Cervical cerclage is a surgery to close the cervix during pregnancy period to prevent premature birth or miscarriage. It is suggested to support your growing baby and overcome cervical incompetency.
Cervical cerclage is done through stitches either in the vagina called transvaginal cervical cerclage or via abdomen known as transabdominal cervical cerclage.
Stitches can be given anytime after 13 weeks of pregnancy depending upon the scans of your cervix. They are removed in about 37 weeks pregnancy.
Performed under anesthesia, it is an outpatient procedure with regular follow-up visits and monitoring.
Take rest and do not exercise. Keep track of changes in vaginal discharge or any discomfort you experience and inform your doctor immediately.
When is Cervical cerclage done?
- When the cervix is at risk of opening even before the baby is developed enough to be born
- History of three or more miscarriages
- Diagnosis of painless cervical dilation in the second trimester
Risks of Cervical cerclage
Cervical cerclage is not recommended in all cases of premature birth risks. Some associated risks are:
- Premature contractions
- Cervical dystocia (cervix unable to dilate normally during labor)
- Cervical infection
- Premature membrane rupture
- Vaginal bleeding
Your gynecologist may recommend removing the cervical cerclage, in case of preterm rupture of membranes or a uterine infection. Discuss with your doctor in details the risks and pros before undergoing the procedure.
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