Cervical Cerclage and Pregnancy
Cervical cerclage is a surgical procedure in which the cervix is temporarily closed. In the uterus, it can help the cervix’s ability to sustain a pregnancy. To prevent premature birth, cerclage is performed during the second trimester of pregnancy.
The purpose of a cervical cerclage is to stabilize the cervix and prevent premature dilation by closing it with strong sutures. It is usually removed around week 37 to facilitate vaginal delivery. It is usually done between 12 and 14 weeks of pregnancy.
Types of Cervical Cerclage
- McDonald Cerclage
A McDonald’s cerclage uses a purse-string stitch to encircle the cervix, which is the most popular type. It can be carried out through the vagina or abdomen and is usually done as an outpatient operation.
- Transverse Abdominal Cervical (TAC)
This is a unique treatment method in which stitches are placed on the abdominal wall instead of the vagina.
- Shirodkar Cerclage
In this procedure, the cervix is permanently stitched shut.
Benefits
If you are at high risk for preterm labor, it is recommended that you discuss your options in detail with your healthcare professional. A cervical cerclage procedure is recommended if you have a fragile cervix, as this will prevent preterm labor (labor that begins before 37 weeks).
Risks
- Infection
- Bleeding
- Premature rupture of membranes
- Scar tissue in your cervix
- Cervical tears or damage
- Permanent narrowing of the cervix (Cervical Stenosis)
- Preterm labor
Recovery and Prognosis
Cervical cerclage usually results in a rapid recovery. However, until the cervix heals, it is important to avoid vigorous physical activity, heavy lifting, and sexual activity. Regular follow-up visits with the doctor are required to monitor the condition of the cervix and the development of the pregnancy. After a cervical cerclage, most women are able to successfully carry their pregnancy to term.
When to Call the Doctor
If you experience any of the following, call your healthcare professional as soon as possible:
- A high Fever (over 100°F)
- Unpleasant-smelling vaginal discharge or odor
- Excessive bleeding
- Cramps or an increase in pelvic pressure
- Water leaks or breaks
- Symptoms of infection, such as temperature, chills, or foul-smelling discharge
It is important that women who have had a cervical cerclage stay in close contact with their healthcare practitioner and seek medical attention as soon as they experience any troubling symptoms. Prognosis for mother and baby can be greatly improved by early detection and treatment of problems.
