When did you have your preventive cerclage?

(15 posts)(9 voices)
  1. I jus found out I am pregnant again, and know I will need a cerclage. We haven't decided yet if we are doing a vaginal or abdominal. I am getting 2 different opinions from 2 different doctors. It may also depend on if we have multiples. Anyway, just wondering when you gals received your preventive cerclage.

    -Stacey

  2. Congratulations on your pregnancy!

    I answered the poll but wanted to elaborate, as I've had two preventive cerclages.

    With my twin daughters, I had a Macdonald placed at 13w2d and was put on bedrest at home. I was hospitalized at 25w because I was 50% effaced and 1 cm dilated, despite the cerclage. I PPROMed that night and delivered a week later, at 26 weeks.

    With my son, I had two Shirodkar cerclages placed at 11w and was put on modified bedrest at home. My cervix length stayed between 4.5 and 4.8 cm for the duration. He was delivered at 35w2d because I started bleeding due to impending uterine rupture. The cerclage held beautifully.

    I\'m done having children, but if I weren't, I'd do the Shirodkar again in a heartbeat. FWIW, my IC is congenital, not due to LEEP or anything like that.

    Good luck, and please keep us posted!

    Paula

  3. Hi. Congrats.

    Had a rescue put in at 20w and was on bedrest for the remaining 20 weeks of the pregnancy.
    Had a preventative put in at 13w2d and went back to work.
    Had a preventative put in at 13w4d and returned to work today after 5 days resting at home.

    I had a cone biopsy in 1998 and I am missing a lot of my cervix which is why I need cerclages.

    Best,
    Deb

  4. I've considered ab cerclages only because my last pregnancy with a preventative McDonald cerclage put in at 12.5 weeks, I dilated with it at 25wk5d.

    Having twins with an ab cerclage isn't a bad thing but it does have a longer recovery time and many doctors are unwilling to do it unless you have very little cervix. Some doctors are moving more toward it.

    Personally I chose a Shrodikar like Paula. I like only having day surgery so I wasn't in the hospital for 4 days like an ab cerclage required and it has been holding strong so far I'm also pregnant now with a singleton vs twins which also helps. If had been dealing with twins I probably would have gone with ab cerclage.

    So the question isn't really when to do the cerclage - it is what TYPE of cerclage you want. Most will not do cerclages until later in the first trimester after most risk of m/c is complete (usually after your nuchal test which can't be done before 11.5 weeks). Did you have problems with your last pregnancy and the cerclage you had?

    By the way the Shrodikar and ab cerclages are permanent although my peri says he has removed the Shrodikar far after pregnancy for a women who had discomfort with it. I've heard it is very hard to remove the ab cerclage. Maybe only the knot can be snipped if you are done with pregnancies.

    For more info on ab cerclages I'd post on abbyloopers

    Good luck,
    Lauren

  5. By the way the Shrodikar and ab cerclages are permanent although my peri says he has removed the Shrodikar far after pregnancy for a women who had discomfort with it.

    My peri always removes the Shirodkar after the c-section. It isn't like the Macdonald, though, where you can have it removed in an office procedure and then go on to have a vaginal delivery. It's a much more complex procedure and my peri only does c-sections with Shirodkar cerclages.

  6. I had my preventative cerclage placed at 13 weeks. It was a shidaker stitch because my cervix is naturally short and he wanted to get the stitch up as high as he could. Mine held very well and unlike other posters, mine was removed once my water broke (at 31 weeks not due to IC this time) and I had the epidural. I had a vaginal delivery of my twins a couple of hours later.

    Elisabeth

  7. Sorry I guess different peris do it differently. However the Shrodikar is a harder stitch to take out much more difficult than McDonald so not sure if I'd want it out while pregnant. When they do it for me I want to be put under way after pregnancy.

    Lauren

  8. However the Shrodikar is a harder stitch to take out much more difficult than McDonald so not sure if I'd want it out while pregnant. When they do it for me I want to be put under way after pregnancy.

    I totally agree that I wouldn't want to feel a thing! I was still completely numb from my c-section when my OB removed it. In fact, one of the more surreal experiences in my life was watching them hoist my legs into the stirrups but being completely unable to feel it. That was so weird.

  9. I had my abdominal cerclage placed at 12w3d, which was about the latest they would want to do an abdominal one.

  10. Lauren - Just wanted to comment on the shirodkar stitch. I have one too and my dr plans to take it out at 37 wks just like he would a MacDonald. He said it just takes a little longer to take out than MacDonald. Never occured to me it would stay in our I wouldn't do vaginal. You freaked me out!! I think I need to call my dr now and confirm this.

    Natasha

  11. Natasha - Don't sweat it, most shirodkars are actually modified shirodkars and can be removed in the office.

    esyrrakou - I posted on the other thread to you.

    Lauren - You dilated at 25 weeks due to PTL, correct? I guess if you dilated "silently" like with IC then yes, your Macdonald failed, but there isn't a cerclage out there that will prevent dilation with PTL, unfortunately.

  12. Lauren - Just wanted to comment on the shirodkar stitch. I have one too and my dr plans to take it out at 37 wks just like he would a MacDonald. He said it just takes a little longer to take out than MacDonald. Never occured to me it would stay in our I wouldn't do vaginal. You freaked me out!! I think I need to call my dr now and confirm this.

    Natasha, don't freak out. I did a little reading, and it appears that some doctors do a modified version of the Shirodkar that can still be removed easily for a vaginal delivery. My peri doesn't do this type. For me, it wasn't a concern because my prior classical c-section precludes a VBAC anyway.

    I\'m sure your doctor didn't misinform you.

  13. Thanks everyone, good to know. Sorry to make it all about me for a minute. esyrrakou - I answered you on our other thread too.

  14. Well a modified Shrodikar wasn't for me either as I have to have a c/s regardless - VBAC isn't an option for me.

    Yes I dilated with my McDonald cerclage in just before 26 weeks - silently with no spotting. However the Shrodikar is higher up plus I was dilated slightly when they put the McDonald in which could have had an impact on its success or the fact I had twins last time. Yes I agree a cerclage won't prevent you from dilating if you are in labor however a stronger one will stay in place long enough hopefully to where your ob can get you on strong enough drugs to stop the PTL before it progresses into full labor.

    I\'m still glad I have a Shrodikar but an abcerclage is a good choice especially for those planning future pregnancies.

    Lauren

  15. abdominal cerclage pre pregnancy- hope i get to 'use' it someday!-

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