Cervical cerclage is a medical procedure often performed during pregnancy to prevent premature birth or pregnancy loss. This comprehensive guide explores what cervical cerclage entails, why it’s done, who might need it, the types of procedures available, the recovery process, and its impact on pregnancy outcomes.
What Is Cervical Cerclage?
Cervical cerclage is a surgical procedure in which stitches are placed in the cervix to keep it closed during pregnancy. The goal is to provide additional support to the cervix, particularly when it is weakened or short, which could lead to premature dilation and potentially early delivery or pregnancy loss.
Why Is Cervical Cerclage Done?
Cervical cerclage is typically recommended for women who have been diagnosed with an incompetent or weak cervix. This condition may cause the cervix to open too early, increasing the risk of complications during pregnancy. The procedure is usually suggested if:
- You have a history of second-trimester pregnancy losses or preterm births.
- Your cervix is found to be short or dilating prematurely during a routine ultrasound.
- You have had cervical trauma or surgeries in the past that might have weakened the cervix.
Who Might Need Cervical Cerclage?
Women who fall into the following categories are potential candidates for cervical cerclage:
- Recurrent Pregnancy Loss: Women with two or more second-trimester losses attributed to cervical insufficiency.
- Premature Dilation: Those whose cervix begins dilating too early during their current pregnancy.
- High-Risk Conditions: Women with a history of cervical trauma, cone biopsies, or other surgeries.
A detailed evaluation by a gynecologist, including ultrasound and medical history analysis, will determine if the procedure is appropriate.
Types of Cervical Cerclage
There are three main types of cervical cerclage procedures, depending on the specific needs of the patient:
- Transvaginal Cerclage:
- The most common type.
- Performed through the vagina.
- Usually done between the 12th and 14th week of pregnancy.
- Transabdominal Cerclage:
- Done through an abdominal incision.
- Recommended when transvaginal cerclage is not possible or has previously failed.
- Typically planned before pregnancy or in the early weeks of pregnancy.
- Emergent Cerclage:
- Performed when the cervix has already started dilating but the membranes are intact.
- Done as a last-minute intervention to prevent pregnancy loss.
Recovery After Cervical Cerclage
Recovery from cervical cerclage involves careful monitoring and lifestyle adjustments to ensure the safety of both mother and baby. Here’s what to expect:
- Hospital Stay: Most patients go home the same day, but some may stay overnight for observation.
- Physical Activity: Rest is often recommended for a few days following the procedure. Strenuous activities and heavy lifting should be avoided.
- Follow-Up Visits: Regular check-ups will be scheduled to monitor the cervix and ensure the stitches are intact.
- Discomfort: Mild cramping and spotting are common post-procedure symptoms but should resolve within a few days.
Risks and Complications
While cervical cerclage is generally safe, it’s important to be aware of potential risks, including:
- Infection
- Preterm labor
- Cervical rupture
- Bleeding or spotting
Any unusual symptoms, such as heavy bleeding, severe pain, or signs of infection, should be reported to your doctor immediately.
Impact on Pregnancy Outcomes
When performed under appropriate conditions, cervical cerclage significantly improves the chances of carrying the pregnancy to term. Studies show reduced rates of preterm birth and increased survival rates for babies.
Conclusion
Cervical cerclage is a valuable procedure for women with a weakened cervix, helping to ensure a safer pregnancy journey. If you suspect you might need cervical cerclage or have concerns about your pregnancy, consult Dr. Gauri Jagdale at Vedant Clinic, Keshav Nagar, Pune, for expert advice and personalized care.
Contact Dr. Gauri Jagdale
- Phone: 9156057707 / 09423309531
- Location: Vedant Clinic, 201, Wisteria Commercial Hub, Keshav Nagar, Pune.
