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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.
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Pathophysiology of premature rupture of membrane?
Pathophysiology of premsature rupture of membrane
What is cervical cerclage?
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.
What risk factors will cause a doctor to recommend a cervical cerclage?
A previous preterm delivery, previous trauma to the cervix, early rupture of membranes, hormonal influences, abnormalities of the cervix or uterus, exposure as a fetus to diethylstilbestrol.
What is cervical cerclage used for?
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.
What are other methods of cervical cerclage?
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.
Which patients are ineligible for cervical cerclage?
Women who are more than 1.5 in (4 cm) dilated, who have already experienced rupture of membranes, or whose fetus has died are ineligible for cerclage.
How soon will you deliver once the cervical cerclage is removed?
they say between 1 -2 days but this is not for certain
When is an emergent cerclage performed?
Emergent cerclages are those placed later in pregnancy when cervical changes have already begun.
Is there a difference in sitting vs laying down with an emergent Cervical Cerclage?
i have done one before and i find more comfort in lying down than sitting at least bdays after doing the stitch( 3-7 days) i highly recommend lying down at least the first few days after the cervical cerclage
What is the McDonald technique for cervical cerclage?
Stitching the cervix with a 0.2 in (5 mm) band of suture. The cerclage is high on the cervix when the lower part has started to efface. The stitch is usually removed around week 37 of pregnancy.
What is the mobidity rate associated with cervical cerclage?
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.
What is the success rate for the cervical cerclage procedure?
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).
