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Cervical cerclage is a simple procedure that uses sutures to close the cervix during pregnancy for some women at risk of miscarriage or premature birth later in the pregnancy. The procedure is use din women who have a weak or compromised cervix that may not be able to remain closed and support a pregnancy to term. Cervical cerclage is not appropriate for every woman at risk for premature birth. Generally, it may be recommended for women who:
have a history of second trimester miscarriages caused by painless cervical dilation without any signs of labor or placenta problems
had cerclage performed during an earlier pregnancy
are revealed to have a painlessly dilated cervix during an exam
have a short cervical length that can make it difficult for the cervix to remain closed
In most cases, cerclage can be performed vaginally as an outpatient procedure. The doctor will use a speculum to widen your vaginal canal, using forceps to move the cervix forward so it can be more easily accessed. Sutures or special tape will be used to close the end of the cervix. In a few cases, cerclage may need to be performed through an incision in your belly. This approach can sometimes be performed laparoscopically through very small incisions. Dr. Chang will be able to determine which approach is most appropriate for you.
The sutures can be removed at about the 37th week of pregnancy, enabling you to have a normal vaginal birth. However, if you plan to have a C-section and have more children in the future, the cerclage can be left in place. Leaving a cerclage in place may affect your ability to become pregnant, so you should discuss this option carefully with Dr. Chang before deciding which route to take.
"Dr. Lawrence Bruksch is a fabulous OB/GYN. I've been his patient for eighteen years and have been very pleased with his knowledge, care and professionalism."
"I've had to have a couple of procedures performed, and I felt comfortable in his hands. I would highly recommend him."
"Excellent!! I'm so happy they opened up a location in Westchester. The service is great and the doctors are amazing!"
"Dr. Chang is great, I highly recommend him. I gave birth to my son Luca under his care, I would go back with him again."
"I love going to appointments because they were so thoughtful and answered all my questions (and as a first time mom, I had a lot)."
"I highly recommend Dr. Bruksch for anyone who is seeking great care and a knowledgeable and trustworthy doctor."
"He answered all my questions, & then helped fix symptoms I thought couldn't be helped. I am now living much better than before & am appreciative that I saw Dr. Chang!"
"I love Plaza Towers! I've been going to this doc's office since 2008, they took care of both my pregnancies."
"I would recommend Dr Chang to anyone and we are truly forever thankful for his knowledge and for sincerely caring for us."
"They were all professional, efficient and were patient answering the zillion questions I had. I would recommend any doctor in this practice without exception."