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Overview:Cervical cerclage refers to various procedures that reinforce the cervix during pregnancy in women with a history of a short cervix. A cervical cerclage is done between the 12th and 14th week of pregnancy.
Cervical cerclage can either be done through the vagina (transvaginal cervical cerclage) or through the abdomen (transabdominal cervical cerclage).
Cervical cerclage may be recommended during pregnancy if you have:
Cervical cerclage isn't suitable for everyone at risk of premature birth. Cervical cerclage is not recommended if you have:
Cervical cerclage is usually done as an outpatient procedure at a hospital under regional or general anesthesia. During transvaginal cervical cerclage, your health care provider will insert a speculum into your vagina and grasp your cervix with ring forceps and use an ultrasound for guidance.
Your health care provider will make an abdominal incision and elevate your uterus to gain better access to your cervix. Next, a needle will be used to place tape around the narrow passage connecting the lower part of your uterus to your cervix and tie your cervix closed. Then your uterus will be set back into place and the incision will be closed. This procedure can also be done laparoscopically.
The possible complications associated with cervical cerclage include:
Cervical laceration: A tear that extends through vaginal tissue, perineal skin, and perineal muscles that extend into the muscles around your anusLearn Less
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