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Doctor insights on: Cerclage Pregnancy

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Does cerclage effect future pregnancy?

Does cerclage effect future pregnancy?

Denpends: You need to know why are you getting a cerclage. If this is because of cervical insufficiency, you might need a cerclage with your next pregnancies. ...Read more

Dr. Cynthia Palabrica
125 doctors shared insights

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


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When is a cerclage indicated for pregnancy?

When is a cerclage indicated for pregnancy?

Incompetent Cervix: A cerclage is indicated when there is a history of early pregnancy loss with no contractions, advanced dilation, and are often difficult to predict. Your OB history is important to help assess who's at risk & for surveillance. Cervical length by us is helpful to assess cervical competency & "beaking" (membranes folding into cervix) is a strong us sign. I usually perform cerclages @ 12-14 weeks. ...Read more

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How many ladies have had a cerclage and the pregnancy gone ok?

Many: Many of my patients have had successful cerclages and delivered at term. The argument is whether bedrest alone is just as good as a cerclage and rest.... I tell my patients that each pregnancy is different and has different risks. What works for one, may not work for another. Usually cerclages after 18 weeks are higher risk and not as successful as ones done earlier in pregnancy. ...Read more

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When the doctor can remove a cerclage later in pregnancy do you have to go thru labor after the removal?

Eventually: The cerclage is typically removed around week 35-36 i most cases assuming the plan is to have a vaginal delivery. It is not possible to predict when the onset of labor will begin. It could be hours, days, weeks depending on the individual. ...Read more

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Can a transabdominal cerclage be performed before pregnancy?

Yes: Transabdominal cerclage is more risky than the typical cerclage done through the vagina, and women who need one cannot always find a local surgeon with enough experience to perform the procedure safely. It is best for a woman to speak with a local OB and find out if any cerclage is needed and who are the most experienced physicians to determine if this one is indicated and to perform the procedure. ...Read more

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Lost baby in 21 weeks due to PTL. Fetal autopsy result came back normal. Should i ask for cerclage for the next pregnancy? or choose wait-and-see

Lost baby in 21 weeks due to PTL. Fetal autopsy result came back normal. Should i ask for cerclage for the next pregnancy? or choose wait-and-see

Depends on details: It is important to discuss with your doctor the details surrounding this loss now while the information is fresh. There are basically 3 causes of loss - preterm labor, preterm ruptured membranes and an incompetent cervix. Later on it can be hard to determine but now in the moment is the time to narrow down the cause so that a plan for the future can be created. 17 OH P should be used regardless ...Read more

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Ive had a cerclage during my last pregnancy, a miscarriage before that one. Now im not pregnant and i feel like my cervix is open?

Ive had a cerclage during my last pregnancy, a miscarriage before that one. Now im not pregnant and i feel like my cervix is open?

This can happen: A feeling like a mass or lump in your vagina, maybe as if something is going to fall or come out especially when having a bowel movement, suggests uterine prolapse, where the uterus moves down when other pelvic structures are weakened by a delivery. It can cause incontinence or bladder pain. You would not feel an "open cervix," but you should have this checked out by an OB or primary care doc. ...Read more

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1st pregnancy was perfect was over due in fact. Now i need to have cerclages every time. Can't i just try bed rest instead? Bad experience last time

Discuss with OB: If you are having cerclage for cervical incompetance and spontanwous abortion it is not likely that bed rest is going to be effective, but this is something best discussed with the doctor recommending and preforming the procedure. If you do not trust them, get a second opinion. ...Read more

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How many pregnancy losses due to incompetent cervix make you a candidate for a cerclage.

It depends: When a woman has had a pregnancy loss in the 16-24 weeks time period it is possible the loss is from incompetent cervix. However there are other causes. So to know if she has incompetent cervix and would benefit from a cerclage her doctor needs to review what happened and her medical history to know how sure it is she has incompetent cervix. She needs to work with a high risk pregnancy doc. ...Read more

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20week TWIN pregnant Is it a good time to get "cervical cerclage" done to save my TWIN pregnancy ? how safe it is and what is the success rate ?

Need more info: There is no need to get a cerclage just because you have a twin pregnancy. It is recommended only if there's risk of preterm labor. There are, of course, risks to this procedure - including infection, bleeding, premature rupture of membranes, preterm labor, etc. The success rate ranges from 80-90% if done electively (not emergency). You should discuss further with your OB. Best wishes. ...Read more

Dr. Michael Kleerekoper
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more