To Whom is Cervical Cerclage Applied? How is Cervical Cerclage Done?, What you need to know about what to do before the cervical cerclage procedure.
To Whom is Cervical Cerclage Applied? How is Cervical Cerclage Done?
The procedure applied to prolong the pregnancy of pregnant women who are at risk of giving birth before the 37th week of pregnancy is called cervical cerclage. In the content of our article, you can find detailed answers to the questions about “how is cervical cerclage performed?” and “what needs to be done before cervical cerclage procedure” for you, our valued friends. So To whom is cervical cerclage applied?
Thanks to this method, which allows the baby to stay in the womb for a longer period of time and complete its development with prolonged pregnancy, it is applied openly or laparoscopically, through the vagina or navel, depending on the condition of the expectant mother. Successful results are achieved in approximately 90% of individuals who undergo the procedure. If there was a risk of miscarriage due to this situation in previous pregnancies, it is recommended to consult with a specialist physician before planning a pregnancy.
Cervical cerclage; It is a surgical procedure that keeps the cervix closed to prevent the risk of premature birth due to insufficient weakness of the cervix. During this procedure, your doctor places a few stitches on the enlarged cervix to ensure that it remains closed. That’s why it is also known as cervical stitching. With this process, the baby completes its development by spending more time in the womb. During the cervical cerclage procedure, you lie on the examination table with your legs open and your feet in stirrups. In order to avoid any pain before the procedure, local or epidural anesthesia is applied to the patient. In order to completely prevent the pain that may occur during the procedure, the patient is given the necessary painkiller supplements. While local anesthesia is administered, there may be a slight feeling of tightness and pain from the cervix. This feeling passes in a short time. After the anesthesia takes effect, the doctor stitches the cervix tightly with the necessary surgical materials to eliminate the weakness in the cervix. By continuing our article, you can find detailed information about what needs to be done before the cervical cerclage procedure.
What are the Risk Factors of the Cervical Cerclage Procedure?
Things to Do Before Cervical Cerclage Procedure
Before the cervical cerclage procedure, the patient’s health history must be evaluated by a doctor’s examination. The doctor must be informed about pregnancy, uterine surgery and procedures. It is evaluated whether there are any complications in these surgical procedures. In case of infection, cervical mucus or amniocentesis or amniotic fluid samples can be taken from the patient and examined. Amniotic fluid is collected by entering the abdomen with a needle. Before the cervical cerclage procedure, a speculum should be inserted into the vagina and the cervix should be examined. It is necessary to be examined with vaginal ultrasound. The doctor may ask you to abstain from sexual intercourse 1 week before the procedure. Questions that the patient has in mind before the procedure are answered. After the procedure, the patient should be comfortable and carefree.
In pregnant women, the cervix dilates when the baby is ready for birth. In some individuals, because the cervix is insufficiently weak, the cervix may dilate very early or before pregnancy. Since this situation may cause premature birth, some precautions need to be taken. One of these measures is the cervical cerclage procedure. If you have the complaints listed above, it is recommended that you be examined by a doctor as soon as possible. If the doctor deems it appropriate to apply cervical cerclage after the examination, it is recommended to do it between the 12th and 14th weeks of pregnancy. Otherwise, the procedure cannot be performed as the cervix will thin as the pregnancy progresses.
To whom is the Cervical Cerclage Procedure applied?
– Individuals who had a miscarriage due to enlargement of the cervix in previous pregnancies,
– Individuals who gave birth before the 34th week in previous pregnancies,
– For individuals with a history of cervical cerclage in previous pregnancies
– Individuals with cervical damage,
– People who have a miscarriage because they have an abnormal cervix,
– It is applied to individuals whose cervix is enlarged due to surgeries such as Leep or on the cervix.
What are the Risk Factors of the Cervical Cerclage Procedure?
– Premature birth if the membrane is ruptured,
– Seams slipping,
– Bleeding,
– Damage that may occur in the cervix,
– Infection,
– Premature rupture of the membrane,
– If premature birth occurs, risk factors of the procedure such as wounds on the cervix or rupture of the uterus may occur when the stitches have not yet healed.
Some information you need to know after the cervical cerclage procedure: After the procedure, the patient is hospitalized for a few hours due to the risk of any complications. If the patient does not experience any complications, he is discharged on the same day. The doctor can give appropriate antibiotic treatment to the sick person to prevent the risk of infection. It is recommended that the patient should take the antibiotic medication prescribed without interrupting the prescribed hours.
After the procedure, it is recommended that the patient rest so that the stitches heal properly. Upon doctor’s advice, sexual intercourse, sports and lifting heavy objects should be avoided for approximately 10 days. One day after the procedure, there is no harm in patients returning to their daily activities such as school and work. If conditions such as high fever, bad odor from the vagina, contractions that occur at regular intervals, lower muscle pain, and excessive bleeding occur after the procedure, the performing physician should be informed immediately. It is very important not to miss doctor’s appointments in order to monitor pregnancy and the cervical cerclage process.
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