What is a cerclage and why is it done?

A stitch is placed around the cervix during the procedure to prevent it from dilating and shortening. This procedure is also known as a cervical stitch. This article discusses why a cerclage is done, whom it is for, risks, and what to expect from the procedure.

What is the success rate of a cerclage?

The procedure is successful in 85% to 90% of cases. Cervical cerclage appears to be effective when true cervical incompetence exists, but unfortunately, the diagnosis of cervical incompetence is very difficult and can be inaccurate. Why doesn’t every woman who has had a preterm baby need a cerclage?

When is a cerclage indicated in the treatment of cervical dilation?

Physical examination-indicated cerclage (also known as emergency or rescue cerclage) should be considered for patients with a singleton pregnancy at less than 24 weeks gestation with advanced cervical dilation in the absence of contractions, intraamniotic infection or placental abruption. [1][3] Contraindications

When is a cerclage indicated for a singleton pregnancy?

Physical examination-indicated cerclage (also known as emergency or rescue cerclage) should be considered for patients with a singleton pregnancy at less than 24 weeks gestation with advanced cervical dilation in the absence of contractions, intraamniotic infection or placental abruption.

How effective is a cerclage for cervical incompetence?

Cervical cerclage appears to be effective when true cervical incompetence exists, but unfortunately, the diagnosis of cervical incompetence is very difficult and can be inaccurate. Why doesn’t every woman who has had a preterm baby need a cerclage?

What is cervical cerclage surgery?

Treatment for cervical incompetence is a surgical procedure called cervical cerclage, also know as cerciage, in which the cervix is sewn closed during pregnancy. The cervix is the lowest part of the uterus and extends into the vagina. Why is cervical cerclage used?

What happens if you have an emergent cerclage during pregnancy?

If you’ve had an emergent cerclage, you have a greater chance of needing another cerclage if you get pregnant again. Otherwise, you can have the surgery up to 24 weeks. Past that date, a cervical stitch could cause the amniotic sac to rupture and make your baby come too soon.