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Doctor insights on: Cerclage

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Dr. Cynthia Palabrica
127 Doctors shared insights

Cerclage (Overview)

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, to prepare for delivery.


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Can mcdonald cerclage fail?

Can mcdonald cerclage fail?

Yes: Transvaginal cerclages can fail for many different reasons. These types of procedures are reserved for women that have been diagnosed with cervical insufficiency. If you have experienced a pregnancy loss in the second trimester and if you have failed a transvaginal cerclage discuss with your doctor the possibiity of a pre-conceptual transabdominal cerclage (tac) for the next pregnancy. ...Read more

Dr. Cynthia Palabrica
127 Doctors shared insights

Cerclage (Overview)

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, to prepare for delivery.


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How much time does the cerclage placement take?

Cerclage: The actual time to place a cerclage is short about 5-10 minutes. The time to go to the operating room, prepping the area, administering anesthesia, and recovery adds much more time to the procedure. ...Read more

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What do you advise if I'm wondering how long does the cerclage procedure take?

Depends...: There are several different ways to do a cerclage. Some take longer than others. It also depends on your gestational age and how dilated your cervix is. In general it's a short procedure that takes 15-30 minutes. Best wishes! ...Read more

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I have a cerclage in and it comes out wensday! Its Monday night now...when will I be likely to have her?

Cerclage: It will depend on how far dilated your cervix is after the stitch is removed. I have removed cerclage stitches and had patients deliver that same day. I have also had patients deliver a week or more after. It really depends on where you are after the cerclage comes out. ...Read more

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Do you bleed after cerclage removal?

Do you bleed after cerclage removal?

Probably: It would be normal to have some spotting or bleeding after a cerclage is removed. ...Read more

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When are cervical cerclages necessary?

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

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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

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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

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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

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I masturbated ans I have a cerclage is that bad?

Probably not, but...: A cerclage bears no imaginable reason to affect the process & pleasure of masturbation as long as doing in "right" way so not to let fantasy overdrive a person to overuse, misuse, and abuse the body or organs under the obsession of pleasure seeking. More? Ask your doctor placing such device. ...Read more

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Do u preform transactional cerclage because I had a failed vaginal cerclage?

? transabdominal cerc: Do you mean transabdominal cerclage? Yes, I do transabdominal cerclages on selected patients where cervical cerclages do not work ie. Short crevices. ...Read more

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I got a cerclage yesterday at 11.4 weeks and my dr said that I wouldn't make it to 22 weeks before being hospitalized. How can he possibly predict that?

Possible Prediction: Depending on your obstetrical history and the clinical findings that led your obstetrician to perform a cerclage, are factors that have prognostic value. In his professional opinion, formed from your examination of the gravid cervix (ripening, dilatation) and projected fetal size by 20 weeks, his best judgement warranted to notify you of his suspicion for a very early onset of labor. ...Read more

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Wfe undrwent prventive transv crclage at 14wks then rescue laprscopic cerclage at 20 weeks due to funeling to 0.5cm. But rescue faild. At 0.9cm. Wht nw?

Wfe undrwent prventive transv crclage at 14wks then rescue laprscopic cerclage at 20 weeks due to funeling to 0.5cm. But rescue faild. At 0.9cm. Wht nw?

Your OB doc: Or the perinatologist should have already gone over a detailed plan with you and your wife, so you really need to call your doc and discuss everything asap, but most likely (of course u will have to ask your doc) bedrest, probably im Progesterone to prevent premature labor but obviously unfortunately she is at increased risk of losing the pregnancy or delivering way early, hope it works out. ...Read more

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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

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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

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Can cerclage be performed under regional anesthesia?

Best option: Regional anesthesia (spinal)is the good option and frequently used during cerclage. Very little medication is used, which will unlikely to affect a baby. If appropriate dose is used recovery from spinal anesthesia can be quick. ...Read more

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Is a cerclage the same size as a sewing thread or shoe string?

Is a cerclage the same size as a sewing thread or shoe string?

More like: Sewing thread than shoe lace, but I think thicker than a thread if that helps.... ...Read more

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Am I going to be in a lot of pain after getting my cervical cerclage done?

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

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I just got a cervical cerclage and I want oral sex done. Will it effect him?

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

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Emergency cerclage at. 20 weeks. Can I do laundry or light bathroom cleaning?

Emergency cerclage at. 20 weeks. Can I do laundry or light bathroom cleaning?

ASK THE DOC WHO: Did your surgery, all? S of this nature need to be asked to the doc who put your cerclage in as that doc knows the condition of your cervix, I do cerclages and I give all those instructions to my pts both before and after the surgery so they know everything before they go home so call your doc even if it is the weekend or holiday, sometimes u can and sometimes u can't so please ask your doc. ...Read more

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Is the laprascoptic transabdominal cerclage the most effective of all the cerclages?

Not really: A transvaginal approach called a mcdonald cerclage is the most common and most studies technique. Abdominal cerclages are reserved for those who fail a mcdonald cerclage. ...Read more

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I am 13wks and im getting a vaginal cerclage will I feel any pain during the operation?

No: Most cerclages are done in the or and under either a light anesthetic or a regional (spinal block). I've done them different ways but all of them are pain-free, easy, and don't worry about pain. Your doc will keep you comfortable. You will stay until your anesthetic has worn off, be evaluated for cramping or bleeding, and they'll check for fetal heart tones. Good luck with your pregnancy. ...Read more

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I had a preventative cerclage (modified sharodika) placed last week at 12weeks. I'm going on a cruise in 2 weeks. I'll be flying, is this ok?

Circalge: You need to ask the physician who placed the cerclage whether you are safe to travel. That physician knows your case better than anyone and will know if you are at risk for preterm labor after the cerclage placement. ...Read more