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Doctor insights on:
After Cervical Cerclage
1
How long after cervical cerclage is bed rest?
Please ask your OB: Or the peri-natologist who placed your cerclage because that depends how the procedure went and if your cervix was already dilated or not and if you have any other problems and how much cramping if any you had after the procedure, so this is a question that should only be answered by the doc doing the cerclage. ...Read more
Cerclage (Definition)
If you have a history of cervical insufficiency, or if your cervix appears short on an ultrasound, you may be offered a cerclage. A cerclage is a surgical procedure that involves stitching the cervix closed with a strong thread for the full-term of the pregnancy. After having a cerclage, a woman is usually prescribed medication to prevent a surgery-related miscarriage. The stitches are removed around the ninth month of pregnancy, or sooner if labor commences, ...Read more
2
Is it posible to have chorioamnionitis at only 6 weeks? Or will my recurring BV turn into chorioamnionitis once again after cervical cerclage?
Very unlikely: Unless you are bleeding at this point in the pregnancy (or if you got pregnant with an intrauterine device in place), it is very unlikely that you would have chorioamnionitis. Not everyone with BV needs to be treated when they are pregnant, but given your history, you should be tested and treated if the test shows you have it. ...Read more
3
What happens if I orgasm after a cervical cerclage?
Should have pleasure: Should not affect the cerclage. Rear entry for vaginal penetration whilst spooning is probably sexual position of choice at this stage. ...Read more
4
Should I have been given antibiotics after my cervical cerclage? I lost my last baby from infection, can I request antibiotics this time?
Absolutely: Don't be shy and talk to your gyn about any concerns. ...Read more
5
Am I going to be in a lot of pain after getting my cervical cerclage done?
No.: You should have no pain after the cervical cerclage is placed. Any pain thereafter would be related to the pregnancy itself and not the suture. ...Read more
6
When are cervical cerclages necessary?
Complicated: In general cerclage is indicated when a woman has a clear history of incompetent cervix and previable second trimester delivery. Its complicated though, and somewhat controversial among experts. One should consult with an OB or mfm about the issue if one thinks a cerclage might be needed. ...Read more
7
Is having a cervical cerclage dangerous?
Cerclage: As with any procedure there are risks. As procedures go a cerclage is at the lower end of the risk scale. Be sure to discuss with your OB. ...Read more
8
How do I know if my cervical cerclage is ok?
Seeing doc: Your doc should check regulalry for it and make sure its in place. If you get cramps and bleeding see your doc asap. ...Read more
9
How do I know if my cervical cerclage is okay?
Difficult: Your cerclage will be checked by your OB either by inspection or ultrasound. I prefer ultrasound to check for length of cervix and any beaking membranes (amniotic sac pushing into the cervix). You should call your doc if you have pressure or increased discharge (especially watery, mucousy, or blood-tinged) for an evaluation. Try to keep pressure off your cervix and good luck. Avoid any straining. ...Read more
10
Cervical tear due to cerclage ripping out?
Can happen if labor: If labor occurs with cerclage can tear then would maybe need repair. ...Read more
11
I just got a cervical cerclage and I want oral sex done. Will it effect him?
No: But you really should make sure its ok by your doctor as asex causes contractions, and if you just had this done why push your luck. ...Read more
12
Can cervical cerclage affect future pregnancies?
Not usually: But once u have a cerclage you will always need a cercalge. ...Read more
13
Can oral sex interfere with cervical cerclage surgery?
NO oral sex: When youare pregnant because there have been rare reports of an air embolis which is usually fatal, and you do not want to be doing any sexual activity if you ahve a cerclage because there is too much cahnce of you going into labor or getting premature rupture of membranes at an early gestaational age which is bad and I have seen both, so for the sake of your unborn child u need no sex untilafter. ...Read more
14
Is it recommended for woman who have a short cervix to get cerclage?
Your O.B.'s decision: Cervical cerclage ('putting a string around the cervix) in order to prevent 2nd/3rd trimester pregnancy loss is a clinical decision usually based upon history of prior early pregnancy losse (s). You must decide if the cerclage procedure (w/ low complication rate) is worth the risk or the risk of losing the baby is greater. Congrats on the baby! ...Read more
15
Is there a negative association between cervical cerclage and orgasm?
Should not be: Cervical cerclage should not affect/interfere with the ability to reach climax. It maybe emotionally inhibitted--i.e. By having a cerclage in place, you might be worrying that relation may injure it etc...Which in turn may have negative effect on your orgasm point etc...Otherwise, the cerclage itself should not. Good luck with the pregnancy! ...Read more
16
If a cerclage torn my cervix will it go back to normal? How does it heal?
It will heal: The cervical tissue is very forgiving and heals well. ...Read more
17
I had a sudden loss at 19w. Now 18w preg again. Cervix measuring 30mm. Dr. is not giving cerclage or pshot. Is it ok or should I worry n consult?
Depends: It really depends on the reason for the miscarriage. If you had "cervical incompetence", meaning if your cervix opened before the right time, then you would need a cerclage for subsequent pregnancies. If you miscarried for other reasons then you probably don't need a cerclage. But you may need other treatment to prevent another miscarriage. Discuss this with your OB. ...Read more
18
20. 3 day u/s 1.3 CM cervix w/funneling (16. 3 u/s 3 CM cervix w/o funneling). Dr200mg progest tabs-cerclage risky. 21.3 u/s 1.9 w/funneling. Do more.
Not much: I'm so sorry you're going through this, it must be nerve wracking. Your cervix is shortening. I'm sure you're being followed by a maternal fetal medicine specialist, if not, consider a consultation with one. Hopefully the cervix doesn't continue to shorten. Definitely get steroids for fetal lung maturity at 24 weeks. Pelvic rest and off work. Progesterone can't hurt, and may help. Good luck! ...Read more
19
Cervix length is 3.8, am 12weeks pregnant. Do I need a cerclage?
See your doctor!: That should be a question for your obstetrician. I wish you the very best! ...Read more
20
Looking for cervical cerclage doctor. Want to try abdominal?
Not first time: Usually abdominal cerclage is reserved after the simple mcdonald cerclage failed, . ...Read more
21
Is it safe to do orgasms when there is cervical cerclage?
Risky: Orgasm would be expected to be associated with uterine contractions. That could cause a cervical cerclage to bleed or fail. The general recommendation after a cerclage is placed s for "pelvic rest", i.e. No sex (and no orgasms). ...Read more
22
Wanting 2nd baby and incompetent cervix issue. Can they do cerclage now?
No: It has to be done during 4th month of pregnancy. ...Read more
23
I'll be 16 weeks in 2 days. How would I know if my cervix with cerclage is funneling and what causes it, how can I avoid it?
By sonogram: The issue with an incompetent cervix is that the cervix softens and dilates without contractions and without the patient being aware. The only way to know is for your doctor to perform sonographic measurements of the cervical length. Ask your doctor if you are a candidate for 17 OH Progesterone injections too. ...Read more
24
I have had 3 cervical cerclages, the last became infected and I lost my baby girl at 20 or so weeks. Should I get another this time?
Absolutely: I have a different insight to this question compared to most ob's because my wife has an incompetent cervix. It's horrible that you lost your baby because of an infection, but I would definitely recommend another cerclage for you. If you have been diagnosed with an incompetent cervix, that will never change. Get the cerclage placed early, 13-14wks, when risk for problems is lowest. ...Read more
25
At 20 weeks, is cerclage good option and safe? My cervix length is 3 CM so not sure if I should go for cerclage now or at later stage?
Usually earlier: A cerclage is typically placed earlier in the pregnancy in patients who meet very specific criteria. A cervical length of 3 cm would be normal but their could be circumstances that a cerclage may be appropriate. Do not hesitate to get a second opinion from a perinatologist.. ...Read more
26
When is the soonest can I have my cervical cerclage? I'm 4-5 weeks, my cervix opened last year around 12wks and my baby basically fell out : (
After 12 weeks: It is recommended that a cerclage not be placed until after the first trimester. Most first trimester losses are because of a serious fetal abnormality and you don't want to sew an abnormal baby in. Good luck. ...Read more
27
Had a cerclage at 12w at 17w cervix is only 0.5cm and funneled all the way 2nd stitch at 18 w now 20 w no imprerovment any hope I'll make it to 28 w?
Bedrest: Stay on bedrest....no sex...and hope for the best - there is nothing else you can do at this point. ...Read more
28
Can I have penetrating sex and/or oral sex with a cervix cerclage? And if I do not orgasm during penetrating sex, is it safer than oral sex when I do?
Cerclage stitch: A cerclage is often done with a type of suture called Prolene. It is very sharp like chicken wire. I think your partner would find vaginal penetration very unpleasant. Typically there are no restrictions regarding other sexual activity in patients with a cerclage. You will have to get clearance from your doctor if their are unique circumstances regarding your specific pregnancy. ...Read more
29
Doc suggests cerclage for cervix as cautionary measure since I am having twins. Is this common?
NO!: There is no data to suggest that cervical cerclage helps prolong twin or other multifetal pregnancies. Do not listen to anyone telling you otherwise - in fact seek another physician to care for your high-risk pregnancy if your current doctor has this attitude. A maternal-fetal medicine specialist is your best bet. Nothing can prevent preterm birth in twins for more than 48 hours. ...Read more
31
When getting a cervical cerclage, is there another way besides getting a spinal tap to get numb?
Cerclage: Yes. Can do cervical block where you numb the cervix by injecting numbing medicine around the cervix, but not as effective as epidural or spinal anesthesia. Talk to your gyn and anesthesia provider about your concerns. They can talk you through the pros/cons of methods of anesthesia so you can make an informed choice that is best for you. Hope this helps. Best of luck with the pregnancy. Dr ...Read more
32
When I have my cervical cerclage removed what are my chances or how soon will I go into labor? Will there b any bleeding?
Variable: It just depends on several different factors. Sometimes you may even go full term and land up being induced. Average is about a week. Good Luck! ...Read more
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23wks w/emergent cerclage at 21 weeks. Week after stitch all closed 40mm cervix. Today funneling 8mm. Closed cervix 35mm.% chance of PPROM?
High: I would not give up but this is not a very encouraging development and you are still terribly early. Even every day is significant so good luck. ...Read more
34
Incompetent cervix. Emergent cercLage at 21weeks with funneling and 22mm cervix. Feel baby is kicking cervix. Can it cause further cervical changes?
No: Fetal movement will not cause the cervix to dilate. Contractions are what you need to worry about. Good luck! ...Read more
35
I'm going to need a cervical cerclage during my pregnancy. I'm only 9 weeks 4 days, when is the cerclage done? Especially if you feel uncomfortable?
Cerclage: A cerclage is usually done at 12 weeks. ...Read more
36
How safe and effect is a cervical cerclage at 19 weeks pregnant?
It is: Both safe and quite effective.
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37
Do weekly transvaginal ultrasounds disturb cervix with emergent cerclage? If yes - what threats it poses?
Not if done well: Should be safe if not touching cerclage or roughly done, u/s is safe for baby too, and can monitor well. ...Read more
38
Will a cerclage and progesterone shots work for an incompetent cervix? Are there good success rates with the combination of the two?
Please discuss with: Your OB, that is something that the OB who will be delivering you should discuss with you at length, it all depends on your individual situation, how short your cervix is, etc. Most women do quite well on the combination of the 2, but there are no gurantees. ...Read more
39
What would cause water to break at 16 wks preg. Cervix was closed due to cerclage at 13wks. The cervix was not the reason. Any explanation.?
Well: Did you have any trauma or falls. If not there may unfortunately be no reason. ...Read more
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Watery/slimy discharge for 1 wk/soaks undies. 28 weeks pg-no cervical length but have an in tact cerclage. Dr says only worry about gushes or bleeding?!
R/O PPROM: You appear to have an incompetent cervix treated with a cerclage. If your cervix is thin, the watery/slimy discharge could be amniotic fluid and this needs to be examined. A 28 week fetus is viable and you currently are at risk for infection, preterm premature rupture of membranes (pprom), and may need to be hospitalized at bedrest. Your doc needs to consider abx and steroids for lung maturity. ...Read more
Cervical (Definition)
Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more