Dr. Vidya A Ramasamy
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's 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. 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?
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.
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
Patient's Query
Thank you doctor,
I am really worried about this and thinking about the risk factors which made me worry too much. My next scan is within 10 days, can I wait until then? Because now the hospital will not give me appointment until 10 days. Please advise.
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.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Obstetrics and Gynecology
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
