The Harley Street Clinic
35 Weymouth Street London W1G 8BJ
Cervical cerclage
CERVICAL STITCH
Cervical cerclage is when a female's cervix is stitched close, in order to prevent it opening early during pregnancy
Why would I need a cervical cerclage?
If your cervix (neck of the womb) is weak, it is at risk of opening too early during pregnancy. This can lead to a miscarriage or preterm delivery. The cervix is therefore stitched close to minimise this risk.
Your gynaecological consultant can identify if and when your cervix requires treatment.
Need to know
Cerclage will be carried out under local or regional anaesthetic (such as a spinal injection). The surgical procedure is usually done through the vagina. Firstly, a speculum (an instrument with paddles shaped like spoons) is inserted into the vagina. This will spread the vaginal walls.
The surgery itself may then be done in the following ways:
- The outside of the cervix can be stitched
- Special tape can be tied in place around the cervix and stitched in place
- A very small incision is made in the cervix. This allows a special tape to be tied through the incision and the cervix to be closed
Your consultant will explain how best to prepare for cerclage of the cervix, answering any questions you might have.
After surgery, your consultant will let you know when you can get back to your usual routine.
Immediately following the procedure, the recovery process may include:
- You will be cared for in a separate hospital room for four to six hours
- You can go you home once you are able to walk and pass urine. This is unless a doctor feels it best you stay overnight in hospital
- When you arrive home, you should rest for 48 hours. You may experience slight abdominal pain and/or vaginal bleeding
- After one week you should be able to resume normal daily activities
- Your consultant will advise you on when to attend a follow-up appointment
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This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.