Cervical Cerclage (Cervical Stitch)
A history of cervical weakness, late miscarriage, or premature birth doesn't have to define this pregnancy. Cervical cerclage, a stitch placed to support the cervix, can reduce the risk of preterm birth in women with a short or weakened cervix.
Michael assesses whether cerclage is appropriate based on your individual history and cervical length monitoring, then performs the procedure with ongoing surveillance throughout the remainder of the pregnancy. For most women, progesterone supplementation is recommended to reduce the risk of preterm birth, however for some, a history-indicated cerclage, or ultrasound-indicated cerclage may be recommended.
What this involves
Assessment of your history of late miscarriage or preterm birth
Cervical length monitoring by ultrasound
Individualised assessment of whether cerclage is appropriate
The cerclage procedure itself, performed under anaesthesia
Ongoing surveillance and monitoring for the remainder of the pregnancy
Who this is for
This is relevant to women with a history of cervical weakness, late miscarriage, or premature birth, multiple cervical procedures (such as LLETZ or cone biopsy), or where cervical length monitoring during a current pregnancy identifies a short cervix.
Why Choose Dr Michael Silagy
Cervical cerclage requires careful assessment, the procedure itself, and ongoing surveillance for the rest of the pregnancy. Michael provides continuity across all three, rather than handing your care between different clinicians. He is a Fellow of RANZCOG, trained across multiple sites, including in dedicated preterm birth clinics, and offers care at Cabrini Malvern and Jessie McPherson Private Hospital.
Frequently Asked Questions
How is it decided whether I need a cerclage?
This decision is based on a combination of your obstetric history and, in many cases, ongoing cervical length monitoring by ultrasound during pregnancy.
When is the procedure usually performed?
Timing depends on your individual history and the reason for the cerclage. Michael will discuss the appropriate timing for your situation. Often cerclages are placed in the 2nd trimester.
What does recovery from the procedure involve?
Most women are able to go home the same day or the following day, with some activity modification recommended in the days afterward. Michael will provide specific guidance based on the procedure performed.
Will I need extra monitoring for the rest of the pregnancy?
Yes, ongoing surveillance is part of care after a cerclage is placed, to monitor cervical length and overall pregnancy progress.
When is a cerclage removed?
A cerclage is typically removed at 36 weeks, or earlier in the event of ruptured membranes or preterm labour.
Personalised Pregnancy Care & Birthing Toorak, Melbourne
Michael welcomes the opportunity to discuss your pregnancy care needs and help you plan for this special time in your life. Contact the practice to schedule your initial consultation and begin your personalised pregnancy care journey.