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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.

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โˆ™ 2011-04-03 11:50:12
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Q: What is the McDonald technique for cervical cerclage?
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Related questions

What are other methods of cervical cerclage?

Hefner (or Wurm) cerclage, abdominal cerclage, Lash cerclage.

What is the surgical procedure for cervical cerclage?

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.

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 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 is the Shirodkar technique for cervical cerclage?

A permanent "purse-string" stitch around the cervix; so a cesarean section is used to deliver the baby. Most Shirodkar cerclages now have a modified technique that allows for suture removal later.

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.

You have a McDonald cerclage and the doctor said you are 100 effaced how long until you deliver?

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!

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 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).

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.

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