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Doctor insights on: Cerclage

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Dr. Cynthia Palabrica
126 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.

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Dr. Cynthia Palabrica
126 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.

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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!

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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