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 cerclage. Last time the cervical length measured at 24th week was 37 mm. We suspect that she is doing this to encourage C-section delivery. Should we get a second opinion in this case? My wife does not like to go in for a C-section unless it is extremely necessary. What to do now?
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 the woman go back home as this shall precipitate labor.
- Again labor pain has nothing to do with cervical cerclage. If the baby is in cephalic presentation and if she goes in labor with adequate pelvis then vaginal delivery shall definitely be undertaken.
- But in case there is any asynclitism (shoulder first) or non-progress of labor or any fetal distress at the time of labor or there is a tight loop of cord around neck as seen on ultrasound and based on NST readings (non-stress test), it is only then cesarean section is planned and not due to cervical cerclage.
- So, she is right in not removing it now and allowed her to go in labor first.
- One can actually wait till completion of 40 weeks plus 3 days for labor pain to start naturally.
For further information consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Kindly tell me the risks of pregnancy in women over 40.
.. the age of 48 years definitely come with certain risks like an increased risk of chromosomal abnormalities due to the defective ovum being released. Also there may be a difficulty in the conception itself. VBAC (vaginal birth after cesarean) deliv... Read full
I had a C-section three months ago. Is it safe to get my tooth pulled out now?.. have done C-section before three months, it is safe to visit a dentist for getting treatment. You will be giving breastfeeding to your baby and you need to take some precautions. You need to take safe antibiotics and anti-inflammatory medicines du... Read full
What can be the reason for my preterm labor?.. 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... Read full
Comprehensive Medical Second Opinion.
