Cervical Stitch

Cervical incompetence is a condition where the cervix becomes shorter than normal. This is a risky condition and cause miscarriages. Cervical stitch or cervical cerclage is a treatment for the condition called cervical incompetence. Early changes in the cervix can be prevented using this cerclage. It is a surgical procedure by which the cervix is closed with stitches during pregnancy. Cervical stitch procedure is used when a woman’s cervix is at risk of opening. It happens during pregnancy as a result of pressure.

The fourth month of pregnancy is considered to be the best time for the procedure. During the procedure, a stitch will be inserted into and around the cervix. The stitch will be removed towards the end of pregnancy. Till then, greater risks of miscarriage will be passed. Cervical stitches are of different types:

  • Abdominal Circlage
  • McDonald Circlage
  • Shirodkar Circlage

The patient will be under observation for several hours after the procedure. Bed rest will be suggested for some time and strenuous physical activities are prohibited. Comparatively cervical stitch surgery is a safe procedure. There can be a few potential risks and complications, such as:

  • Anesthetical risks
  • Infections
  • Amniotic sac infections
  • Injury
  • Bleeding
  • Cervix Displacement etc.

Authored By Dr. Mangala Devi K R , MBBS, MS (OBG)

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