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What Is Cervical Cerclage??

Cervical Cerclage

Cervical cerclage is a procedure undertaken on a pregnant woman whose cervix has weak tissues, leading to possible miscarriage or an early birth due to its failure. It relates to the uterus part that attaches to the vagina at the bottom. The cervix, at some points, becomes weak. Hence, this leads to miscarriage due to the fact that the baby can move and start moving towards the mother's anus for an early delivery.

This process includes the stitching of the cervix to support a pregnancy till the completion of term. Women experiencing frequent miscarriages or preterm deliveries often recommend such a procedure.

Conditions of Cervical Cerclage

Cervical Cerclage Preparation

Preparation

Several things occur before the cervical cerclage process. What to expect during the preparatory stage is as follows:

  • Consultation with the Doctor: The doctor will initially observe the state of the cervix with the use of an ultrasound or pelvic exam. In return, this will help conclude if cerclage is necessary.
  • Medical History Review: The doctor would refer to your medical history, pregnancy conditions that might require cerclage, etc.
  • Tests and Screening: You will be checked on your health through blood tests and urine tests, and maybe even a vaginal swab for you to be ready for the procedure.
  • Medication: Antibiotics and medication may be given by the doctor before the procedure to prevent infection.
  • Timing: Cervical cerclage is usually performed between 12 and 14 weeks of pregnancy, but sometimes, it can be performed later.
  • Anaesthesia: You are made comfortable by administering local anaesthesia or spinal anaesthesia.
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Cervical Cerclage Procedure

Procedure

This procedure is usually performed in a hospital. The following are the steps that are done during the surgery:

  • Anesthesia Administration: The patient is administered with anaesthesia so that she will not feel any form of pain during the process.
  • Positioning: You will be asked to lie down in a position similar to when undergoing a pelvic exam.
  • Insertion of the Stitch: The specialist will use a surgical instrument or a needle to place a stitch around the cervix. The cervix is kept closed with the help of this stitch.
  • Types of Cerclage: There are a few types of cerclage, including:
    • Transvaginal Cerclage: The vagina serves as the place to insert the stitch.
    • Transabdominal Cerclage: This is done if the vaginal approach isn't possible, and the stitch is placed through the abdomen..
  • Closure: The doctor will then place the stitch in position and scrutinise the area to ensure all is well.
  • Recovery: The operation takes less than an hour. Most women are closely monitored for a short time after the procedure before leaving the hospital.

Why is Cervical Cerclage Performed?

Performed

Cervical cerclage is usually recommended for women who are at risk of preterm labour due to cervical insufficiency. Some of the reasons why cervical cerclage may be performed include:

  • History of Preterm Birth: Candidates for cerclage are women who have had previous preterm births due to early cervical dilation.
  • Short Cervix: If an ultrasound shows a very short cervix during pregnancy, cerclage can help prevent early labour.
  • Previous Cervical Surgery: Women who have had surgery on their cervix may be at risk for cervical insufficiency.
  • Recurrent Miscarriage: Women who have had multiple miscarriages due to cervical weakness may benefit from a cerclage.
  • Incompetent Cervix: This is a condition in which the cervix opens too early, and cerclage helps keep it closed.
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Post - Procedure

Procedure

After the procedure, it is important to follow the doctor's advice to ensure recovery and avoid complications. Here's what to expect in the post-procedure phase:

Rest: It is important, especially during the first few days after the procedure. Avoid heavy lifting or strenuous activities.

Follow-Up Visits: Regular follow-up appointments with your doctor will be necessary to monitor the condition of the cervix and the baby.

Monitoring for Signs of Infection: Watch for signs of infection, including fever, unusual discharge, or pelvic pain. Contact your healthcare specialist immediately if you have any of these symptoms.

No Sexual Intercourse: After cerclage, you might be advised by your doctor to avoid sexual activity for a while.

Removal of Stitch: Most women will have their cerclage stitch removed around 36 to 37 weeks of pregnancy, although an early removal is performed when indicated by the situation./p>

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Frequently Asked Questions?

FAQ

Generally speaking, cerclage is relatively safe for most women, just like any medical intervention or procedure, with potential risk factors being infections and spontaneous preterm labour. Risks often outweigh the benefits when it comes to women suffering from cervical insufficiency.

The cervix cerclage will stay during your entire pregnancy. The cerclage is usually removed between 36-37 weeks or if the doctor feels it's needed earlier. In some instances, the stitch will remain in place till delivery.

Some mild cramping or discomfort is to be expected following the procedure. However, if you experience severe pain, bleeding, or signs of infection, get in touch with your doctor as soon as possible.

Yes, most women who underwent cerclage have had a good pregnancy history. If you previously had cervical insufficiency, the cerclage will aid you in completing future pregnancies.

If the cerclage fails, the cervix may open despite the stitch, and this might result in preterm labour or miscarriage. This could necessitate further medical intervention.
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