This procedure is performed to treat cervical incompetence or insufficiency that leads to second-trimester painless pregnancy loss or preterm birth if untreated.

We apply a permanent stitch around the cervix close to internal os and during our operations an assistant guides the surgeon with the use of ultrasound to perform a better suturing and yet decrease premature rupture of the amniotic sac. The goal is term delivery and removal of cerclage at or near delivery time.

Rescue cerclage after Amniotic Sac Protrusion

The amniotic sac is pushed back in one of many available ways with care, the patient is placed in head down bed position.

The bladder is filled with fluid through a catheter to further push back the amniotic sac.

Stitching is carefully performed usually with ultrasound guidance, and the patient is observed for signs of preterm contractions, rupture of membranes and infection.

Bedrest, inpatient monitoring, antibiotics and tocolytics agents might be recommended by your consultant

Risks Include:

  • Infection
  • Blood loss
  • Transfusion
  • Damage to the cervix
  • Preterm labor
  • Preterm premature rupture of membranes
  • Cervical stenosis
  • Tearing of the cervix or uterine tissue

Diagnosis is difficult and requires detailed history and discussion of risk factors in specific with your consultant early in pregnancy.

understanding of risk/benefits & alternatives.fullWe have performed many procedures with success and rare but serious complications that require