Pregnancy is a beautiful journey, but for some women, certain medical conditions may increase the chances of preterm delivery. One such condition is cervical insufficiency, where the cervix is unable to stay closed during pregnancy. In such cases, doctors may recommend a procedure known as cervical cerclage.
In this blog, Dr. Manisha Kulkarni, Senior Consultant – Obstetrics & Gynecology at Momstory Hospitals, Hadapsar by Sahyadri, explains everything you need to know about cervical cerclage—why it is done, when it is needed, and what to expect.
If you are searching for the best gynecologist in Pune, a trusted gynecologist, or a reliable woman doctor in Pune, this guide will help you understand your treatment options better.
What Is Cervical Cerclage?
Cervical cerclage, also known as a cervical stitch, is a minor surgical procedure in which a stitch is placed around the cervix (the opening of the uterus) to strengthen it.
The procedure helps prevent the cervix from opening too early during pregnancy, thereby reducing the risk of second-trimester miscarriage or preterm birth.
When Do Doctors Recommend Cervical Cerclage?
According to Dr. Manisha Kulkarni, cervical cerclage is recommended in the following situations:
1. Risk of Preterm Delivery
Women who have previously experienced:
-
Second-trimester pregnancy loss
-
Sudden, painless dilation of the cervix
-
Preterm delivery
…may benefit from a cervical stitch.
2. Uterine Abnormalities
Conditions such as:
-
Septate uterus
-
Bicornuate uterus
These structural abnormalities may increase the risk of preterm birth, prompting doctors to recommend cerclage.
3. Twin Pregnancy
In twin pregnancies, the risk of preterm delivery is naturally higher. Preventive cervical cerclage may be advised to help support the pregnancy.
4. History of Painless Second-Trimester Loss
This is a classic sign of cervical incompetence, a condition where the cervix opens without contractions or pain.
Even if sonography initially shows a normal cervix, sudden dilation can occur. In such cases, preventive cerclage in the next pregnancy is advised.
How Is Cervical Cerclage Performed?
Cervical cerclage is a day-care procedure, meaning you can return home the same day.
Procedure Steps
-
Done under anesthesia
-
Performed through the vagina (no abdominal incisions)
-
The cervix is stitched to keep it closed
-
No pain is felt during the procedure due to anesthesia
This makes the process safe, comfortable, and minimally invasive.
Types of Cervical Cerclage
There are two main types:
1. McDonald Cerclage
-
The most commonly used technique
-
The cervix is tied like a purse-string to keep it closed
2. Shirodkar Cerclage
-
A slightly more complex technique
-
Also performed vaginally
Both methods are effective, and the choice depends on the patient’s condition.
When Is the Cerclage Removed?
Cervical stitches are generally removed at 36 weeks of pregnancy.
Can You Have a Normal Delivery After Cerclage?
Yes. A vaginal delivery is possible if there are no other obstetric complications.
However, if conditions such as:
-
High blood pressure (gestational hypertension)
-
Baby’s position (breech or transverse position)
arise, a cesarean section may be recommended. In such cases, the stitch is removed during the C-section.
Signs That You May Need a Cervical Stitch
Doctors evaluate the cervix using transvaginal sonography (TVS) in scans from 12 weeks onward.
Cervical cerclage may be required if:
-
Cervical length is less than 2.5 cm
-
Internal os appears to be opening
-
Funneling of the cervix is seen
These are early indicators of cervical insufficiency.
If you notice such signs, consulting the best gynecologist in Pune or a trusted woman doctor in Pune is crucial for timely intervention.
Is Cervical Cerclage Safe?
Yes. Cervical cerclage is considered a preventive and protective procedure. It significantly improves pregnancy outcomes in women at risk of preterm birth.
With the right guidance from an experienced gynecologist, complications are rare, and most pregnancies continue safely to term.
Conclusion
Cervical cerclage is an effective method to prevent premature birth in high-risk pregnancies. It is a safe, simple, and well-established procedure recommended by specialists to protect maternal and fetal health.
If you have experienced:
-
Previous preterm delivery
-
Second-trimester loss
-
Cervical insufficiency
…or have concerns about your cervix length during pregnancy, do not hesitate to consult Dr. Manisha Kulkarni at Momstory Hospitals, Hadapsar.
For expert care, compassionate guidance, and the support of the best gynecologist in Pune, schedule your consultation today.
