Gong Song wants to know how to do a cervical cerclage

Patient's question:

Dear Director, I have had multiple adverse pregnancies, including one at 19 weeks.
Dear Director, I have had multiple adverse pregnancies, including one at 19 weeks when I experienced premature rupture of membranes. At that time, the doctor said my cervix was too soft, but later an examination with a 7th cervical dilator showed no obstruction. Now I am 12 weeks pregnant and have been seeing Dr. Bao Shihua at your hospital. On May 22, I booked an early prenatal screening and cervical examination at your hospital. For safety reasons, I would like to ask you to help me with cerclage, but now I cannot get an appointment with you and don’t know at what gestational age I should see you. I’m also worried about bed availability (since I’m from Nanchang, Jiangxi). What should I do?

Doctor's answer:

Relaxation of the cervix is generally diagnosed based on medical history and examinations. If a non-pregnant cervix can accommodate an 8th size catheter, it can be diagnosed as relaxed. It is important to maintain hygiene of the external genitalia to prevent infections. The occurrence of gynecological diseases not only affects the patient's physical health but can also lead to the development of other gynecological conditions. Therefore, it is best to undergo routine examinations in the gynecology department of a hospital, identify the cause, and receive symptomatic treatment. Additionally, pay attention to personal hygiene and keep the perineal skin clean.

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