Cervical Cerclage

Cervical cerclage, otherwise called cervical stitch, is the placement of sutures or synthetic tape for treatment of cervical insufficiency during pregnancy. It is done when there is a risk of the cervix opening before labor.

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What are the chances of normal delivery after cervical cerclage?

Query: Hi doctor,My wife had cervical cerclage at 20 weeks of pregnancy. Now, she is at almost 38 weeks and the doctor is resisting the removal of the cerclage. Last time the cervical length measured in the 24th week was 37 mm. We suspect that she is doing this to encourage C-section delivery. Should we ge...  Read Full »

Dr. Sameer Kumar

Answer: Hello,Welcome to icliniq.com.Once the cervical cerclage (cervical stitch to prevent pregnancy loss or premature birth) has been placed then the guideline is to remove it once the woman goes into latent phase or active labor in the labor room. There is no indication of removing it earlier and letting...  Read Full »

Why did I have preterm labor?

Query: Hi doctor, I had a premature pregnancy in the 6th month. That was my first pregnancy. Suddenly, I had a stomach pain in the lower side and no other symptoms were found. We visited our doctor and she said that the cervix started to open slightly. I got severe pain, some medicines were given that nigh...  Read Full »

Dr. Dattaprasad Balasaheb Inamdar

Answer: Hi, Welcome to icliniq.com. Rubella or CMV infections (cytomegalovirus) generally do not cause midtrimester abortion, so are very less likely to be causative in your case.Rubella and CMV IgG values indicate that you have immunity to those infections and they likely had occurred in the remote past an...  Read Full »

Is it safe to undergo hysterosalpingography test with inflammatory pap?

Query: Hello doctor, I am a 34-year-old woman. I have a 3-year-old son and I have been trying to conceive my second child with no success during the past several months. During the pregnancy with my son, I had a cervical cerclage placed, which was not removed at the cesarean section (the doctor forgot). ...  Read Full »

Dr. Mavani Jimesh Himatbhai

Answer: Hi, Welcome to icliniq.com. Do not think much. If you have a negative culture and you had course of antibiotics after an inflammatory pap test then, mostly infection or active insects are removed from the cervix. Now in hysterosalpingography dye is pushed inside the uterus and two or three x-rays...  Read Full »

What can we do to have a healthy baby after my wife has had three miscarriages?

Query: Hello doctor, I am writing on behalf of my wife. She is 28 years old. She has PCOD. We have been trying for a baby for the past three and a half years. My wife conceived thrice, but all the times, the pregnancy got aborted in the second month. We have checked with infertility specialists in my area....  Read Full »

Dr. Sathawane Aparna Mulchand

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern regarding your wife's recurrent miscarriages.¬† She can take these measures in the next pregnancy if she had missed any in the previous ones: Start taking Folic Acid 5 mcg once a day and tablet Ecosprin (Aspirin) 75 mcg onc...  Read Full »

What is the indication for cerclage?

Query: Hello doctor, I am a 34-year-old woman. Currently, I am 23 weeks pregnant. I have a very irritable uterus. I had it with my previous pregnancy as well but managed to get to term with the help of a cerclage and IV medication. Right now, I do not have a cerclage though and I am not taking medicines ...  Read Full »

Dr. Mishra Keeranmayee Mihirkumar

Answer: Hi, Welcome to icliniq.com. It must be tough on you, do not worry. I will try to help. 1. Please try to shift to the vaginal route of progesterone as evidence suggests that is it is more effective than the oral route. 2.If contractions are not subsiding take a Nifedipine tablet after food and ad...  Read Full »

Is cervical stitch mandatory to prevent miscarriage in amniotic fluid leakage?

Query: Hello doctor, I have a query regarding my current pregnancy. I had a miscarriage last year at my 16th week due to amniotic fluid leakage, the doctor could not tell the reason for it. And now I am pregnant again with 16 weeks too and this time my doctor suggested me to consider cervical suture as m...  Read Full »

Dr. Vidya A Ramasamy

Answer: Hello, Welcome to iclinq.com. Do not think twice. It is better you get a cervical stitch done. Considering your history and present cervical length, it would be better if you go for cervical suture. Obviously, as the gestation increases the cervical length would shorten up more. The cut off is ...  Read Full »

What are the precautions to be taken for bicornuate uterus pregnancy?

Query: Hello doctor, My wife is 30 years old and pregnant. This is our first child. We got married four years ago. She got pregnant soon after. But, since we were not ready, we opted for a termination of the pregnancy using a medicine. Now, my wife had undergone a pelvic¬†ultrasound. She has been given thr...  Read Full »

Dr. Balakrishnan R

Answer: Hello, Welcome to icliniq.com. How are you doing? Uterus usually develops from two horns, which come together and fuse. Over few weeks, the wall in between the two horns gradually disappear, to form a uterus with a single cavity. In your wife's case, it can be bicornuate (when the two horns do ...  Read Full »

Please tell me the dos and don'ts after cervical cerclage.

Query: Hi doctor, I am 110 days pregnant. When we took scan in the 13th week, the report showed that the uterus is open. They said it as cervical incompetence and immediately advised operation for cervical suturing treatment. I need a second opinion regarding this. Thank you.  Read Full »

Dr. Sweta Singh

Answer: Hi, Welcome to icliniq.com. If the ultrasound shows your cervix is open, then you need to follow the doctor's advice and get the stitching done. Otherwise, there is a very high chance of losing the pregnancy. It is a minor short procedure done under anesthesia and you will need to be admitted for on...  Read Full »

Is it necessary to undergo C-section after cervical cerclage?

Query: Hi doctor, My wife is 38 weeks pregnant and in the 19th week, the doctor recommended for cervical cerclage and that was done at that time. What is the chance of having normal delivery rather than C-section as me and my wife are not willing to go for C-section and want the baby to be delivered norma...  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to icliniq.com. As she is 38 weeks now, she should have cerclage removed and should have an examination by local treating gynecology doctor and mode of delivery should be discussed after having all details in front (fetal and maternal condition). At certain gestational age, cervical c...  Read Full »

Is it safe to have 2.9 cm of cervix length at 16 weeks? Do I need cerclage or bed rest?

Query: Hi doctor, I am 28 years old. I am 16 weeks pregnant now. My cervix is closed measuring 2.9 cm. I have heard that the length is short for me. What should be the average length of the cervix at 16 weeks? My doctor prescribed me Progesterone suppository. She has not advised me for bed rest or cerclag...  Read Full »

Dr. Naik Sharmila Shashikant

Answer: Hi, Welcome to icliniq.com. Cervical length should be around 3.5 cm to 4 cm at 16 weeks. But some women do not have problems in pregnancy throughout the weeks even at 2.5 cm length. On ultrasound, we need to have a full bladder (means control of urination) to measure the exact length of the cervix...  Read Full »

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