Doctor insights on:
Can I insist upon a preventative cerclage after having suffered a loss at 23 weeks due to amniotic infection that caused the sac to protrude?!
Don't insist!: There is still a lot to learn about the continuum of preterm birth, but cerclage should be reserved for two or more consecutive midtrimester deliveries, or a shortened cervix by ultrasound (<1.5 cm) between 16-24 weeks. Other therapies include 17-hydroxyprogesterone caproate injections, vaginal progesterone, and early pregnancy treatment of vaginal infection/inflammation. Confer with your ob! ...Read moreSee 3 more doctor answers
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
Months: If your doctor is sure this is what you need, then i would probably wait 2-3 months for your uterus to recover from the pregnancy loss and shrink down to it's normal size and vascularity prior to undergoing an abdominal cerclage. There are some specialists who can do this procedure laparoscopically, which may be less invasive, and with a faster recovery. Good luck to you in the future. ...Read more
Had unprotected sex 3wks after miscarriage & cerclage.Now 6wks after no abnormal symptoms.What outcome should I be looking for?
Period soon: Your period is often not a month after your miscarriage. It may be more like 6 weeks sometimes. It will probably come soon. ...Read more
I am 34yr. had 2 miscarriages at 20weeks. have 1 baby born at 31 weeks after cerclage.had gestational diabetes.possible risks for another baby?
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
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