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Cervical Cerclage

WHAT YOU NEED TO KNOW:

What do I need to know about cervical cerclage?

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.

How do I prepare for the procedure?

Your healthcare provider will talk to you about how to prepare for the procedure. He may tell you not to eat or drink anything after midnight on the day of your procedure. He will tell you what medicines to take or not take on the day of your procedure. Your bowel may need to be emptied and cleaned out before the procedure. A healthcare provider will show you how to give yourself an enema.

What will happen during the procedure?

A speculum will be inserted into your vagina to hold it open. You may have a small incision in your abdomen instead. Stitches or tape will be used to close your cervix tightly. If you have an abdominal incision, it will be closed with stitches. A sanitary pad will be placed.

What are the risks of the procedure?

You may bleed more than expected or develop an infection. Your cervix may tear. Your bladder, intestines, or amniotic sac may be damaged. Your risk for a miscarriage may increase. You may have contractions or vaginal bleeding. Your cervix may not be able to open or shorten in preparation for delivery. You may develop a permanent narrowing of your cervix. Your water may break and your may go into labor.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. 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.

© 2015 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.

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