Can Cervical Cerclage Surgery Be Performed During Pregnancy? - Obstetrics and Gynecology

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Cervical conization surgery


Can a cervical conization procedure be performed if cervical erosion is caused by pregnancy?

Niming, 20~29 year old female. Ask Date: 2024/02/01

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it should be possible.
Wishing you good health.

Reply Date: 2024/02/01

More Info


Cervical cerclage is a surgical procedure that involves placing a stitch around the cervix to support it during pregnancy, particularly in cases where there is a risk of cervical incompetence, which can lead to premature birth or miscarriage. The decision to perform a cerclage during pregnancy is nuanced and depends on several factors, including the gestational age, the presence of any complications, and the overall health of both the mother and the fetus.

In your case, if you are experiencing cervical erosion (cervical ectropion) during pregnancy, it is essential to consult with your healthcare provider to assess the severity of the condition. Cervical ectropion is a common condition where the cells from the inside of the cervical canal grow on the outside of the cervix. While it can cause increased vaginal discharge or bleeding, it is generally not a direct indication for cerclage unless there are other complicating factors, such as a history of preterm labor or cervical insufficiency.

Cerclage is typically performed between 12 and 24 weeks of gestation. If the cervix is found to be significantly shortened or if there are signs of cervical incompetence, your doctor may recommend the procedure. However, if you are already past the 24-week mark, the risks associated with the surgery may outweigh the benefits, as the fetus is more viable outside the womb at this stage.

The procedure itself is usually performed under local anesthesia, and while it carries some risks, such as infection, bleeding, or premature rupture of membranes, many women successfully carry their pregnancies to term after undergoing cerclage. It is crucial to weigh these risks against the potential benefits of preventing premature birth.

If you are concerned about the impact of cervical cerclage on your pregnancy, it is advisable to have an open discussion with your obstetrician. They can provide personalized recommendations based on your medical history, the specifics of your current pregnancy, and the potential risks and benefits of the procedure.

In summary, cervical cerclage can be performed during pregnancy, particularly if there are indications of cervical incompetence. However, the decision should be made collaboratively with your healthcare provider, taking into account your individual circumstances and the health of your baby. Always prioritize clear communication with your medical team to ensure that you are making informed decisions regarding your care during pregnancy.

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