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What Are We Talking About When We Say Cerclage
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
Had preterm labor in week 19.currently in week 16 and talking hydroxprogesterone corpat shot bi- weekly and have cerclage too. What else I should do?
Preterm labor: Progesterone injections and cerclage are the max of what I would consider in a patient with a history of preterm labor or delivery. Bedrest has not been found to be beneficial. The best thing you can do for yourself and your baby is to Listen to your doctor's advice, try to decrease your stress, eat a well rounded diet, and relax. ...Read more
Watery/slimy discharge for 1 wk/soaks undies. 28 weeks pg-no cervical length but have an in tact cerclage. Dr says only worry about gushes or bleeding?!
R/O PPROM: You appear to have an incompetent cervix treated with a cerclage. If your cervix is thin, the watery/slimy discharge could be amniotic fluid and this needs to be examined. A 28 week fetus is viable and you currently are at risk for infection, preterm premature rupture of membranes (pprom), and may need to be hospitalized at bedrest. Your doc needs to consider abx and steroids for lung maturity. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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
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