WOMENS-HEALTH Messages for January, 1998: Re: cerclage procedure

Re: cerclage procedure

From: Jenn (anonymous@obgyn.net)
Sat, 31 Jan 1998 15:16:30 -0600 (CST)

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Reply: Harvey S. Marchbein, M.D.: "Re: cerclage procedure"

At Wed, 10 Sep 1997, Harvey S. Marchbein, M.D. wrote: >
>At Wed, 10 Sep 1997, Melissa wrote:
>>
>>I recently wrote about cervical polyp & my miscarriage & was promptly
>>replied to by Kelly & Dr. Marchbein.
>
>You're welcome!
>
>>Thank you to both of you. I
>>would like to know if a cerclage is performed, how closely is a patient
>>monitored ?
>
>Usually, no more closely than a "regular" patient since the stitch is
>in.
>
>>Will an internal be performed at each visit ?
>
>I usually do.
>
>>I'm just
>>worried that even with stitches in, the cervix might suddenl;y tear and
>>I don't even know it !
>
>Extremely unlikely. In fact, I've never seen one tear without someone
>knowing about it!
>
>>I know I'm a worry wart but I just need to know
>>nearly everything so I may prepare myself in my next pregnancy, Thanks
>>again !!
>
>Don't worry and let's not bring up warts!
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>OBGYN.net U.S. Representative, New York
>Great Neck, New York
>http://www.obgyn.net/states/bios/marchbein.htm
>http://www.obgyn.net/women/advisors/harveym.htm
>
>*Note: Opinions expressed here are for educational purpose only.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>**Thank you for your understanding ;-)
>

I am responding to your coment that it is unlikely that a cerclage would tear without someone knowing it. I had a Shirodkar cerclage in place from weeks 14 through 19. I had regular internals throughout my prenatal care. In my 20th week I had some unusual vaginal pinching and an internal was done to check the cerclage, it was found to be "perfect". 10 days later I went in, was 7 centimeters dialated the cerclage was torn out . The only warning of a torn cerclage was a pin dot spot of pink spotting barely noticable. The baby of course did not survive. P.S. My prenatal care was all handled at a top hospital by high risk doctors.

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