When Is An Abdominal Cerclage Recommended?

When is it necessary to perform an abdominal cerclage, rather than a vaginal cerclage?

Question:

The abdominal cerclage has a variety of indications for its use but it boils down to this: The abdominal cerclage is usually used when the cervix is too short to hold a vaginal cerclage or when there have been past failed cerclages.

An abdominal cerclage is usually put in after a pregnancy has begun but can also be an interval procedure (between pregnancies). It is usually not tight enough to prevent a D&C if you miscarry.

There still can be losses -- even with an abdominal cerclage in place. Complications can result from the surgery, including a possible loss of your uterus. It is not something to enter into lightly.

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