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.
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.
The cervical spine is made up of seven cervical vertebrae. These are numbered(C1-C7) and are the smallest of the true vertebrae. The third through sixth cervical vertebrae have characteristics in common. The first, second, and seventh are considered special cervical vertebrae, and have different characteristics.
The C8 vertebra is not a true vertebra but rather an anatomical and numerical anomaly in the human cervical spine. It is an occasional variation seen in some individuals where there is an extra rib arising from the seventh cervical vertebra. This condition is known as a cervical rib.
the first 7 vertebrae, the neck vertebrae, are considered to be cervical
The odontoid process, also known as the dens, is the bone feature of the second cervical vertebrae that articulates with the first cervical vertebrae. This connection forms the atlantoaxial joint, which allows for rotation of the head.
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 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.
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.
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.
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.
they say between 1 -2 days but this is not for certain
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!
Emergent cerclages are those placed later in pregnancy when cervical changes have already begun.
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
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).
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.
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.