CERVICAL INCOMPETENCE CERVICAL CERCLAGE

CERVICAL INCOMPETENCE CERVICAL CERCLAGE

1) Who needs Cervical Stitch?

a) Previous 2 or 3 abortions
b) Women who in pregnancy suddenly felt their water break and the baby was
slipping out.
c) If the ultrasound shows your cervix to be opening up, (there are criteria to be fulfilled)
d) Older woman 39 to 40 years and more with pregnancy
e) Previous History of cervical incompetence.

2) WHY IT HAPPENS
Muscle fibers of the mouth of uterus i.e. the cervix are weak when the baby reaches a certain weight, the cervix opens up unable to hold the weight.

3) CAUSES OF CERVICAL INCOMPETENCE

a) A woman may be born with a weakness.
b) Previous surgery like D & C
c) Chances of recurrence are high

4) How to detect?
A combination of ultrasound and clinical examination can detect cervical incompetence and a previous history of cervical incompetence.
5) What is two cervical cerclage that fails?
If 2 or more failed cervical cerclage can go for a Laparoscopic abdominal cerclage.
6) Does it mean I need a cesarean section?
No, it doesn’t mean so the stitch can be removed once the baby is mature and normal delivery can be tried.
7) What is the Treatment?
Your doctor should do a cervical stitch under anesthesia and strengthen the uterus. Must be careful not to touch the inner side of the uterus, while taking the stitch. Select the best Fertility Centre in Chennai, they will give you a proper attention with best care.

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