Cervical cerclage is a surgical procedure performed during pregnancy to strengthen and support the cervix (the lower part of the uterus that connects to the vagina) to prevent premature birth or miscarriage. It is generally recommended for women with a history of cervical insufficiency or who have experienced premature delivery or abortion due to cervical weakness.
During the procedure, the collar is sewn with strong stitches or tapes. This helps keep the cervix closed and strong throughout the pregnancy, reducing the risk of dilation and premature birth. Cervical cerclage can be performed using a variety of techniques, including transvaginal or transabdominal approaches, depending on the patient's specific circumstances.
A cervical cerclage is usually performed during the first or early second trimester of pregnancy and is removed near the end of the pregnancy to allow for a normal vaginal delivery. However, in some cases where removal could result in premature labor, the cerclage may be left in place until your due date.
Cervical cerclage is not without risk and is generally recommended after careful evaluation and review of the patient's medical history and risk factors. Possible risks include infection, bleeding, premature rupture of membranes and premature delivery. The decision to have cervical cerclage should be made in consultation with a healthcare professional who specializes in high-risk pregnancies.