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Cervical Cerclage

What Is Cervical Cerclage?

Cervical cerclage, also known as a cervical stitch is a procedure done for the cervical incompetence.  It occurs when the cervix starts to shorten and open too early during pregnancy. 

Cervical cerclage can cause a later miscarriage or preterm birth.  The treatment consists of a surgical procedure where the cervix is sewn closed during pregnancy. 

Who Needs A Cervical Cerclage?

Any women who have suffered from previous miscarriage or given birth without the correct labor and contractions are often diagnosing with a possible cervix issues. The cerclage is often done during the weeks 12 and 16. 

Cervical Cerclage Types

  • Transvaginal Cerclage
  • McDonal Cerclage
  • Shirodkar Cerclage
  • Rescue Cerclage
  • Transabdominal Cerclage

Cervical Cerclage Placement Procedure

Cervical cerclage is a procedure in which stitches are used to close the cervix during pregnancy to help prevent pregnancy loss or premature birth. 

The doctor will perform an ultrasound to decide the type of cerclage to be opted for. A local anesthesia will be performed before proceeding with the suture through the vagina.

Cervical Cerclage Aftercare

To help make the recovery process make sure to follow these tips:

  • Avoid picking up anything heavy
  • Use mild soap
  • Make sure to keep the area clean by replacing any bandages
  • Make sure to stay hydrated
  • Avoid any strains when using the bathroom

Cerclage Removal

The cervical cerclage is typically removed at around 37 weeks of pregnancy or the onset of preterm labor. In rare circumstances, it might be removed earlier in case the water breaks or premature labor. 

Are There Any Risks And Complications of A Cerclage?

  • A miscarriage
  • Preterm labor and birth
  • Vaginal bleeding
  • Increased chances of a c-section
  • Cervical laceration
  • Tear in your cervix
  • Preterm premature rupture of the membranes

When To Call The Doctor

  • Severe bleeding
  • Fever 
  • Chills
  • Severe nausea along with vomiting
  • Yellow watery discharge
  • Odd smelling discharge

Cervical Cerclage ICD-9 Code

Its ICD-9 code is 67.5.

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