OBSTETRICS : CERVICAL LACERATION (RUPTURA COLLI UTERI) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Hyperextension - cervical laceration during childbirth, scarring of the cervix, ingrown villous placenta previa, especially in the cervical pregnancy, rapid delivery, operative delivery with insufficient opening of the throat.
First are a variation of uterine rupture (see), the second - actually breaks the neck. A special form is the circular gap of the lower portion of which is born before or simultaneously with the head. The typical location of discontinuities cervical - lateral unilateral or bilateral. Bleeding when rupture of the vaginal portion is moderate, but in some cases can be very strong.
Recognition on the basis of bleeding. The latter can be mixed with hypotonic bleeding (see uterine Hypotonia). Bleeding if the rupture cervical intermittent, pulsating, the uterus is reduced. During the massage uterine bleeding does not stop. A study using mirrors in the vagina helps to clarify the diagnosis.
The causes that contribute to the occurrence of cervical tear.
Deep cervical tear with the transition to the vaults and above are treated according to the type of rupture of the uterus. When rupture of the vaginal portion and the lack of bleeding - treatment, as right-hander is not required. If there is bleeding - the seams on the bleeding site. If it is impossible stitches - tight tamponade arches and vagina for 6 to 12 hours. In recent times, it is recommended to visualize the cervix after each childbirth and upon detection of a gap to sew in order to prevent inflammatory processes, inversions cervical and other changes. This event is recommended to prevent cancerous lesions of the cervix. In order to prevent infection - penicillin and sulfonamides.