Cervical cerclage is a surgical procedure that involves placing a stitch or a band around the cervix, the lower part of the uterus that connects to the vagina, to prevent premature birth or the loss of a pregnancy. This procedure is typically recommended for women who have a history of cervical incompetence or a short cervix. Cervical incompetence refers to a condition where the cervix begins to open prematurely, which can lead to a miscarriage or premature birth. A short cervix is defined as a cervical length of less than 25 millimetres.
There are two main types of cervical cerclage:
Cervical cerclage is usually recommended for women who have a history of cervical incompetence or a short cervix, as well as women who have had a previous premature birth, multiple miscarriages, or a history of cervical surgery. It may also be recommended for women who have a cervical infection, such as chlamydia or gonorrhoea, or for those who have a condition that affects the cervix, such as Ehlers-Danlos syndrome.
Like all surgical procedures, cervical cerclage carries some risks. The most common risks include bleeding, infection, and tearing of the cervix or uterus. There is also a risk of the cerclage breaking or coming loose, which can lead to preterm labour or a miscarriage.
After the procedure, most women are kept in the hospital for a day or two to be monitored for any complications. Women will be advised to avoid heavy lifting and strenuous activity during recovery and may be prescribed bed rest.
Cervical cerclage is usually recommended for women who have a history of cervical incompetence or a short cervix, as well as women who have had a previous premature birth, multiple miscarriages, or a history of cervical surgery. It may also be recommended for women who have a cervical infection or a condition that affects the cervix.
There are two main types of cervical cerclage: transvaginal cerclage, which is performed through the vagina, and abdominal cerclage, which is performed through an incision in the abdomen.
After the procedure, most women are kept in the hospital for a day or two to be monitored for any complications. Women will be advised to avoid heavy lifting and strenuous activity during recovery and may be prescribed bed rest.
Like all surgical procedures, cervical cerclage carries some risks. The most common risks include bleeding, infection, and tearing of the cervix or uterus. There is also a risk of the cerclage breaking or coming loose, which can lead to preterm labour or a miscarriage.
Cervical cerclage may improve the chances of a successful pregnancy, but it is not a guarantee. It is important to discuss the potential benefits and risks of the procedure with your healthcare provider.
