9 doctors weighed in:

Can a transabdominal cerclage be performed before pregnancy?

9 doctors weighed in
Dr. Pam Yoder
Obstetrics & Gynecology - Maternal Fetal Medicine
5 doctors agree

In brief: 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.

In brief: 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.
Dr. Pam Yoder
Dr. Pam Yoder
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2 doctors agree

In brief: Yes

Abdominal cerclage can be done before pregnancy, and is actually much easier to do prior to pregnancy.
It is often done, however, during pregnancy because the need for the cerclage isn't always known prior to pregnancy. Abdominal cerclage can be done via a laparotomy (open procedure) or laparoscopically. Laparoscopic is preferable to most people, but requires specialized skills to perform.

In brief: Yes

Abdominal cerclage can be done before pregnancy, and is actually much easier to do prior to pregnancy.
It is often done, however, during pregnancy because the need for the cerclage isn't always known prior to pregnancy. Abdominal cerclage can be done via a laparotomy (open procedure) or laparoscopically. Laparoscopic is preferable to most people, but requires specialized skills to perform.
Dr. Nicholas Fogelson
Dr. Nicholas Fogelson
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Dr. Jeff Livingston
Obstetrics & Gynecology
1 doctor agrees

In brief: Yes

Most cerclages are done vaginally using a technique called the mcdonald cerclage.
This is done around 12-14 weeks. In rare cases some patients need an abdominal cerclage. This is done before pregnancy if possible. It stays in and the patient will need to be delivered by c section.

In brief: Yes

Most cerclages are done vaginally using a technique called the mcdonald cerclage.
This is done around 12-14 weeks. In rare cases some patients need an abdominal cerclage. This is done before pregnancy if possible. It stays in and the patient will need to be delivered by c section.
Dr. Jeff Livingston
Dr. Jeff Livingston
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Dr. Padmavati Garvey
Obstetrics & Gynecology

In brief: Yes

Yes, they can be placed before pregnancy.
Of course delivery would be via c-section.

In brief: Yes

Yes, they can be placed before pregnancy.
Of course delivery would be via c-section.
Dr. Padmavati Garvey
Dr. Padmavati Garvey
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Dr. Sheila Goodman
Obstetrics & Gynecology

In brief: Yes

Transabdominal, or shirodkar, cerclages are normally done prior to pregnancy.
They are dsigned to stay in since the uterine tissues grow over them. If you have one, you need to have a cesarean section for delivery. They are done less frequently than the cervical cerclage (macdonald) that can be done during the second trimester of pregnancy. These are removed prior to labor.

In brief: Yes

Transabdominal, or shirodkar, cerclages are normally done prior to pregnancy.
They are dsigned to stay in since the uterine tissues grow over them. If you have one, you need to have a cesarean section for delivery. They are done less frequently than the cervical cerclage (macdonald) that can be done during the second trimester of pregnancy. These are removed prior to labor.
Dr. Sheila Goodman
Dr. Sheila Goodman
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