An emergency cervical stitch is placed when a woman has already started showing signs of
cervical insufficiency during pregnancy, like premature dilation or early labour.
The Shirodkar cerclage is another type of cervical stitch that involves placing a stronger, more secure stitch around the cervix.
It is considered more appropriate for women who may have a history of cervical weakness or previous complications.
How it's done: The stitch is placed a bit deeper into the cervix than in the McDonald cerclage. A stronger suture is used to properly close the cervix. When it's used: This method is often recommended if the cervix is very weak or if a previous cerclage has failed. It is also used when there is significant concern about premature labour.
A transabdominal cerclage (TAC) is a more complex type of cervical stitch. Instead of being placed through the vagina, this stitch is placed through the abdomen (tummy).
This method is usually considered when other cervical stitch techniques haven't worked or there is a very high risk of early delivery. How it's done: The doctor makes a small incision in the abdomen to access the cervix. The stitch is then placed around the cervix to hold it closed.
When it's used: This method is typically used for women who have had multiple failed attempts
at cervical cerclage or have severe cervical insufficiency. Cervical Stitch Procedure details: This is a more complex surgery and requires general anesthesia. The procedure is done in the hospital, and the cervical stitch recovery time may be
longer than with vaginal cerclage techniques. While this procedure is more invasive, it can be
highly effective for women with severe cervical issues.
An emergency cerclage is performed when there are signs that the cervix is already opening too early, before 24 weeks of pregnancy. This is often a last-minute attempt to prevent a miscarriage or preterm birth.
At Life Plus Hospital, we understand that each pregnancy is unique. If you have been recommended a cervical stitch or cerclage, we are here to provide you with expert guidance and care. The type of cerclage chosen depends on your situation, and our experienced obstetricians will tailor the procedure to meet your needs. For more information or to discuss your pregnancy care options, contact Life Plus Hospital today. We are committed to supporting you throughout your pregnancy journey and ensuring a healthy delivery for both you and your baby.
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The procedure is done under anaesthesia, so the patient will not feel pain during the surgery.
In most cases, women who have a cervical stitch placed are able to go home the same day or after a short hospital stay.
The cervical stitch is usually removed between 36 and 37 weeks of pregnancy, or if there are signs of premature labour. In some cases, if there is a risk of preterm delivery, the stitch may be left in place longer.
After the procedure, it is important to rest and avoid strenuous activities for a period of time, especially during the first few weeks.
If you experience any of the following symptoms after a cervical stitch, contact your gynaecologist immediately.
The cervical stitch helps to keep the cervix closed, providing additional support and preventing it from dilating prematurely. This helps to reduce the risk of premature birth, especially in women with a history of cervical insufficiency.
A cervical stitch can be performed despite previous surgeries, but the procedure's suitability depends on the surgery's extent and individual circumstances, which your healthcare provider will evaluate during your preoperative evaluation.
Cervical cerclage reduces preterm birth risk in women with cervical insufficiency by 30-40%. Iits effectiveness depends on individual circumstances, including the cause of insufficiency and the procedure timing.
After the procedure, it is important to rest and avoid strenuous activities for a period of time, especially during the first few weeks.
If you experience any of the following symptoms after a cervical stitch, contact your gynecologist immediately:
The cervical stitch helps to keep the cervix closed, providing additional support and preventing it from dilating prematurely. This helps to reduce the risk of premature birth, especially in women with a history of cervical insufficiency.
In many cases, a cervical stitch can still be performed even if a woman has had previous cervical surgeries, such as a cone biopsy or LEEP procedure. However, the suitability of this procedure will depend on the extent of the surgery and individual circumstances. Your healthcare provider will assess this during your preoperative evaluation.
For most women, having a cervical stitch does not affect future pregnancies or fertility. However, depending on the reason for needing the stitch, some women may be at increased risk of complications in future pregnancies. Your doctor will discuss any potential risks for future pregnancies with you.
Cervical cerclage is highly effective in reducing the risk of preterm birth in women with cervical insufficiency. Studies show that the procedure can reduce the risk of preterm delivery by 30-40%. However, its effectiveness depends on individual circumstances, including the reason for cervical insufficiency and the timing of the procedure.
Your healthcare provider will monitor your pregnancy closely after a cervical stitch is placed. This may include regular ultrasounds to check the length of the cervix, pelvic exams, and monitoring for signs of labor or infection. Your doctor will provide specific instructions on follow-up care.