Puerperal cervix

Abstract

1. 1. Cervical injury of some degree occurs in the majority of vaginal deliveries. 2. 2. If not healed in eight weeks these injuries favor the future development of chronic cervicitis, endocervicitis and hypertrophy. 3. 3. These common cervical lesions are a frequent source of serious pelvic disease. 4. 4. Under suitable conditions immediate repair of childbirth cervical injuries tends to prevent the more serious common lesions of the cervix. 5. 5. At the eighth week of the puerperium cervical lacerations, erosions and endocervicitis may be corrected in the office by electrosurgical treatment. Electrosurgical coagulation is the method of choice. 6. 6. Too extensive destruction of tissue with carbonization and cauterization tends to heal with excess fibrous tissue, leading to stenosis. 7. 7. Healing follows electrocoagulation without excess fibrosis. The surface is covered with normal squamous epithelium. Subsequent labors show no cervical dystocia.