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BAJAJ FINSERV HEALTH LIMITED
Cervical Cerclage
Find the best hospitals for Cervical Cerclage on the Bajaj Finserv Health platform.
Minimum Cost
₹27,000
Average Cost
₹58,000
Maximum Cost
₹89,000
- cervical cerclage cost in India depends on factors like the city, hospital and doctor.
- You can convert your cervical cerclage cost into easy, no-cost EMIs with Bajaj Finserv Health.
Quick links
- What is Cervical Cerclage Surgery?
- Types of Cervical Cerclage Procedure
- When Is Cervical Cerclage Operation Required?
- How to Prepare for Cervical Cerclage Surgery?
- What Happens Before Cervical Cerclage Surgery?
- What Happens During Cervical Cerclage Operation?
- Methods/Techniques Used for Performing Cervical Cerclage Procedure
- Post Procedure Details
- Risks And Complications Associated with Cervical Cerclage Surgery
- Why Bajaj Health?
What is Cervical Cerclage Surgery?
Cervical cerclage surgery is a procedure where a suture or band is placed around the cervix to prevent premature delivery or miscarriage. The cervix is the opening of the uterus, which opens during labor to allow the baby to pass through. In some cases, the cervix may open too early, which may lead to premature delivery or miscarriage. Cervical cerclage surgery helps to keep the cervix closed until it is time for labor to begin.
Types of Cervical Cerclage Procedure
McDonald Cerclage
The McDonald cerclage is the most common type of cervical cerclage procedure. It is performed between 12 and 16 weeks of pregnancy. During this procedure, a band or suture is placed around the cervix, and the ends are tied together. The band or suture is tight enough to keep the cervix closed, but not so tight that it causes discomfort or damage to the cervix.
Shirodkar Cerclage
The Shirodkar cerclage is another type of cervical cerclage procedure. It is usually performed between 12 and 14 weeks of pregnancy. During this procedure, a small incision is made in the cervix, and a band or suture is placed around the cervix. The band or suture is then tightened, and the ends are tied together. The incision is then closed with stitches. This type of cerclage is more difficult to perform than the McDonald cerclage.
Transabdominal Cerclage
The transabdominal cerclage is a type of cervical cerclage procedure that is performed through the abdomen. It is usually performed in women who have a history of multiple miscarriages or premature deliveries. During this procedure, a band or suture is placed around the cervix, and the ends are tied together. The band or suture is then tightened, and the cervix is closed. This type of cerclage is more invasive than the other types of cerclage.
Emergency Cerclage
Emergency cerclage is a procedure that is performed when the cervix begins to open too early in pregnancy. It is usually performed between 16 and 24 weeks of pregnancy. During this procedure, a band or suture is placed around the cervix, and the ends are tied together. The band or suture is then tightened, and the cervix is closed. This type of cerclage is performed quickly, and it is usually done under general anesthesia.
When Is Cervical Cerclage Operation Required?
Cervical cerclage involves stitching the cervix to prevent premature opening. This procedure is typically recommended for women who have a history of premature birth or cervical incompetence; this is when the cervix opens too early during pregnancy, leading to preterm labor and delivery. Cervical cerclage may also be recommended for women who have a short cervix or a weak cervix. A short cervix is one that measures less than 25 mm in length, which can increase the risk of premature birth. A weak cervix is one that is unable to support the weight of the growing baby, which can also lead to premature birth. The decision to perform cervical cerclage will depend on several factors, including the woman's medical history, the length and strength of her cervix, and the stage of her pregnancy. The procedure is typically performed between 12 and 14 weeks of pregnancy, but it can also be done later in the second trimester or early in the third trimester.
How to Prepare for Cervical Cerclage Surgery?
Discuss the operation with your doctor:
Before undergoing cervical cerclage, it is important to discuss the procedure with your doctor or midwife. They will explain to you the risks and benefits of the procedure and answer your queries.
Medical evaluation:
Your healthcare team will perform a medical assessment; this is important to ensure that you are fit for cervical cerclage. This may include an ultrasound to measure the length of your cervix and a pelvic exam to assess its strength.
Stop certain medications:
You will need to stop some specific medicines like blood thinners, for several days before the procedure.
Arrange for help with transportation:
You will need to arrange for someone who can help you reach home safely after the procedure, as you may feel groggy from the anesthesia.
Prepare for recovery:
You will need to rest for several days after the procedure and may experience cramping and spotting. All of the doctor's instructions for postoperative care must be followed.
What Happens Before Cervical Cerclage Surgery?
Cervical cerclage surgery is a procedure that is commonly performed on pregnant women who are at risk of premature delivery due to cervical incompetence. Before the surgery, a series of tests and procedures are done to determine the most appropriate course of action. These may include:
Physical examination:
The doctor will perform a pelvic exam to assess the length and softness of the cervix.
Ultrasound:
An ultrasonography may be performed to measure the length of the cervix and to check for any signs of cervical shortening or funneling.
Culture test:
A culture test may be done to check for any infections that may affect the cervix or the pregnancy.
Blood tests:
These evaluations are necessary to check for any underlying medical issues that may affect the pregnancy. If the doctor determines that cervical cerclage surgery is necessary, the patient will be given instructions on how to prepare for the procedure. This may include:
Fasting:
The patient may need to fast for a certain period of time before the surgery.
Medications:
The patient may be given medications to take before the surgery to help prevent infection or reduce anxiety.
Arrangements:
The patient will need to arrange for someone to take them home after the surgery and may need to take some time off work to recover.
What Happens During Cervical Cerclage Operation?
Cervical cerclage surgery is typically performed under general anesthesia and may take between 30 minutes to an hour to complete. The procedure may be done vaginally or through the abdomen, depending on the patient's individual circumstances. During the surgery, the doctor will perform the following steps:
Expose the cervix:
The doctor will use a speculum to expose the cervix.
Prepare the cervix:
The doctor will clean the cervix and may use a solution to help reduce the risk of infection.
Suture the cervix:
The doctor will place a stitch or a series of stitches around the cervix to help hold it closed and prevent it from opening prematurely.
Close the incision:
If the surgery is done through the abdomen, the doctor will close the incision with sutures or staples. After the surgery, the patient will be moved into a recovery ward or room where they will be monitored for a few hours before being released. The patient may experience some discomfort, cramping, or spotting for a few days after the surgery, but these symptoms usually subside within a week or two.
Methods/Techniques Used for Performing Cervical Cerclage Procedure
Transvaginal Cerclage:
This procedure is performed by making a small incision in the vagina and placing a stitch around the cervix to reinforce it.
Transabdominal Cerclage:
This procedure is performed by making a small incision in the abdomen and placing a stitch around the cervix to reinforce it.
Shirodkar Cerclage:
This procedure involves making a small incision in the vagina and placing a tape-like material around the cervix to reinforce it.
McDonald Cerclage:
This procedure involves placing a stitch around the cervix through the vagina.
Post Procedure Details
After the cervical cerclage procedure, the patient may experience mild cramping and spotting for a few days. Sexual intercourse and strenuous physical activity should be avoided for at least 2-3 weeks after the procedure. The patient should rest and take it easy for the first few days. The patient should also follow up with their doctor to ensure that the cervix is holding up well and that there are no signs of infection or inflammation. The doctor may also recommend taking certain medications or supplements to help prevent infection or promote healing.
Risks And Complications Associated with Cervical Cerclage Surgery
Preterm Labor:
In some cases, the cervical cerclage procedure can trigger preterm labor, which can lead to premature birth.
Infection:
All surgeries carry a certain amount of infection risk. Be aware of signs of infection like fever, chills, and discharge, and contact their doctor immediately if they experience any of these symptoms.
Bleeding:
The patient may get some bleeding after the procedure; however, if there is too much bleeding, it could be a sign of complications.
Cervical Tears:
The cervix can tear during the procedure, which can lead to bleeding and other complications.
Cervical Incompetence:
In rare cases, the cervical cerclage procedure can lead to cervical incompetence, which is a condition where the cervix is unable to stay closed during pregnancy, leading to premature birth or miscarriage.
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DisclaimerThe cost of cervical cerclage depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.