Cervical Cerclage

Cervical Cerclage

The cervix is closed and firm before pregnancy. During pregnancy, the cervix gradually softens and elongates and then begins to open during labour. The weak and inadequate cervix will begin to open very soon and may lead to pregnancy loss. Cervical cerclage is a method of suturing the cervix to prevent late miscarriage or preterm birth. Cervical cerclage can be done through the vagina or, most often, through the abdomen. The sutures are removed in the 37th week of gestation. Cervical cerclage is recommended when the cervix is about to open or at risk of early opening. In addition, physicians may recommend cervical cervix in the following cases:

- The history of painless cervical dilatation in the second trimester in previous pregnancies

- Diagnosis of painless cervical dilatation during the second trimester of the current pregnancy by physical examination

- The history of singleton preterm delivery in shorter than 34 weeks or diagnosis of a cervical length of less than 25 mm before the 24th week of gestation in current pregnancy by ultrasonography

However, cervical cerclage may also have side effects and cannot always prevent preterm delivery. Complications associated with cervical cerclage include infection, vaginal bleeding, cervical rupture, uterine prolapse, early onset of labour pain or pre-labour rupture of membranes (PROM), preterm delivery, premature baby birth, and miscarriage. 

There is a need for ultrasonography to examine the fetal status after cervical cerclage. The patient may experience spotting, cramps, and painful excretion of urine for a couple of days, which can be relieved by taking acetaminophen. As a precautionary action, patients are recommended to avoid intercourse for one week. The patient will need to visit her physician once a week or every two weeks. Cerclage is usually removed in the 37th week of gestation, and then the patient will be able to continue her routine activities until the natural pain of labour begins.

The experienced specialists of Mom Fertility and Infertility Treatment Centre are ready to provide mothers with relevant services in this regard.