A more conservative approach would involve bedrest (using the Trendelenburg position), IV fluids and close monitoring. The procedure is typically performed by maternal-fetal medicine doctors where there is more effacement and dilatation of the cervix.Ībdominal or cervical cerclage are not the only option. It is a more aggressive Abdominal cerclage is also more invasive. The cervical cerclage will keep the cervix closed until around 37-38 weeks of pregnancy, when the doctor will remove the cerclage and allow labor to naturally begin.Īn abdominal cerclage is also an option to treat cervical insufficiency. It is a common treatment for cervical incompetency and helps to ensure that the baby stays in the uterus for the appropriate amount of time. The concern is that the cervix might further dilate and to cause uterine activity.Ĭervical cerclage is surgical procedure in which stitches or surgical tape are used to close the cervix opening. In a patient with cervical insufficiency, there is a premature opening of the cervix (internal os). Having an incompetent cervix can cause a woman to go into early labor, which can be risky or even fatal for the baby. This means that a woman's cervix is unusually weak and may not be able to properly hold a baby in place during pregnancy. Some women are known to have what's called an incompetent cervix (also referred to as cervical insufficiency).
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