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High-Risk Pregnancy
kaydee_2008
member
Cerclage
kaydee_2008
member
What can I expect with getting one placed? The plan is to have it done between 12-13 weeks.
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My sweet Rylee girl 8-13-2007 and my sweet Emmett man 4-13-2010
Annaleigh Willow Elise born and passed at 26 weeks 1 day
Thursday October 17th 2013 from trisomy 13
This discussion has been closed.
Re: Cerclage
It depends on what kind of cerclage you are getting. Do you know what type you are having placed?
The traditional types (McDonald and Shirodkar) are the easiest to put in, typically just requiring spinal/epidural type anesthesia, maybe a day or two max for monitoring post-surgery, and sometimes some antibiotics post-surgery for a week or so to help minimize the chance of developing an infection.
There is another type of vaginal cerclage called transvaginal cervico-isthmic cerclage (TVCIC) which is similar to a Shirodkar but placed higher up. Not many Doctors do them, but those who do believe they are more effective than traditional types of cerclage.
Finally there is transabdominal cerclage (TAC) which is the most effective, but it is also invasive abdominal surgery with a 2-3 week recovery time (similar to a c-section) and is usually only done for women who have a history of multiple losses or have a previously failed transvaginal cerclage.
No matter what type you get, you should still push for ultrasounds at least every other week up to about 28 weeks just to make sure you haven't started to funnel to the stitch (especially if you have a McDonald or Shirodkar, which are placed lower on the cervix).
Good luck!
It will be a McDonald, with my history I'll be getting an ultrasound every week after it is placed. I can not tell you how much having another spinal freaks me out. With my c-section the guy hit my bone a few times and caused so much pain. Lets hope I get someone better for this!
My wife was pretty worried about that...though with everything crazy that happened with our situation she ended up needing general so they could do the Delayed Interval Delivery.
For many people a McDonald is adequate and they don't even need bedrest, so I hope that works out for you. It is generally the easiest to place and what most doctors do. If you happen to be anywhere near New Jersey, Indianapolis, or Chicago, there are a few doctors who do that TVCIC cerclage that they really believe is more effective than a McDonald or a Shirodkar. It's still a vaginal so the recovery time is similar as well, it is just placed a lot higher on the cervix.
I don't know if you'd be considered a candidate for a TVCIC, but if you want contact info for any of those other doctors for a second opinion or anything, they are really responsive.
ETA: replied to wrong post
Konstantino
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With mine they did the McDonald cervical cerclage. I went to the hospital they gave me a spinal so I was numb from the waist down. They prepped me which took about 10-15 minutes .. they prepped me while the spinal was kicking in. Then once the doc came in the whole procedure took about 15 minutes. Honestly it would have been faster then that even but there was a med student being trained by the doc so he had to tell him what he was doing the whole time. After it was in place there was about another 10 minutes of them washing me up and getting me back into a regular bed and then off to recovery. A nurse sat right with me for about an hour then I was sent to my own recovery room. I was feeling some nausea and cramping so I was given some Zofran and some pain med's. My mom and dad were with me in my recovery room. I had a button to call the nurse when I needed her. I just had to stay at the hospital until my feeling came back in my legs and I could go pee on my own....
Honestly before I had it done I was so worked up and so scared it was insane. The worst part to me was the spinal! I hated not being able to feel my legs. It made me feel closterphobic! After my cerclage was in place I had some bleeding and spotting on and off for a few weeks. It freaked me out and I kept going to the ER but they said post cerclage its normal. I did have some mild cramping too but for maybe a day or two. It wasn't anything extreme.
Good luck!
I had a McDonald placed at 12.5 weeks. I actually had general anesthesia, which was my peri's preference for his patients. And I'll be receiving some sort of anesthesia for removal as well, apparently, though whether it's a spinal or general is not yet determined.
I was at an outpatient surgical center. Arrived at 6 for paperwork, called back about a quarter to 7 for prep. Changed into a gown, they placed the IV, checked vitals, did an u/s, had anesthesia talk to me. My peri came in a little after 7, repeated the u/s and then we went back into the surgical room. I was out pretty quickly, and the procedure took 20 minutes, and then I was in recovery and awake within an hour of going back. I was monitored in recovery for about 30 minutes and then we left. It was much easier than I'd anticipated.
Bedrest that day, and most of the next. I had it done on a Thursday, so I rested the weekend too. Minor bleeding that day, spotting the next, nothing after that. Light, mild cramping. I could feel the stitch the first day but not after that.
My restrictions have been pretty strict, from what I can tell, but I think that's a combo of my unique problem and my doc's being very cautious. No sexual stimulation, no exercise, no entering bodies of water/swimming/bathing, no walking faster than a snail, no walking or standing for more than 15-20 minutes at a time, no lifting/pushing/pulling more than 10 pounds, etc. But it's gotten me to nearly 35 weeks, so not bad.
GL!
Gabriel Ross - August 24, 2009 * Vivienne Rose - May 1, 2012
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