Cervical Cerclage
Cervical cerclage is a way of keeping your cervix closed during pregnancy to prevent premature birth due to weakened/ incompetent cervix. If your cervix has weakened, you will likely be recommended a cervical cerclage. This is to keep the fetus safe inside of your uterus until it’s time for you to give birth. Incompetent cervix occurs when your cervix opens, weakens or shortens too early in pregnancy. It’s also known as cervical insufficiency. It can cause problems including miscarriage (loss of the pregnancy) and premature birth (being born before 37 weeks of pregnancy). During this procedure, your doctor will place one or several stitches in the opening of your cervix to keep it safely closed during your pregnancy.
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Post Surgery Care
Cervical cerclage is a way of keeping your cervix closed during pregnancy to prevent premature birth due to weakened/ incompetent cervix. If your cervix has weakened, you will likely be recommended a cervical cerclage. This is to keep the fetus safe inside of your uterus until it’s time for you to give birth. Incompetent cervix occurs when your cervix opens, weakens or shortens too early in pregnancy. It’s also known as cervical insufficiency. It can cause problems including miscarriage (loss of the pregnancy) and premature birth (being born before 37 weeks of pregnancy). During this procedure, your doctor will place one or several stitches in the opening of your cervix to keep it safely closed during your pregnancy.
Symptoms Of Cervical Cerclage
Symptoms
Irregularly Shaped Cervix
Premature Birth 
Cervical Surgery
Ehlers-Danlos Syndrome Types of conditions
There are 2 main types of Cervical Cerclage
Transvaginal cerclage
Transabdominal cerclage
Transvaginal cerclage
This is the most common type of cerclage. It is performed through the vagina.
Diagnosis
Your pregnancy care provider will ask you questions about your health history and your pregnancy symptoms at prenatal appointments. Be sure to let them know if you’ve had a miscarriage or surgery on your cervix. Your provider may want to monitor your cervix more closely based on those risk factors.
Your provider diagnoses incompetent cervix with a pelvic exam and an imaging test called a transvaginal ultrasound (ultrasound using a wand inserted in the vagina). This test allows your provider to measure the length and opening of your cervix.
Causes of Cervical Weakness
You may be at higher risk if you have:
- Irregularly shaped cervix or uterus.
- Experienced a premature birth or miscarriage in the second trimester of pregnancy.
- Injured your cervix or uterus during a previous pregnancy or childbirth.
- Had surgery on your cervix.
- A genetic disorder like Ehlers-Danlos syndrome which may cause cervical weakness and can lead to cervical insufficiency.
Preparing for the procedure
Before the procedure:
- Consultation Your doctor will discuss your medical history, the risks and benefits of the procedure, and what to expect during recovery.
- Tests You may need an ultrasound to confirm the pregnancy's location and viability and check for any fetal abnormalities.
- Cervical evaluation Your doctor will examine your cervix to assess its strength and length.
- Blood test You may need blood tests to check for infections or other health conditions.
- Medications Your doctor may advise you to stop taking certain medications, such as blood thinners, before the surgery.
- Fasting You may be instructed to not eat or drink anything after midnight on the day of the surgery.
Here are some additional tips for preparing for a cervical cerclage:
- Wear loose-fitting clothing This will be more comfortable after surgery
- Stock up on supplies You may want to stock up on postpartum supplies, such as pads, witch hazel pads, and pain medication, in advance.
- Ask questions Don't hesitate to ask your doctor any questions you have about the procedure or recovery.
- Emotional support Prepare for emotional support from your partner, family, or friends.
Recovery
- Rest and avoid physical strain It is essential to rest and avoid any strenuous physical activity, heavy lifting, or prolonged standing or sitting for at least two weeks after the procedure to allow the cervix time to heal.
- Follow medication instructions Women may be prescribed pain medication or antibiotics after the procedure. It is important to follow the instructions carefully and take all medications as prescribed.
- Monitor for symptoms Women should monitor for any symptoms, such as bleeding, cramping, fever, or foul-smelling discharge, and report any concerns immediately to their healthcare provider.
- Avoid sexual activity Women should avoid sexual activity for at least two weeks after the procedure, and until cleared by their healthcare provider.
- Reduce your drinking habits and stop smoking Both substances could delay rehabilitation and raise the possibility of problems. Women who smoke or consume alcohol should talk to their doctor about strategies to quit or reduce their use.
- Attend follow-up appointments Women should attend all follow-up appointments with their healthcare provider to monitor the progress of their recovery and ensure proper care.
- Practice self-care Women can practice self-care during the recovery period, such as taking warm baths, practicing relaxation techniques, and eating a healthy, balanced diet.
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Cost estimation
Learn about the expenses involved in the procedure and what factors affect them.
Cervical cerclage, a procedure to prevent premature birth and pregnancy complications, varies in cost in India, typically ranging from Rs. 30,000 to 90,000. This cost is influenced by factors such as the choice of medical facility, surgeon's fee, type of cerclage, preoperative tests, anesthesia charges, and postoperative care.
Get Cost EstimationThe average cost of Cervical Cerclage in India is around ₹ 30,000 to ₹ 90,000.
₹ 90,000
High Cost
₹ 50,000
Average Cost
₹ 30,000
Low Cost
The LIST of AVERAGE COST of the Cervical Cerclage across TOP 4 cities in India in Indian Rupee (INR) is as follows :
City
Lowest Cost
Average Cost
Highest Cost
Kochi
₹ 19,000
₹ 23,000
₹ 27,500
Indore
₹ 30,000
₹ 60,000
₹ 90,000
Pune
₹ 27,000
₹ 50,000
₹ 89,000
Kolkata
₹ 30,000
₹ 60,000
₹ 90,000
Commonly Asked Questions
What is cervical cerclage?
Cervical cerclage is a surgical procedure in which a stitch or band is placed around the cervix (the lower part of the uterus) to help support and strengthen it during pregnancy.
Why might I need cervical cerclage?
You may need it if you have a history of cervical insufficiency or if your cervix is at risk of opening prematurely, which can lead to miscarriage or preterm birth.
When is cervical cerclage performed during pregnancy?
Cervical cerclage is typically performed between weeks 12 and 14 of pregnancy, although it can be done later in some cases.
What are the risks associated with cervical cerclage?
Risks include infection, bleeding, rupture of membranes (water breaking), and preterm labor. Your doctor will discuss these risks with you before the procedure.
How is cervical cerclage performed?
The procedure can be done through the vagina (transvaginal cerclage) or through the abdomen (transabdominal cerclage), depending on factors like cervical anatomy and previous pregnancy history.
What is the recovery process like after cervical cerclage?
Recovery is usually straightforward, with some mild discomfort or spotting. Your doctor may recommend avoiding strenuous activity and sexual intercourse for a period of time.
Will I need to stay in the hospital after cervical cerclage?
Most cervical cerclage procedures are done as outpatient surgeries, meaning you can go home the same day.
How effective is cervical cerclage in preventing preterm birth?
Cervical cerclage can be highly effective in reducing the risk of preterm birth in women with a history of cervical insufficiency. However, its effectiveness may vary depending on individual factors.
Can I have a vaginal delivery after cervical cerclage?
In many cases, yes. Your doctor will assess your individual situation and determine the best mode of delivery based on factors such as the type of cerclage and your overall pregnancy health.
Will I need cervical cerclage in future pregnancies if I've had it once?
Not necessarily. Your doctor will evaluate your risk factors and pregnancy history to determine if cervical cerclage is needed in future pregnancies.
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