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Doctor insights on: Incompetent Cervix Cerclage

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Dr. Cynthia Palabrica
124 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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29wks pregnant with incompetent cervix and emergent cervical cerclage.CL is 20mm.is that length mucus plug enough to protect from ascending bacteria?

29wks pregnant with incompetent cervix and emergent cervical cerclage.CL is 20mm.is that length mucus plug enough to protect from ascending bacteria?

Cerclage: With certain Cerclage placement the cervical mucus should remain in tact. Therefore believe that you have nothing to worry about but need routine checkups concerning your cerclage ...Read more

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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

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With incompetent cervix how early can I start progesterone injections and can I ask for a trans abdominal cerclage or do I need a tvc?

With incompetent cervix how early can I start progesterone injections and can I ask for a trans abdominal cerclage or do I need a tvc?

Depends...: Was your last pregnancy preterm? If so you can start Progesterone injections at 16 weeks. If your cervix is short, how short on ultrasound and how far preg are you? Depending on response you may need vaginal progesterone. (no evidence that injections work for short cervix alone-- evidence is for vaginal). Most people won't do trans abd cerclage during preg. You may get a mcdonald cerclage though. ...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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I had sudden loss at 19.1w for no known reason. Now pregnant again and 22.0w. cervix is 3.4cm,no cerclage. what is the chance of Incompetent cervix?

I had sudden loss at 19.1w for no known reason. Now pregnant again and 22.0w. cervix is 3.4cm,no cerclage. what is the chance of Incompetent cervix?

Depends on Last: there are many reasons for sudden pregnancy loss and although incompetent cervix is one of them, your chances of having it again would be dependent upon whether or not you had that exact diagnosis last time. That your cervix is 3.4 centimeters halfway through is reassuring as we generally do not intervene for anything above two centimeters. Keep following up regularly and good luck! ...Read more

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In my. Second pregnancy was told I have incompetent cervix. If i get pregnant again is there a chance it could resolve or do I need another cerclage?

Repeat cerclage: Once the diagnosis of incompetent cervix is made, typically repeat cerclage is indicated. That said, the diagnosis can at times be open to interpretation. Of you are questioning the indication you should get a second opinion. This is an area in which a maternal fetal medicine specialist would have experience. ...Read more

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How would I know if I had an incompetent cervix?

Diagnosis with loss: Unfortunately most women don't know that they have an incompetent cervix until they experience a late miscarriage. Sometimes we discover cervical shortening on ultrasound that can clue us in before a loss occurs, but that is not typical. ...Read more

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What can I expect if I have an incompetent cervix?

What can I expect if I have an incompetent cervix?

Close surveillance: There are many ways of managing a patient with a history of incompetent cervix. Some women may receive a cerclage or a stitch around their cervix. You may be placed on bedrest or modified activity. Some women receive vaginal Progesterone suppositories or injections. Some women have frequent sonograms to measure their cervical length. ...Read more

Cervix (Definition)

The uterine cervix is the opening of the ...Read more