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Do I need a cervical stitch to prevent pre-term delivery?
Question
I am pregnant the second time and carrying twins. My first child weighed 3.8 kg and I had to undergo a caesarean section. My doctor has suggested a cervical stitch in the fifth month to prevent pre-term delivery. How necessary is it to take cervical stitch and what are the pros and cons?
Expert Answer
A
Dr Anuj SharmaOct 11, 2006
Faculty member, Department of Family Medicine,
University of North Carolina, Chapel Hill,
USA
University of North Carolina, Chapel Hill,
USA
The most important risk in twin pregnancies is pre term birth. (up to 57% before 37 weeks) The things that are done to prevent pre term labour/birth are: -bed rest -serial ultrasounds (to check for cervical length) -cerclage. Have you had an ultrasound to measure the cervical length? If the length is short a cerclage may be helpful. In some clinical trials the cerclage did not really prolong the gestational age. If your doctor is concerned because of whatever she is seeing as a risk factor please follow her advice.
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