my last pregnancy i had my baby really early due to an incompitant cervix. i was told that if i were to become pregnant again they would stich my cervix. what happens when they do that?
do i still have a vaginal delivery?
2006-08-10 04:58:19 · 5 answers · asked by puppy love 6 in Pregnancy & Parenting ➔ Pregnancy
I have the same issue, however I got pregnant 6 months after losing my first child because I have a "incompetent cervix." What they do when you get the stitches is you come a hour or so before the actual procedure is done and give them all the information they need then they take you to the surgery room or w/e give you anthestics or however you spell it lol - and they do that by giving you a shot in the lower back which then numbs you from hip down. Then you are placed on your back and put up in the stir ups i think they're called and they go in and stitch the cervix. Its really a quick procedure lasting 20 or so minutes. Then you stay in the room for a few hours until you can actually pee again. Then you are put on bedrest until 36-37 weeks which they then take out the stitches at the hospital and keep you there to make sure you don't go into labor. I'm only at 23 weeks right now, but I assume that you do have a vaginal delivery unless they're are complications and you have to have a c-section.
2006-08-10 05:11:13 · answer #1 · answered by Anonymous · 0⤊ 0⤋
Not me, but I know a bit about it.
Info about incompetent cervix:
http://pregnancy.about.com/cs/incompetentcervix/a/aaincomp.htm
Treatment for incompetent cervix is a surgical procedure called cervical cerclage. A stitch (suture) is used to tie the cervix shut to give it more support. It is most effective if it is performed somewhere between 14-16 weeks into the pregnancy. The stitch is removed near the end of pregnancy to allow for a normal birth.
The success rate for cerclage correction of incompetent cervix is good. About 80-90% of the time women deliver healthy infants. The success rate is higher for cerclage done early in pregnancy.
Cervical cerclage can be performed under spinal, epidural, or general anesthesia. The patient will need to stay in the hospital for one or more days. The procedure to remove the suture is done without the need for anesthesia. The vagina is held open with an instrument called a speculum and the stitch is cut and removed. This may be slightly uncomfortable, but should not be painful.
Some possible risks of cerclage are premature rupture of the amniotic membranes, infection of the amniotic sac, and preterm labor. The risk of infection of the amniotic sac increases as the pregnancy progresses. For a cervix that is dilated 3 centimeters (cm), the risk is 30%.
There are two kinds that I know of: The McDonald cerclage is the most common and is done with a 5 mm band of suture placed on the cervix when there is effacement of the cervix or a history of prior incompetent cervix. It is usually removed at 37 weeks in an uneventful pregnancy (Certain problems, like infection, preterm labor or premature rupture of the membranes, make earlier removal more likely).
The other is the Shirodkar cerclage and it is usually placed higher on the cervix than the McDonald cerclage. It is often used when a previous McDonald cerclage has failed or when the cervix is more likely to open up after suture. The cerclage is usually placed entirely under the skin, and because it was left in place, it originally required a cesarean delivery. Today, most physicians perform a modified Shirodkar, in which the stitch can be removed and a vaginal delivery can occur.
2006-08-10 05:06:52 · answer #2 · answered by BabyRN 5 · 0⤊ 0⤋
I have a pessary cerclage instead of the stitch cerclage. The doctor felt the pessary cerclage was better for me, he didn't want to introduce a possible infection to my already delicate environment. My OB's mentioned about why the peri didn't do a stitch cerclage and I told her, she is already asking me if I will have a stitch one next time. If I can help it will get the pessary cerclage instead. I got it put in at 22 weeks and now sit at 32 weeks, been on modified bedrest since I got the pessary put in.
I just got it checked on Tuesday and it's holding beautifully and will come out between 34-36 weeks. I got the pessary due to them thinking I lost my first child to incompetent cervix.
With a stitch cerclage they will remove the stitches around 36 weeks and let your body start to prepare for labor, so you can go vaginally with delivery.
2006-08-10 05:10:30 · answer #3 · answered by Ericka K 3 · 0⤊ 0⤋
It is exactly what it sounds like. They sew your cervix shut so that you don't deliver the baby too soon. If you want to have a vaginal delivery, they will cut and remove the stitches when labor starts. If you have a C-section, they'll cut and remove them at that time.
2006-08-10 05:06:29 · answer #4 · answered by Otis F 7 · 0⤊ 0⤋
I had this technique carried out 5 situations. 4 situations it replaced into carried out lower than community anesthesia, so i replaced into wide awake. The very last time, i replaced into positioned lower than, yet I under no circumstances had any problems with any of them. This replaced into carried out because my first infant replaced right into a preemie and my wellbeing care professional needed to stay away from it back. i replaced into instructed that I had an "incompetent cervix." in case your wellbeing care professional recommends it, i could hearken to him. he's the pro.
2016-11-23 19:23:00 · answer #5 · answered by ? 4 · 0⤊ 0⤋