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Women's Health Partners LLC 6853 SW 18th Street, Suite 301 Boca Raton, FL 33433 Tel: 5613683775 Fax: 5613927139 www.myobgynoffice.com PROCEDURE EDUCATION LITERATURE We recommend that you read this.
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SW FAQ
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Cervical cerclage Transvaginal cerclage can be performed with neuraxial or general anesthesia.
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A cervical stitch may help to keep your cervix closed and may reduce the risk of you having a late miscarriage or a preterm birth. A cervical stitch is usually put in between 12 and 24 weeks of pregnancy and then removed at 36–37 weeks, unless you go into labour before this.
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Cervical Cerclage: Risks Vaginal bleeding. A tear in the cervix. Infection. Water breaking too early.
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If you go into labor with the stitching in your cervix, your contractions may tear open your cervix. It is important that the stitching be removed before or during early labor. It is usually taken out without anesthesia. All of these complications rarely occur.
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Women with cerclage who achieved 36-37 weeks should be counseled that their chance of spontaneous delivery within 48 hours after elective cerclage removal is only 11%.
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Results. Of 147 patients undergoing urgent cervical cerclage, 90 (61%) had a closed cervix at the time of cerclage placement, 45 (31%) had a cervical dilation of 1cm to 2.5cm, and 12 (8%) had a cervical dilation of 3cm to 4cm at the time of placement.
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An ultrasound-indicated cerclage may be considered for women who have a history of spontaneous loss or preterm birth at less than 34 weeks gestation if the cervical length in a current singleton pregnancy is noted to be less than 25 mm before 24 weeks of gestation.
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If a patient with a cerclage in place goes into labor, a transvaginal cerclage needs to be cut in order to facilitate delivery. In the case of an abdominal cerclage, cesarean delivery may be indicated.
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