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How Painful Is A Cervical Cerclage Removal?
(April 1, 2010)
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Cervical cerclage is the surgical procedure that is used to prevent a premature delivery or a miscarriage if the woman’s cervix is opening up too early. This is often referred to medically as an "incompetent" cervix or a "weak" cervix. Typically, the woman’s cervix remains closed all the way through in to the third trimester. If the doctor finds that the cervix is opening up early, then a cervical cerclage can be used. The procedure can also be used if the woman has a history of miscarriages especially during the second trimester. In this case then the procedure is typically done sometime at the beginning of the pregnancy’s second trimester. In this cervical cerclage procedure, a band of very strong thread is used to stitch around the cervix and is then tightened to keep the cervix closed. It is normally done when the woman is under a general anesthesia. Recovery time from this procedure at home will normally be 2 - 3 more days. Generally the thread is taken out at during the 37th week of pregnancy. However it may be removed even earlier if the water breaks or the woman’s starts her contractions. Removal of the cervical cerclage stitch is considered to be much less complicated; hence it can be done normally in the doctor's office.
The procedure is mostly successful at helping keeping the woman’s cervix closed in about 90% of the cases. This thus helps in greatly reducing the risk of her miscarriage or of a premature delivery. But, rarely are there any risks to this particular procedure. As the procedure is done normally under a general anesthesia, normally there are the usual risks of use of anesthesia. Also, this cervical cerclage procedure can lead to premature labor. The cervix can also become infected. If the woman goes into labor while the stitching is in her cervix, then her contractions may possibly tear open her cervix. It is vital that the stitching of the cervical cerclage be removed well before or even during the early labor. Hence the removal of a cervical cerclage is necessary no matter how painful one may find it. But incidentally it is not considered to be too painful. It is just the removal of the stitch that is holding in place the closed cervix. Some doctors give an anesthetic while they remove this stitch in which case the woman feels no pain at all. It is necessary to follow the doctor’s instructions implicitly and it is preferable to get the stitch out prior to going into labor.
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Submitted by M T on April 1, 2010 at 05:51
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