What is performed to keep the cervix closed?

A cerclage is a procedure performed to keep the cervix closed during pregnancy. It is typically done in women who have a history of cervical insufficiency, which is a condition in which the cervix opens too early, leading to premature birth.

During a cerclage, the cervix is stitched shut using a strong suture. The suture is usually placed high in the cervix, near the opening of the uterus. This helps to prevent the cervix from opening and allows the pregnancy to continue.

Cerclages are usually performed in the second trimester of pregnancy, between 12 and 14 weeks. The procedure is done on an outpatient basis and typically takes less than an hour.

After a cerclage is placed, the woman will need to take it easy for a few weeks. She may be advised to avoid strenuous activity and sexual intercourse. She will also need to have regular prenatal checkups to monitor the progress of the pregnancy.

Cerclages are usually successful in preventing premature birth. However, there is a small risk of complications, such as infection, bleeding, and damage to the cervix.