In certain high-risk pregnancies, it performs an operation on behalf barbarian: the cervical cerclage! This technique is intended to prevent miscarriages and premature deliveries. But what is that procedure? What are the indications? Profits Are some? Overview ...
The cervical cerclage is a classic intervention in gynecology for women at risk.
Incompetent cervix: who is at risk?
The main indication of banding is a problem called "incompetent cervix". As its name suggests, it is too large an opening of the cervix, which prevents it from fulfilling its role as a mechanical barrier during pregnancy. This can cause miscarriage in early preterm deliveries and thereafter. The origin of this problem is often Congenital the cervix occurs naturally in some women this problem of incompetence. But it can also be the result of an operation, an abortion, etc..
Banding: how does it work?
To resolve this problem, the proposed treatment is the cervical cerclage. Of course, only your doctor can tell you if this method is most suited to you. Specifically, is placed a sort of wire in the wall of the cervix, so as to form a closed loop. This prevents opening during pregnancy. This operation is performed vaginally, under local anesthesia. The thread will be removed at the end of pregnancy, to allow delivery. Warning of course: if you have a hoop, that does not excuse to comply with the advice of his doctor, including lifestyle, to avoid the risk of preterm delivery.
Unnecessary treatment?
If the cervical cerclage is often recommended, it remains controversial. Indeed, some doctors question its effectiveness in preventing premature births. This is indeed what the authors conclude from the analysis from six different studies involving 2,175 women at risk of prematurity. The results suggest that the band does not decrease the risk of miscarriage and premature labor. More reassuring, this study stressed that this operation has no noticeable side effects. The authors emphasize that the band should be reserved for those with a history of serious false layer or premature births. It should not be based solely on measurement of cervical length, sometimes used.
In any case, do not hesitate to ask your doctor the benefits and disadvantages of this method. They can tell you the best choices for a healthy pregnancy cloud!