What happens before a cervical cerclage procedure?
Before your cervical cerclage procedure, your healthcare provider will go over your health history and discuss with you any past complications from pregnancies or surgeries you may have had on your cervix.
They’ll examine your cervix prior to the procedure by placing a speculum inside of your vagina so they can see your cervix clearly, similar to when you have a routine Pap exam. They may also do a transvaginal ultrasound. Your healthcare provider will likely ask you to abstain from sexual intercourse for a week prior to your procedure.
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It’s normal to feel nervous or have questions before having a cerclage procedure. During this time, it’s a good opportunity to ask your healthcare provider any questions or talk through any concerns you may have.
What happens during a cervical cerclage procedure?
During your cervical cerclage procedure:
- You’ll lie back on an examination table with your legs open and both of your feet in stirrups similar to when you have a vaginal exam.
- Your healthcare provider will give you some pain-numbing medication, such as a local anesthetic, so you won’t feel any pain or discomfort during the procedure. You may feel a small pinch when the needle is inserted into your cervix to numb it.
- After the anesthesia takes effect, your healthcare provider will stitch your cervix closed with strong sutures, tightening it until it’s secure.
Is a cervical cerclage procedure painful?
It’s normal to feel some cramping and light bleeding or spotting for a few days after the procedure.
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You shouldn’t feel much pain after having a cervical cerclage procedure — no more than an average menstrual period. You can take acetaminophen (Tylenol®) to ease any cramping or discomfort. If you do have intense abdominal cramping or pain, call your healthcare provider right away.
What happens after this procedure?
After your procedure, you’ll stay at your healthcare provider’s office or the hospital for a couple of hours to make sure you don’t have any complications. You’ll go home the same day. Your healthcare provider may give you an antibiotic to take to prevent any cervical infection.
You should plan to rest the day of your procedure and not attend school or work. Your healthcare provider will want you to allow plenty of time for your stitches to heal — about 10 days — before you engage in any strenuous exercise or sexual intercourse. It’s important to follow your healthcare provider’s aftercare instructions and keep any follow-up appointments so they can monitor your pregnancy.
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