Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Should I Get Cerclage Done Sooner In Order To Stay At Home During Pregnancy?

I know I am going to need a cerclage, as I nearly lost my last baby at 17 weeks, and Had to have a cerclage and Medical bedrest. What will this cerclage entail this time around? How long will I need to be in the hospital? Will I need someone with me? Also, I'm told the sooner I get the cerclage, the better chance I have at staying home for this pregnancy. Would you agree? My daughter came at 25 weeks so the Dr did a T cut on my uterus. I'm told I scar very well, but is uterine rupture a danger? THANK-YOU for answering my questions. While we are really excited, the last experience (6 months total living in the hospital! including 4 mos in the NICU) has me reeling over what could happen this go round.
posted on Wed, 29 Jan 2014
Twitter Wed, 29 Jan 2014 Answered on
Twitter Thu, 30 Jan 2014 Last reviewed on
Report Abuse
OBGYN,  's  Response
Hello, I would be happy to help you with your question.

This is a very complicated situation and question and is more appropriately submitted as a Premium question to OB/GYN specifically. Here are some general guidelines for patients in similar situations:
1. It sounds like a cerclage is indicated
2. It is ideally placed right around 13-14 weeks (at 17 weeks it was less ideal)
3. You will need weekly ultrasound checks of your cervix - this will determine if you are home or hospital bound
4. Based on the incision on the uterus, a C-section is a given and would usually be timed at about 37 weeks (if you make it)
5. The risk of uterine rupture is high IF you labor (approaches 5-10%), and thus the reason for the earlier C-section scheduling

If you would like additional help, please pose a Direct Question to me, Dr. Raichle and I would be happy to help you sort this out further.

I hope that this helps and good luck!
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Uterine rupture


Loading Online Doctors....
Should I Get Cerclage Done Sooner In Order To Stay At Home During Pregnancy?

Hello, I would be happy to help you with your question. This is a very complicated situation and question and is more appropriately submitted as a Premium question to OB/GYN specifically. Here are some general guidelines for patients in similar situations: 1. It sounds like a cerclage is indicated 2. It is ideally placed right around 13-14 weeks (at 17 weeks it was less ideal) 3. You will need weekly ultrasound checks of your cervix - this will determine if you are home or hospital bound 4. Based on the incision on the uterus, a C-section is a given and would usually be timed at about 37 weeks (if you make it) 5. The risk of uterine rupture is high IF you labor (approaches 5-10%), and thus the reason for the earlier C-section scheduling If you would like additional help, please pose a Direct Question to me, Dr. Raichle and I would be happy to help you sort this out further. I hope that this helps and good luck!