What is Cervical Cerclage?
Cervical cerclage is a medical procedure used in pregnancy. Doctors place a strong stitch, called a cervical stitch, around the cervix. The cervix is the lower part of the uterus that opens into the vagina. This stitch helps keep the cervix closed during pregnancy. As a result, it can help prevent early opening, which may lead to pregnancy complications like preterm birth. Many OBGYN specialists recommend cervical cerclage for women at risk of early labor.
Who Needs Cervical Cerclage?
Not every pregnant woman needs a cervical cerclage. However, some women have a higher risk of their cervix opening too soon. Doctors may suggest this OBGYN procedure if you:Have a history of second-trimester pregnancy lossHave had a cervical cerclage in a past pregnancyHave a short cervix found on ultrasoundHave had surgery or injury to the cervixAre carrying twins or more and have a weak cervix
For women with these risks, a cervical stitch can help support a healthy pregnancy.
Symptoms and Signs Indicating the Need for Cervical Cerclage
Sometimes, signs show that the cervix may be opening too early. Early detection is important. Watch for these symptoms:Pelvic pressure or a feeling that the baby is pushing downIncreased vaginal dischargeLight bleeding or spottingBackache that does not go away
If you notice these signs, contact your OBGYN right away. Early action can help prevent pregnancy complications.
How is Cervical Cerclage Performed?
Doctors usually perform cervical cerclage between 12 and 24 weeks of pregnancy. The procedure takes place in a hospital or clinic. Here is how it is done:You receive anesthesia to keep you comfortable.The doctor gently places a strong stitch around the cervix.The stitch holds the cervix closed until it is time for delivery.Most women go home the same day or after a short stay.
Sometimes, doctors use different methods to place the stitch. Your OBGYN will choose the best option for you.
Risks and Benefits of Cervical Cerclage
Like any medical procedure, cervical cerclage has risks and benefits. Understanding both can help you make informed choices.
Benefits
Reduces the risk of preterm birthHelps women with a weak cervix carry their pregnancy longerCan improve the chances of a healthy baby
Risks
InfectionBleedingPreterm laborRupture of membranes (water breaking early)
However, most women do well after the procedure. The World Health Organization and other experts support its use in certain cases.
Recovery and Aftercare Tips
After cervical cerclage, you may need to rest for a short time. Your doctor will give you specific instructions. Here are some common tips:Rest for a few days after the procedureAvoid heavy lifting and strenuous activityWatch for signs of infection, such as fever or unusual dischargeAttend all follow-up visits with your OBGYNContact your doctor if you have pain, bleeding, or contractions
Most women return to normal activities soon. The stitch is usually removed around 37 weeks, or earlier if labor starts.
Prevention and Lifestyle Guidance
While not all pregnancy complications can be prevented, some steps may help. Consider these lifestyle tips:Attend regular prenatal check-upsFollow your doctor’s advice about activity and restEat a balanced diet and stay hydratedAvoid smoking and alcoholReport any unusual symptoms to your OBGYN
Early care and healthy habits can support a safe pregnancy. If you are at risk, talk to your doctor about cervical cerclage options in your area.
For personalized advice about cervical cerclage, consult a qualified OBGYN specialist. Your doctor can guide you through the best steps for a healthy pregnancy.