MBBS, MS - Obstetrics & Gynaecology
Dr. Ranjana Tibrewal is a Gynecologist, Obstetrician and Infertility Specialist in Jodhpur Park, Kolkata and has an experience of 15 years in these fields. D…
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MBBS, MS - Obstetrics & Gynaecology
Dr. Ranjana Tibrewal is a Gynecologist, Obstetrician and Infertility Specialist in Jodhpur Park, Kolkata and has an experience of 15 years in these fields. D…
MBBS, MD - Obstetrics & Gynaecology
Dr. Sunalini Suri is senior consultant Obstetrics & Gynaecology at Cosmo Hospital Phase-8, Mohali and Women Health Clinic at 232,Sec 35-A, Chandigarh. She is…
MBBS, DGO, DNB - Obstetrics & Gynecology
Dr. Shoba Vijayakumar is an Obstetrician and Gynaecologist with over 27 years of experience, currently practicing in Chennai. Dr. Shoba Vijayakumar specialis…
MBBS, MD - Obstetrics & Gynaecology
An accomplished clinician who does it all to make sure pregnancy and delivery a memorable experience for mom and the family, Dr Rajeshwari Pawar offers close…
MS - Obstetrics & Gynaecology, MBBS, MRCOG(UK)
Dr. Priyanka Bansal is one of the best Obstetrician, Gynecologist and Infertility Specialist in Gurgaon. She is associated with W Pratiksha Hospital, Max Hos…
MBBS, DGO
Dr. Indu Taneja is a sincere compassionate, hardworking, ever diligent most awarded personal lady doctor. She is currently associated with Cloudnine Hospital…
MBBS, MD - Obstetrics & Gynaecology
Dr Vaijayanti Bodas Is A Senior Consultant Obstetrician Gynaecologist, With 28 Years Experience In Practice. She Is A Laproscopic Surgeon, And Credentialed M…
MBBS, DGO, Diploma of the Faculty of Family Planning (DFFP), FCPS - Mid. & Gynae, DNB - Obstetrics & Gynecology
Dr. Vaibhav Andhare says "I am Dr. Vaibhav Andhare (MBBS, DNB, DGO, DFP, FCPS (Mumbai)). I am a gynecologist and an obstetrician with 15 years of working exp…
DGO, MD - Physician
An Ex HCMS doctor, expert obstetrician and gynaecologist
MBBS, DGO
Dr. Sikha Mondal is a Gynecologist in Girish Park, Kolkata and has an experience of 46 years in this field. Dr. Sikha Mondal practices at Dr. Sikha Mondal Cl…
MBBS, DGO
Dr. Surekha Sharma is a Gynecologist in Agra, Agra and has an experience of 37 years in this field. Dr. Surekha Sharma practices at Dr. Surekha Sharma Clinic…
MBBS, MD - Obstetrics & Gynaecology
Dr. Moparthy Jhansi Lakshmi Bai is a Gynecologist in Lothkunta, Hyderabad and has an experience of 45 years in this field. Dr. Moparthy Jhansi Lakshmi Bai pr…
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Cervical cerclage is a medical procedure used during pregnancy to help prevent premature (early) birth or miscarriage in women whose cervix (the lower part of the uterus) starts opening too early. The cervix normally stays closed until the baby is ready to be born. But in some cases, it may weaken and open too soon, especially in the second trimester (around 4 to 6 months of pregnancy). When that happens, the baby may be at risk of being born too early.
In cervical cerclage, a surgeon places special stitches (sutures) around the cervix to help keep it closed and strong throughout the pregnancy. This support can help the cervix stay shut and give the baby more time to grow safely until full term. The procedure is usually done in the second trimester and takes only a short time, often under anesthesia, so the woman feels no pain.
● Helps prevent early opening of the cervix
● Lowers risk of premature birth
● Reduces chances of miscarriage in the second trimester
● Supports a pregnancy in women with previous cervical weakening
● Gives time for the baby to grow and develop more in the womb
● In some cases, improve baby survival rates when done correctly
● Women with a history of second-trimester miscarriage due to a weak cervix
● Pregnant women whose cervix begins to shorten or open early
● Women with cervical insufficiency diagnosed on ultrasound
● Women who previously had premature births due to cervical weakness
● Cases where cervical changes are seen early in pregnancy
1. Prophylactic Cerclage
This type is planned before any symptoms appear, often between 12 and 14 weeks of pregnancy. It is done when a woman has a known history of cervical insufficiency or previous pregnancy loss.
2. Therapeutic (Ultrasound-Indicated) Cerclage
This is done when an ultrasound shows that the cervix is shortening or opening too early, even if the woman does not have symptoms yet.
3. Emergency (Rescue) Cerclage
Done when the cervix has already opened, and the membranes may be visible. This is an urgent procedure to try to keep the pregnancy going.
1. The doctor checks your health, reviews your history, and may do an ultrasound to study the cervix.
2. Cervical cerclage is usually done in a hospital setting. You may be given antibiotics or medicines to relax the uterus.
3. A regional or general anesthetic is used to make sure you do not feel pain during the procedure.
4. The surgeon places a strong suture (stitch) around the cervix to keep it closed.
5. The area is cleaned, and the procedure is completed. You are moved to a recovery room to wake up from anesthesia.
Most cervical cerclage procedures are quick, often taking 20–40 minutes. You will stay in the hospital for a short time afterward for monitoring.
● After the procedure, you may feel mild cramping or discomfort for a few days; this is normal.
● Avoid heavy lifting, vigorous exercise, or sexual intercourse for a defined period (as advised by your doctor).
● Your doctor may recommend rest and regular follow-up ultrasounds to check the cervix.
● Attend all antenatal appointments to watch the baby’s growth and cervical status.
● If you notice bleeding, strong contractions, fever, or leakage of fluid, contact your doctor immediately.
Most women can continue their pregnancy normally after the procedure with careful monitoring.
Cervical cerclage is generally safe but may have risks, including:
● Infection of the cervix or uterus
● Bleeding or discomfort
● Uterine contractions or early labor
● Cervical damage
● Premature rupture of membranes (water breaking early)
● Rare risk of procedure failure resulting in preterm birth
Your doctor will explain all risks and how to prevent complications with proper care.
Cervical Cerclage
● Use a stitch to physically hold the cervix closed.
● Best when the cervix shows early signs of opening or has a history of weakness.
Pessary
● A soft silicone device placed in the vagina to support the cervix against pressure and help keep it closed.
● May be used in some cases when cerclage is not ideal or as an alternative option.
Both are used to reduce the risk of preterm birth, but the decision depends on your medical history, cervical changes, and your doctor’s advice.
Cervical cerclage is used to keep the cervix closed in pregnancy when it begins to open too early. This helps reduce the risk of premature birth or miscarriage in the second trimester.
No. Cervical cerclage is done under anesthesia, so you will not feel pain during the procedure. You may feel mild cramping afterward, which is normal.
Most cervical cerclage procedures take about 20 to 40 minutes. You usually stay in the hospital for observation for a short time after the surgery.
The stitch is usually taken out between 36 and 38 weeks of pregnancy or earlier if labor begins or membranes rupture. Your doctor will decide the right time.
Yes. Many women can go home the same day or after a short hospital stay if there are no complications and they are stable.
Yes. When done in the right situation and with regular follow-up, cervical cerclage helps reduce the risk of premature birth and increases the chance of a longer, healthier pregnancy.
Your doctor may advise some rest and limited activity after the procedure, but complete bed rest is usually not required unless medically needed.