Medical history (history of illness) represents an important component in the diagnosis of cervical insufficiency (cervical weakness).
Family history
- To date, the only known genetic familial cause is Ehlers-Danlos syndrome. It is a very rare, heterogeneous group of congenital disorders of collagen synthesis. Organs with connective tissue-rich structures, for example, also the cervix uteri (cervix) are deficiently formed, the function impaired.
Current anamnesis / systemic anamnesis (somatic and psychological complaints).
- The following findings and symptoms may indicate cervical insufficiency:
- Findings:
- Speculum setting (examination of the vagina and cervix using a speculum/medical instrument): Prolapse (prolapse) of the amniotic sac.
- Ultrasound (vaginal/through the vagina): increasing shortening of the cervix length during pregnancy, as well as the opening of the internal cervix without labor.
- Vaginal examination: opening of the cervical canal (cervical canal) for finger patency.
- Symptoms:
- Downward pressure
- Menstrual-like discomfort
- Spotting
- Unclear lower abdominal discomfort
- Increased fluorine (discharge)
- Pulling
- In the bars
- In the back
Typically begins in the 14th to 20th week of pregnancy.
- Findings:
Self history
- Operations: Condition after
- Diagnostics
- Inflammatory
- Neoplastic (“new-forming”)
- Premalignant changes (tissue changes that are fine tissue signs of malignant (malignant) degeneration) of the cervix.
- Correction of malformations
- Of the uterus (womb)
- Of the cervix
- Therapy
- Inflammatory
- Neoplastic
- Premalignant changes of the cervix
- Diagnostics
- Pregnancies: cervical tear (Emmet tear) in childbirth.
- Pre-existing conditions: Condition after cervical insufficiency
