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Should I consider cerclage?From: Melissa (anonymous@obgyn.net)Mon, 18 Sep 2000 14:29:44 -0500 (CDT)
I am currently in week 8 of my third pregnancy. The first pregnancy ended in miscarriage at 8 weeks. The second pregnancy went very smoothly until week 24 when I went into preterm labor and it was found that I had chorioamnionitis. My daughter was delivered at 24 weeks and did wonderful. My OB is suggesting I have a cervical cerclage done very early on during this pregnancy. I really don't have a history of an incompetent cervix. I went into preterm labor (complete with the diarrhea beforehand) rather than just losing the baby without any pain or signs of anything going on. Though I missed the ques of early labor chalking them up to braxton-hicks contractions there was no evidence of an incompetent cervix before labor kicked in. It has been concluded that the preterm labor set in due to the chorioamnionitis. I recently saw the perinatologist that identified the infection in the last pregnancy and delivered my daughter. He did not recommend that I have a cerclage and did not feel it was warranted. He did an ultrasound of my cervix and it was 50mm in length and tightly closed. I never did feel at peace about having the cerclage done but I would like to know if it is considered as a normal procdure in this situation? I know this is only your opinion and you cannot deliver medical advice over the internet. Thank you once again. Is it more beneficial to have the cerclage done out of the "better to be safe than sorry" mantra?
-- Melissa
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