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Influence of cervical canal shape on embryo transfer feasibility

100%
Mrugacz G., Grygoruk C., Grusza M., Pietrzycki B., Ratomski K., Pietrewicz P.
Progress in Health Sciences
|
2013
|
vol. 3
|
issue 1
78-82
EN
Purpose: To investigate the impact of cervical canal shape on embryo transfers feasibility. Materials and methods: A retrospective study on the influence of the cervical canal shape on ET complications was conducted among one thousand patients undergoing embryo transfers in the period between 01.2011- 08.2012. The patients, based on ultrasound appearance of the cervical canal, were allocated into one of the following groups: group “I” with straight cervical canal, group “J” with cervical canal bended one time, group “C” with cervical canal bended two times in the same direction and group “Z” with cervical canal bended two times in the opposite direction. Results: Out of the one thousand cases studied, the most prevalent cervical canal shapes were type I (440 cases) and type J (321 cases), 19% (185) of the women had a type C cervix and 5% (54) a type Z cervix. The highest rate of uncomplicated embryo transfers was noted in single bended cervical canals, 85%. Double bended cervical canals were characterized by a high rate of complications during embryo transfer reaching 80%. Conclusions: The results of the present study indicated that the shape of cervical canal has a great influence on embryo transfer feasibility. Special attention should be given to patients with double bended cervical canal, where the rate of complication is highest.
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Niewydolność cieśniowo-szyjkowa: diagnostyka i leczenie

51%
Katarzyna Milanowska-Koloch K.
Medical Review
|
2014
|
issue 4
374–380
PL
WHO podaje, że co roku przedwcześnie rodzi się ok. 15 mln dzieci, co stanowi 5–18% wszystkich porodów, w zależności od kraju. Przyczyną ok. 15% poronień nawykowych i porodów przedwczesnych jest niewydolność cieśniowo-szyjkowa. Definiujemy ją jako bezbolesne rozwieranie i skracanie się szyjki macicy w II trymestrze lub wczesnym III trymestrze, któremu nie towarzyszą skurcze, krwawienie z dróg rodnych czy pęknięcie pęcherza płodowego. W artykule przedstawiono przegląd metod diagnostyki i leczenia niewydolności cieśniowo-szyjkowej. Diagnostyka polega głównie na wywiadzie położniczym, badaniu ginekologicznym i badaniu ultrasonograficznym, leczenie natomiast na założeniu szwu szyjkowego, pessarium kołnierzowego lub stosowaniu progesteronu. Obecnie poszukuje się nowych markerów ryzyka wystąpienia porodu przedwczesnego.
EN
WHO reports that every year approximately 15 million children are born prematurely, which makes up 5-18% of all births, depending on a country. The reason for approx. 15% of recurrent miscarriages and premature births is the cervical insufficiency. We define it as painless dilation and effacement of the uterine cervix in the second trimester or early third trimester, which are not accompanied by cramps, vaginal bleeding or rupture of the amniotic sac. The article presents an overview of the methods of diagnostics and cervical insufficiency treatment. The diagnostics mainly involves a maternity interview, gynecological examination and ultrasonography, while the treatment relies on applying the cervical cerclage, pessary or progesterone. Currently, new markers of risk are being looked for a preterm delivery.
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