One of the surgeries performed on some pregnant women is cerclage, or cervical suturing, because these women are unable to hold their fetus due to problems in the uterus and may gain weight as the fetus grows. , Their cervix opens and they lose their fetus. In some women, the cervix is unable to withstand the pressure of the fetus and the amniotic sac, and may open spontaneously, giving birth prematurely or causing a miscarriage.
What is Circulation?
In women with cervical insufficiency, the end of the uterus, which ends in the vagina, is sutured to prevent the birth of a premature baby by closing the cervix.
When the baby is fully grown, at about 37 weeks of gestation, the stitches are removed and the patient is ready to give birth.
This should be done if a gynecologist determines that a pregnant woman's cervix is at risk of opening.
Why is cerclage performed?
Before pregnancy, the cervix in women is firm. Towards the end of pregnancy, the stiffness of the cervix decreases to allow the cervix to open during delivery and the baby to be born.
Now, if the cervix is weak and loose during pregnancy, the person is at risk for miscarriage or premature birth.
If a gynecologist sees the following problems in a pregnant woman, he or she may recommend a cerclage:
- If a person has a premature birth for no reason, or has a history of miscarriage in the second trimester of pregnancy, or has two unexplained miscarriages in the first trimester of pregnancy.
- If the ultrasound of the 20th to 24th week of pregnancy shows that the length of the cervix in a woman is short, especially if this woman has a history of miscarriage in the second trimester of pregnancy.
If before 24 weeks of pregnancy, dilation (opening) of the cervix is seen in a woman. This is an emergency to perform cerclage, because in
Otherwise it may lead to fetal loss.
Types of cerclage :
* Vaginal cerclage (McDonald):
McDonald's cerclage is commonly performed vaginally and the cervix is sutured in a sac.
* Abdominal cerclage
Benefits of Circulation :
- Increase the length of time a pregnant woman can hold a fetus in her womb.
- Prevent premature birth
- Reduce the rate of abortion
- Increased probability of having a newborn baby
Complications of cerclage
Although this operation is necessary for some people, but as you know, performing any surgery has complications that the patient should be aware of.Possible side effects of cerclage include:
- Preterm delivery
- Intrauterine infection
- Premature rupture of the amniotic sac
- Prolapse or prolapse of the amniotic sac
- Uterine contractions
- Vaginal bleeding
- Rupture of the cervix
- Inability of the cervix to shorten or open
- Cervical stenosis
- Abnormal duct between bladder and vagina (bladder fistula)
- Rupture of the uterus
- Loose stitches
If you have a cerclage, see a gynecologist immediately as soon as you notice fluid leaking from your vagina, as it may be a sign of premature rupture of the amniotic sac. It is very dangerous to rupture this sac before 37 weeks of pregnancy.
2. Sometimes, despite performing cerclage, labor pains still start and lead to labor.
Therefore, women who perform this operation are strongly advised to reduce their intense activities during the day to avoid uterine contractions and subsequent problems. But complete rest in bed is not recommended because it leads to blood clots in the lower extremities, which is very dangerous.