Ideally it is removed prior to labour beginning, anywhere from 34-37 weeks. If it is a regular vaginal cerclage, it is just snipped open like regular stitches. Some cerclages are done transabdominally, and therefore a C-section is needed.
Bed rest to avoid putting unnecessary pressure on the cervix; tocolytics, these are drugs that are designed to stop or delay labor; antibiotics may be used to treat infection preventing premature labor.
A cerclage MUST be taken out before you go into labor or it will tear your cervix to shreds & put you at risk for a hysterectomy!
The patient will usually receive regional (epidural or spinal) anesthesia during the procedure, although general anesthesia is sometimes used. Then usually either the McDonald or Shirodkar technique is used.
About 1-9% of women will experience premature labor after cerclage. About 10-30% of premature babies survive at 22 weeks, increasing to 50% at 24 weeks, and 95% by 26 weeks.
The success rate for is about 80-90% for elective cerclages, and 40-60% for emergent cerclages. A cerclage is considered successful if labor and delivery is delayed to at least 37 weeks (full term).
Cervical cerclage is used to treat cervical insufficiency. This treatment is usually done during the second trimester of pregnancy for women who have had miscarriages in the past or is carrying multiple offspring.
cerclage removal with c/d
Risks associated with anesthesia, premature labor, infection, cervical rupture (may occur if the stitch is not removed before onset of labor), injury to the cervix or bladder, bleeding.
Lash cerclage (a permanent stitch performed before pregnancy because of trauma to the cervix or an anatomical abnormality).
LABOUR
15850
A cervical cerclage is a minor surgical procedure in which the opening to the uterus (the cervix) is stitched closed in order to prevent a miscarriage or premature birth.