Cervical Cerclage (Cervical Stitch)
Cervical cerclage is a preventive treatment procedure performed in women diagnosed with cervical insufficiency (cervical incompetence). By helping the cervix remain closed throughout pregnancy, it aims to reduce the risk of preterm birth and pregnancy loss.
What Is Cervical Insufficiency?
Under normal circumstances, the cervix remains closed during pregnancy and begins to open as labor approaches. However, in some women, the cervix may painlessly and prematurely open during early pregnancy. This condition can result in recurrent second-trimester pregnancy losses or preterm births.
Who Is a Candidate for Cervical Cerclage?
Cervical cerclage may be recommended for women who:
- Have a history of recurrent second-trimester pregnancy losses
- Have been diagnosed with cervical insufficiency
- Are found to have a short cervix on transvaginal ultrasound
- Have a history of preterm birth in previous pregnancies
How Is the Procedure Performed?
- Cervical cerclage is typically performed between 12 and 14 weeks of pregnancy.
- The procedure is carried out under spinal or general anesthesia.
- A special suture is placed around the cervix to provide mechanical support and keep it closed.
- The stitch is usually removed around 37 weeks of gestation, as labor approaches.
Post-Procedure Care
- The patient is observed for a short period following the procedure.
- Rest and adherence to the physician’s follow-up recommendations are essential.
- Mild pelvic discomfort or light spotting may occur and is generally considered normal.
Purpose of Cervical Cerclage
The goal of cervical cerclage is to help the pregnancy progress safely, allow the baby to remain in the uterus long enough for proper development, and support a healthy, full-term delivery.
At Fertina IVF, we apply evidence-based and modern medical approaches to protect maternal and fetal health throughout pregnancy. Our experienced medical team is here to support you at every stage of the cervical cerclage process.





