Cerclage of the uterine cervix is a medical procedure that involves the placement of a surgical stitch or suture around the cervix to provide support and reinforcement during pregnancy. The cervix is the lower part of the uterus that connects it to the vagina, and it plays a crucial role in maintaining the integrity of the pregnancy.
This procedure is typically performed to prevent the cervix from prematurely opening, also known as cervical insufficiency or cervical incompetence. It is most commonly recommended for women who have had previous pregnancy complications such as second-trimester miscarriages or premature births due to cervical incompetence.
The cerclage procedure is usually performed during the first or early second trimester of pregnancy. It can be done through a minimally invasive approach using a speculum, or in some cases, through a more invasive technique requiring a surgical incision. The cerclage stitch is placed around the cervix and tightened to provide additional support to help keep it closed until the pregnancy reaches full term.
This procedure can help prevent preterm labor and premature birth by delaying the opening of the cervix and reducing the risk of cervical dilation. The cerclage stitch is typically removed around 36 to 38 weeks of pregnancy, allowing for a vaginal delivery. However, in some cases, the stitch may need to remain in place until labor starts, and a cesarean section may be necessary for delivery.
Cerclage of the uterine cervix is considered a safe and effective procedure for reducing the risk of pregnancy complications related to cervical insufficiency. However, like any medical procedure, it carries certain risks, including infection, bleeding, cervical trauma, and premature rupture of membranes. The decision to undergo cerclage should be made in consultation with a healthcare professional based on individual
