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Pregnancy is a crucial period for the development of the fetus and can take a toll on the health of the mother. Sometimes, due to health conditions or bodily weakness, the cervix becomes weak and may not be able to support the pregnancy. In such a situation preterm birth may happen or the probability of a miscarriage also become high. This is when the cervical cerclage procedure becomes useful.
What is Cervical Cerclage?
A cervical cerclage during pregnancy is a surgical procedure that involves sewing the cervix closed to prevent preterm birth. It is typically done in the second trimester of pregnancy, between 12 and 24 weeks.
Why is Cervical Cerclage important?
The purpose of a cervical cerclage is to support the cervix and prevent it from opening too early. This can help to prevent preterm birth, which is defined as birth before 37 weeks of pregnancy. Preterm birth is a leading cause of newborn death and complications.
There are two main types of cervical cerclage:
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Transvaginal Cerclage
This is the most common type of cerclage. It is done through the vagina and cervix.
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Transabdominal Cerclage
This is less common and is done through the abdomen. It is usually only done if the cervix is too short or if there is a problem with the vagina.
The procedure for a cervical cerclage is usually done under general anaesthesia. The surgeon at the best obstetrics and gynaecology hospital will make a small incision in the vagina and cervix. Then, they will sew the cervix closed with stitches. The stitches are usually removed between 36 and 38 weeks of pregnancy.
Who needs a Cervical Cerclage?
Cervical cerclage is a medical procedure which can only be recommended by a gynaecologist after a thorough examination of the patient and the fetus's health. Generally, the procedure is recommended for patients with:
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Low body weight
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High-risk pregnancy
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Late pregnancy
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Previous surgery
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Bodily condition (Shorter cervical canal by birth)
Cervical cerclage has been shown to be effective in preventing preterm birth in women who are at high risk. However, it is not without risks. Some of the risks of cervical cerclage include:
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Infection
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Bleeding
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Injury to the cervix or vagina.
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Need for a cesarean delivery.
The decision of whether or not to have a cervical cerclage is a personal one that should be made between the mother carrying the fetus and the doctor. Your doctor will weigh the risks and benefits of the procedure and make a recommendation based on your individual circumstances.
If you are considering a cervical cerclage procedure, here are some things you can do to prepare:
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Talk to your doctor about the risks and benefits of the procedure.
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Ask your doctor about the type of cerclage that is best for you.
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Get a second opinion if you are not sure about the procedure.
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Talk to other patients who have benefitted and recovered from the procedure.
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Make sure you have someone to drive you home from the hospital after the procedure.
After the procedure, you will need to rest and take it easy. You should avoid strenuous activity and sexual intercourse. You will also need to follow your doctor's instructions carefully.
With proper care, most women who have a cervical cerclage have a successful pregnancy and deliver a healthy baby. Managing good health is of prime importance during and after pregnancy for the health of the mother and child. Manipal Hospitals Patiala has some of the best gynaecologists in the city to take care of all your medical needs and provide you with the best care. For further queries visit your nearest Manipal Hospital or book an online consultation with our experts today.
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