Cerclage in Cervical Failure: How to Secure Your Pregnancy

Pregnancy is a special period in a woman's life, which is a turning point in her life and a time of many emotions. However, this process may not always go smoothly. Some women may face risks during pregnancy for various reasons. One of these risks is cervical insufficiency. Cervical incompetence can lead to serious complications if it is not recognized early in pregnancy. Fortunately, there is an effective way of dealing with this condition called cerclage (stitching the cervix). In this article, we will discuss in detail what cerclage is, how it is performed, who it is suitable for and under what conditions it should be performed. We will also talk about the experience of Dr. Tuba Nadide Yılmaz, one of the leading gynecologists and obstetricians in Istanbul.

What is Cervical Failure?

Cervical insufficiency is a condition in which the cervix is not strong enough during pregnancy and therefore does not close during pregnancy. Normally, the cervix stays closed during pregnancy and opens when the time of delivery approaches, allowing the baby to pass through the birth canal. However, in women with cervical insufficiency, the cervix can open early in pregnancy, which can result in premature birth or miscarriage. Cervical insufficiency is particularly common in the second trimester of pregnancy, between 12 and 24 weeks.

Cervical insufficiency is usually asymptomatic and is often detected by ultrasound during routine pregnancy examinations. If the cervix opens earlier than expected, this may be considered cervical insufficiency and intervention may be necessary. This is where the cerclage procedure comes into play.

What is cerclage and why is it performed?

Cerclage is a surgical intervention to prevent premature opening of the cervix in women with cervical insufficiency. It involves putting a stitch in the cervix to close it and help the pregnancy to continue safely. Cerclage is usually performed between 12-14 weeks of pregnancy. These are critical weeks for detecting and intervening in cervical insufficiency. If you are a woman who has experienced premature birth or miscarriage in previous pregnancies, your doctor may recommend cerclage as a preventive measure.

Types of Cerclage

Cerclage can be performed in several different ways depending on the application technique. Which of these methods to choose depends on the patient's condition, the course of the pregnancy and the doctor's preference. Here are the main types of cerclage:

1. Transvaginal Cerclage: This is the most common type of cerclage. The procedure is performed by accessing the cervix vaginally. Transvaginal cerclage is usually performed under local or spinal anesthesia and patients are usually discharged shortly after the procedure.
2. Transabdominal Cerclage: If it is not possible to access the cervix vaginally or if previous transvaginal cerclage has failed, transabdominal cerclage may be preferred. In this method, the cervix is accessed through an incision in the abdomen and sutured. Transabdominal cerclage is more invasive and is usually performed under general anesthesia.
3. Emergency Cerclage: If the cervix has already started to open and the pregnancy is in danger, emergency cerclage can be performed. In this case, the procedure is usually performed quickly and general or spinal anesthesia may be used, depending on the patient's condition.

Before and After Cerclage Procedure

Before the cerclage procedure, your doctor will evaluate your situation in detail and determine whether this procedure is suitable for you. Usually during this process, the condition of the cervix is examined by ultrasound and necessary tests are performed. If it is decided to perform a cerclage procedure, you will be informed about the type of anesthesia before the procedure and the points to be considered during the procedure.

Post-Processing:

• There is usually an observation period of a few hours after the cerclage procedure. During this time, it is checked how the cervix reacts to the suture.
• In the post-procedure period, your doctor may advise you to rest. It is recommended to avoid heavy lifting, prolonged standing and strenuous activities, especially in the first few days after the procedure.
• It is important that you visit your doctor regularly and get information about the condition of your cervix. In some cases there may be contractions, spotting or bleeding after cerclage; in these cases you should contact your doctor immediately.
• The cerclage suture is usually removed at 37 weeks of pregnancy or when labor pains begin. If the risk of preterm labor persists, this time can be determined by your doctor.

Which Conditions Pose a Risk for Cerclage?

Not every woman is a suitable candidate for cerclage. However, the following conditions may require cerclage:

• Women who have had a previous miscarriage in the second or third trimester due to cervical insufficiency.
• Those who have given birth prematurely in the past.
• Those with congenital structural defects in the cervix.
• Women who have had surgical interventions on the cervix.
• Pregnant women whose ultrasound examinations show that the cervix is shorter than expected.

These are the main factors that determine the need for cerclage. However, every pregnancy is unique and the risk factors may vary from person to person. Therefore, it is important to seek the opinion of a specialist doctor to determine whether you need cerclage.

Success Rate of Cerclage Procedure

Cerclage is a highly effective method to reduce the risk of miscarriage and premature birth in women with cervical insufficiency. Studies show that the rate of preterm birth is significantly reduced in women who undergo cerclage. However, the success of the cerclage procedure depends on its application at the right time and on suitable candidates. In addition, following the doctor's recommendations after the cerclage procedure and keeping regular controls increases the success rate.

Be Safe with Dr. Tuba Nadide Yılmaz

Cerclage is a procedure that requires experience and expertise. Dr. Tuba Nadide Yılmaz, who specializes in obstetrics and gynecology in Istanbul, offers a safe and effective treatment process for women diagnosed with cervical insufficiency. Dr. Yılmaz will help you take all the necessary steps to ensure that your pregnancy continues in a healthy way and that you can hold your baby in your arms. With years of experience and a large patient portfolio, Dr. Tuba Nadide Yılmaz is an expert you can trust in the cerclage procedure.

With the guidance and expertise of Dr. Tuba Nadide Yılmaz, dealing with a serious condition such as cervical insufficiency becomes much easier. Dr. Yılmaz, who is always committed to providing the best service to her patients, will be with you every step of the way during your pregnancy.

Contact Us

If you are at risk of cervical insufficiency and would like more information about the cerclage procedure, you can contact Dr. Tuba Nadide Yılmaz. Contact us for all the questions you wonder about the cerclage procedure and secure your pregnancy process.

Dr. Yılmaz and her team are here for you to have a healthy pregnancy and safely hold your baby in your arms. If you would like to receive professional support for cerclage and other pregnancy-related issues, make an appointment now and know that you are in good hands during your pregnancy.