Cervical Cerclage for Pregnancy: All You Need to Know

Introduction

Pregnancy is a beautiful journey, but sometimes, it needs extra care to make sure everything goes smoothly. Have you ever heard of cervical cerclage and wondered what it means? It is a procedure done during pregnancy. Many expecting mothers have questions about this procedure, and this article will explain it in very simple words. Let us discuss cervical cerclage, the need for the procedure, what happens, and why it is done through this article.

What Is Cervical Cerclage During Pregnancy?

Cervical cerclage (cervical stitch) is a small medical procedure. A doctor puts a strong stitch (like thread) around the cervix, which is the lower part of the uterus (womb). The cervix is like a tiny door that keeps the baby inside the uterus. Cerclage helps keep that door closed. This helps hold the baby safely inside the womb until it is time for delivery.

The intention of this procedure is to keep the cervical stitch in place until the pregnancy reaches around 37 weeks gestation or at the time of a planned cesarean section or a vaginal delivery (if feasible). If your doctor believes that your cervix is weak and there is a chance of miscarriage or that your baby might arrive too soon, they will do it.

Why Is Cervical Cerclage Done in Pregnancy?

Sometimes, the cervix (the lower part of the uterus) is not strong enough to stay closed as the baby grows. This condition is called cervical insufficiency (incompetent cervix). When the cervix is weak, it might start to open too early, even without pain or strong contractions. This can lead to preterm birth or a miscarriage. The purpose of a cervical cerclage is to help keep the cervix closed, giving the baby more time to grow safely.

There are several reasons why a doctor might suggest this procedure. The following are some of the indications for doing cervical cerclage:

• A weakened or incompetent cervix, especially if you have had certain surgeries on your cervix in the past.

• Previous second-trimester miscarriages. If you have lost a baby in the middle of pregnancy before, it may have been due to a weak cervix.

• Uterine or cervical damage. If your uterus has an unusual shape or the cervix was injured, it could affect how well it stays closed during pregnancy.

When Is Cervical Cerclage Done?

• The best time to get a cervical cerclage is usually in the third month of pregnancy (between 12 and 14 weeks).

• Sometimes, the cervix starts to open or shorten later in pregnancy. In those cases, a doctor may need to do an emergency cerclage to help protect the baby.

• If you need an emergency cerclage once, your doctor may recommend doing the cerclage early in any future pregnancies, too.

What Are the Benefits of Doing Cervical Cerclage?

Cervical cerclage can help prevent premature labor (when the baby is born too early) or miscarriage (loss of pregnancy) caused by cervical incompetence (a weak cervix that opens too soon during pregnancy).

The procedure works well in 85 % to 90 % of cases, especially when cervical incompetence is truly present. However, it is important to know that diagnosing cervical incompetence can be very difficult, and sometimes the diagnosis may not be completely accurate. This means that doctors might not always be 100 % sure if a weak cervix is the real cause of early pregnancy loss.

What Are the Risks of Doing Cervical Cerclage?

Cervical cerclage is a very beneficial procedure with a very low risk of serious complications. After the stitch is put in, most women recover well. However, there are some potential risks, just like with any medical procedure. These could include early contractions, premature water breakage, or a slight risk of cervical infection.

Rarely, if labor begins before the stitch is removed, the cervix may tear or fail to open properly during labor. Following the cervical cerclage procedure, one may experience nausea or vomiting if general anesthesia (the medication used to put the patient to sleep) is used.

What to Expect Before a Cervical Cerclage Procedure?

Before a cervical cerclage, your doctor will review your medical history and discuss any past pregnancy issues or surgeries. They will examine your cervix using a speculum, similar to a Pap test (Papanicolaou test), and may do a transvaginal ultrasound. You may be advised to avoid sex for about a week before the cervical cerclage procedure. It is normal to feel nervous, so do not hesitate to ask your doctor any questions or share your concerns. This helps you feel more prepared and confident.

How Is a Cervical Cerclage Done?

The cervical cerclage procedure involves these steps:

• Similar to a standard vaginal examination, you will lie on a table with your legs supported.

• In order to prevent you from feeling pain, the doctor will prescribe medication to numb the area.

• When the numbing injection is administered, you may experience a slight pinch.

• The doctor will gently close your cervix with strong stitches after the area has become numb.

• To support your pregnancy and keep the cervix closed, the stitch is tightened.

Is Getting a Cervical Cerclage Painful?

It is normal to have some cramping and light spotting for a few days after the cervical cerclage procedure. The pain is usually mild, like a regular period. If you have strong pain or heavy cramping, call your doctor right away.

What Happens After the Cervical Cerclage?

After the cervical cerclage procedure, you may stay in the hospital for a few hours or overnight so doctors can check for early signs of labor. It is normal to have light bleeding and mild cramping for a few days, followed by thicker vaginal discharge that may continue throughout your pregnancy. Your doctor may give you medicine to help prevent infection or early labor.

For the first two to three days, it is best to rest at home. Lifting heavy objects or unnecessary activity must be avoided after doing cervical cerclage. You should also avoid sex for at least one week before and one week after the procedure. Your doctor will let you know when it is safe to return to your regular routine.

How Long Does Recovery Take After a Cervical Cerclage?

After a cervical cerclage, it is important to rest for about a week to 10 days so the stitches can heal. Most women can do light activities after a few days, but should avoid anything too physical until the doctor says it is okay. After the cervical cerclage procedure, it is better to avoid heavy lifting, standing for long periods, and having sex during recovery.

What Should You Avoid After a Cervical Cerclage?

After a cervical cerclage, you should avoid heavy work, lifting things, and having sex. This will help the cervix heal well and stay safe. After a cervical cerclage, you should avoid heavy work, lifting things, and having sex. This will help the cervix heal well and stay safe.

Conclusion

Bringing a baby into the world is a special journey, and sometimes it needs a little extra care. If cervical cerclage is part of your pregnancy, know that you are not alone, and many have gone through it and had healthy babies. Cervical cerclage is a safe and effective procedure. Cervical cerclage helps protect your growing baby. If your doctor suggests it, feel free to ask questions and follow their guidance carefully.

Note from iCliniq

Pregnancy may come up with lots of unexpected events. If you are facing any issues during this beautiful phase, feel free to get an expert opinion from our doctors. If you have any questions regarding cervical cerclage, you can contact our qualified doctors anytime at icliniq.com.