficiency is a primary cause for late miscarriages and preterm delivery, and affects 1% of all pregnancies and 8% of women with recurrent mid-trimester losses.The cervix plays a very important role in maintaining pregnancy. It is also a mechanical

barrier that prevents exposure and prolapse of the foetal membranes and in combination with the mucus plug protects against ascending infection. Cervical insufficiency means

that the cervix is weak and unable to remain closed until the date of delivery, manifesting

itself in painless softening and shortening of the cervix without contractions.

Cervical failure is related to its premature ripening. The processes of shortening and dilatation of the cervix are physiological processes during labor but when initiated before 37 weeks of pregnancy, miscarriage, or premature birth may occur. Several factors are implicated in cervical insufficiency including: congenital changes in the internal structure of the cervix, acquired mechanical injuries, and inflammatory processes, leading to its early shortening and dilatation

Causes

• Congenital factor
• Cervical Conization
• History of other cervical surgery
• Emergency Caesarean Section

Symptoms that you may experience for a late threatened miscarriage

• Painless contractions
• Slight abdominal pains
• Vaginal bleeding

Diagnosis of cervical insufficiency 

• B-scan ultrasonography (B-scan). B-scan is used to measure cervical length. A cervix shorter than 25 millimetres in length before the third trimester is a short cervix that requires treatment. 
• Vaginal Exam. A vaginal exam can measure how much the cervix has dilated. 

Who Should Do A Diagnosis Test?

• Women who had surgery, or trauma to the cervix
• Women with congenital conditions (genetic abnormalities or genetic disorders)
• Women with a history of painless cervical dilation 
• Women who have had one or more late miscarriages or preterm births (before week 28)

Antai Cervical Ring 

We treat cervical insufficiency or cervical incompetence with Antai Cervical Ring. The surgeons will place the Antai Cervical Ring around the cervix’s internal orifice to tighten and strengthen the cervix (neck of the womb). The Antai Cervical Ring ensures that the baby remains safe in the womb during pregnancy. The surgeon will customize the ring for each patient to ensure that it supports the cervix perfectly.

What Is The Procedure To Place The Antai Cervical Ring?

Depending on the severity and the individual’s medical history, the Antai Cervical Ring will either be inserted vaginally (transvaginal) or through the lower abdomen (transabdominal) using small incisions. The procedure is minimally invasive.

The procedure takes about one hour, and patients are required to go under general anesthesia.

Benefits of Antai Cervical Ring

• No stitching
• Removable
• Unique Positioning
• FDA approved 
• 95% success rate

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