I had four miscarriages due to amniotic fluid leakage. Is cervical stitch necessary?

Question

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. Now I am pregnant again with 16 weeks too and this time my doctor suggested me to consider cervical suture as my cervix size is 26.9 mm and I really did not want to do it considering the risks. I will have another scan at 18 weeks to check the size again. But I am really worried as I had four miscarriages and I do not want to lose this too. Currently, I am taking Aspirin and Progesterone. Could you please kindly advise me on this?

Answer 1

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 25 mm, so no point in waiting. Also, add weekly intramuscular Hydroxyprogesterone caproate injection 500 mg would quiesten the uterus without contractions until 32 weeks and it helps. Another thing is strict rest, avoid any strain like constipation, cough, sneeze, strenuous exercises, etc.

Answer 2

Hi,

Welcome back to icliniq.com.

I can understand your struggle. Waiting for 10 days is fine, no problem until then do not take more risk of thinking about whether you require the stitch or not. You surely require it. My advice is, do it as soon as possible. And generally, the complication due to cervical stitch is less as compared to taking the risk of continuing pregnancy without it.