Tratamiento adecuado de la insuficiencia cervical

Abstract

Introduction: Cervical incompetence (CI), also known as cervical insufficiency, is a significant obstetric condition that can trigger recurrent miscarriage and preterm delivery, may be present in approximately 1% of obstetric populations. The purpose of this study is to examine the therapeutic alternatives indicated for this condition by analyzing high impact articles in women of childbearing age for timely management in the professional setting. Materials and methods: A descriptive, observational and retrospective study was carried out, using the bibliographic method, where different scientific articles, case reports, clinical guides obtained from platforms such as Pubmed, Scielo, Google Scholar, Elsevier, among others, were consulted. Results: The results obtained show that, in patients with a high risk of presenting preterm labor, cerclage reduces the occurrence of preterm labor in relation to expectant management. This indicates that cerclage may be a safe intervention to reduce the risk of preterm delivery in women with obstetric history or risk factors predisposing to cervical insufficiency. Conclusion: Due to the complexity and severity of HF, it is critical that research continues to increase understanding of this condition and to create favorable diagnostic and treatment strategies. This includes exploring new therapeutic modalities such as progesterone, the use of pessaries, and other interventions that may help prevent adverse outcomes associated with HF, such as miscarriage and preterm delivery.