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Cervical Cerclage

WHAT YOU NEED TO KNOW:

Cervical cerclage, or cervical stitch, is a procedure to close your cervix during pregnancy. Cerclage may help prevent premature delivery of your baby. The stitches may be removed around week 37 of pregnancy. The procedure is usually done through the vagina but can be done through the abdomen.

DISCHARGE INSTRUCTIONS:

Medicines:

  • Medicines can help decrease pain, soften your bowel movement, or prevent infection.
  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Rest:

You may need to rest in bed for 2 days. This promotes blood flow to the baby and may help to avoid or decrease contractions.

Vaginal and wound care:

Care for your wound as directed. Carefully wash the wound with soap and water. Dry the area and put on a new, clean sanitary pad or bandage as directed. Change your pad or bandage when it gets wet or dirty. Do not place anything in your vagina, such as douche or a tampon.

Prevent constipation:

  • Eat a variety of healthy foods. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish.
  • Drink liquids as directed. Prune juice and water are good liquids to drink. Ask how much liquid to drink each day and which liquids are best for you.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Contact your healthcare provider if:

  • You have a fever or chills.
  • Your wound is red, swollen, or draining pus.
  • You have nausea or vomiting.
  • You have pus or a foul-smelling odor coming from your vagina.
  • You have trouble urinating.
  • You have vaginal bleeding.
  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • Blood soaks through your bandage.
  • You feel something bulge out from your vagina.
  • You have clear fluid coming from your vagina.
  • You have regular contractions.
  • You have lower abdominal or back pain.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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