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Stitch in Cervix
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Stitch in Cervix

Does anyone have any info on this? Or has anyone had one?
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18 Comments Post a Comment
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Avatar_f_tn
Its called a cerclage(where the stitch the cervix closed) Women who have a incompetent cevix during pregnancy gets it. The cerrvix is basicly to weak to carry a pregnancy so it starts to efface(thin out) then the cervi will start to dialate as if you were going into labor, but without the labor pain. Most women who gets that are put on bedrest depending on the opeining of the cervical os.  To get a better understanding you can look up incompent cervix or cerclage.  My cousin had it done and my sons father cousin, they both were on bed rest at 24weeks, one was on bedrest at home the other on bed rest at the hospital because she actually started having contractions and the stitch broke, so they had to restitch and give her med s to relax her uterus. She had her baby at about 6 months, baby survied but it was a long journery for recover for the baby. My other cousin stayed on bedrest and delivered at 8 months with no compllications.  Hope this info has helped. They normally due the cerlage around 14-16 weeks, not sure if they do it any earlier.
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318269_tn?1241353835
Thank you so much for the info. They plan on doing one on my at 10 weeks I pray I won't have to get put on bed rest tho. My 1st son I personally think that's what happen I was 6 months preg when I went into labor and had him and my 2nd I was about 4.5 months. I'm hoping this will allow me to carry to term and have a normal healthy pregnancy, I'm def gonna google it and see what I can find out!! Thank you so much!!!
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Avatar_f_tn
Your welcome and i will keep you in my prayers.

FYI: any questions or concerns you have, write them down so you can ask dr, sometimes we have a list of things to ask then we get there and forget, at least you will feel like you covered your basis and the dr answered all your questions or concerns.  I be asking 100 questions, my dr be giving me that look like plz shut up lol.
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318269_tn?1241353835
LOL, I'll sure do that!! Thank you!!
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364288_tn?1300148106
hb201a how did they decide if this is what you have? Just wondering...I'm having problems keeping a pregnancy.
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Avatar_f_tn
hi all!

i have what they say inconpetence cervix i was 23 weeks pregnant when i was rushed in the hospital with a balging water bag...meaning my cervix was open!
it was a nightmare!! i was put on strict bed rest and it was too late to do a cerclage because they were scared of infections normally a cerclage is put in between 12-16 weeks of pregnancy...i had my son at 24 weeks...with a 3 1/2 month NICU stay..hes been home now for 8 weeks and so far so good ....when you are pregnant they monitor the baby and the check for shortening lenth of your cervix that is how they determine if you have incopetence cervix sometimes like in my case if happens so fast that unless you are really being monitored frequently by your OB they miss it!!
so next time i get pregnant i will have a cerclage put in and mostly likely bed rest also...because even dough they put a cerclage chances of the cervix opening are still high...but i think it would be worth a try!

Good Luck.
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318269_tn?1241353835
They diag me w/ that also but they wanna do mine at 10 weeks, I'm just really scared. I'm so glad your son is ok, I had my son at 24weeks and he weighted 1lb 05 oz and only lived 15 mins due to his lungs not being fully developed. You really are blessed.
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318269_tn?1241353835
I've lost 2 babies now and that's what they told me they were gonna do as a precauc. and said that I should be able to go full term. I never had any probs w/ the pregnancies jus went into labor way to early with both of them.
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Avatar_f_tn
my son was also 1 lbs 6 oz hes my miracle baby!
dont be scared, every dr. does it differently i would rather get it at 10 weeks than 12 the sooner the better....i have a cousin whos have 3 kids all with cerclage put in at 12 weeks and she gaved birth to all 3 around 37/38 week but thas also with bed rest...you need to keep in mind that you most likely will need to be on bed rest i know its not what we all want to hear but its a sacrifice that i would be willing to do because trust me you dont want your baby in the NICU...that was the most hardest time in my life.
Just make sure that if you feel anything wrong point it out the the drs. now looking back i know i had some sympthose but being this was my first pregnancy i dint know what to expect ya know...but from now on i will demand more from my drs. make sure you are seeing a high risk OB  a perintoligist and make sure you get an u/s everytime you go to the office i would say now every 2 weeks and i was also told by my OB that i would most likely benefit from pregesteron shots also...if you havent looked into them...ask your dr.....congrats! if you need anything just message me anytime!

Good luck hun!
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554628_tn?1362781519
i am so sorry for your loss. i know how you feel on my next preg i have to have a cerclage as well i had a mc at 6 wks, then lost twins at 21 wks one still born and the other died an hour later. hardest thing to go through. good luck.
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Avatar_f_tn
I will have do this too around 12 weeks because I had a preveious miscariage at 20 weeks and they didnt know why I woke up with contractions.
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318269_tn?1241353835
Want2b-Thank you for taking the time to answer back. I am really scared of the whole bed rest etc. esp since I do work fulltime and hope that since I do have a desk job it'll be a little better.

Tarrah-Ty, are you trying?

depressed-we'll be prayin together!! I'm really nervous about it.
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554628_tn?1362781519
i just started trying about a month ago. i have so many preg symptoms though since first of june and my stomach is getting big and round, alil smaller than about 4 mo w/twins but def noticable. i go to school in mornings and work full time desk job from 2-11pm so i rarely have time to eat like i should but cont to gain the weight. idk i took 2 preg tests in early june neg.
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318269_tn?1241353835
Girl ya better try taking another one!!! Baby Dust to ya!!!
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554628_tn?1362781519
thanks lol but i still have very light periods each month.
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448723_tn?1301458558
This is some info that I posted for someone in the Feb '09 forum...

When is a cervical cerclage used?

The best time for the cervical cerclage procedure is in the third month (12-14 weeks) of pregnancy. However, some women may need a cerclage placed later in pregnancy; this is known as an emergent cerclage and is necessary after changes such as opening or shortening of the cervix have already begun. If an emergent cerclage is required, future pregnancies will probably also require a cervical cerclage.

Normal results

The success rate for cervical cerclage is approximately 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).

Aftercare

After the cerclage has been placed, the patient will be observed for at least several hours (sometimes overnight) to ensure that she does not go into premature labor. The patient will then be allowed to return home, but will be instructed to remain in bed or avoid physical activity for two to three days. Follow-up appointments will usually take place so that her doctor can monitor the cervix and stitch and watch for signs of premature labor.

Risks

While cerclage is generally a safe procedure, there are a number of potential complications that may arise during or after surgery. These include:

    * risks associated with regional or general anesthesia
    * premature labor
    * premature rupture of membranes
    * infection of the cervix
    * infection of the amniotic sac (chorioamnionitis)
    * cervical rupture (may occur if the stitch is not removed before onset of labor)
    * injury to the cervix or bladder
    * bleeding

There are three types of cerclage:

    * A McDonald cerclage, described in 1957 is the most common, and is essentially a pursestring stitch used to cinch the cervix shut; the cervix stitching involves a band of suture at the upper part of the cervix while the lower part has already started to efface. This cerclage is usually placed between 12 weeks and 16 weeks of pregnancy. The stitch is generally removed around the 37th week of gestation.[citation needed]


    * A Shirodkar cerclage is very similar, but the sutures pass through the walls of the cervix so they're not exposed. This type of cerclage is less common and technically more difficult than a McDonald, and is thought (though not proven) to reduce the risk of infection. The Shirodkar procedure sometimes involves a permanent stitch around the cervix which will not be removed and therefore a Caesarean section will be necessary to deliver the baby. The Shirodkar technique was first described by Dr. Shirodkar in Bombay in 1955. In 1963, Dr. Shirodkar traveled to NYC to perform the proceedure at the New York Hospital of Special Surgery; the procedure was successful, and the baby lived to adulthood.[citation needed]


    * An abdominal cerclage, the least common type, is permanent and involves stitching inside the abdomen. This is usually only done if the cervix is too short to attempt a standard cerclage, or if a vaginal cerclage has failed or is not possible.[citation needed]

Are there signs I should look for after the cerclage is placed that indicate a problem?

It is important to contact your doctor if you experience any of the following symptoms after your cerclage is placed:

    * Contractions or cramping
    * Lower abdominal or back pain that comes and goes like labor pain
    * Vaginal bleeding
    * A fever over 100 F or 37.8 C, or chills
    * Nausea and vomiting
    * Foul-smelling vaginal discharge
    * Your water breaking or leaking

What about future pregnancies?

Most women who need a cerclage in one pregnancy will need to have a cerclage placed in future pregnancies.

I found this info at-
http://en.wikipedia.org/wiki/Cervical_cerclage
http://www.americanpregnancy.org/pregnancycomplications/cervicalcerclage.html
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318269_tn?1241353835
Thank you so much for the info!!!!
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409890_tn?1238047613
Hi ican give you my experience. out of 11 pregnanys 1 have 2 children i have always had a cerclage put in place at 13wks. my son was born full term with a cerclage. my daughter was born at 6 months at 2 pounds 6 ounces. i hope this helps you every woman is different it depends on your body. i have experience it both ways. There is no way of knowing.


                            I will pray that eveyting works out for you,
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