Comprehensive Cervical Cerclage Care by Sunrise Hospital

Cervical Encerlage, also known as Cervical Cerclage, is a crucial medical procedure performed during pregnancy to prevent preterm birth or second-trimester miscarriage caused by cervical incompetence or cervical insufficiency. Sunrise Hospital in Delhi is widely recognized as a leading center for Cervical Encerlage treatment, offering advanced gynecological care, cutting-edge technologies, and highly specialized expertise under the leadership of Dr. Nikita Trehan, one of the best gynecologists for cervical cerclage in Delhi.

With a strong focus on high-risk pregnancy management, short cervix treatment, and cervical insufficiency, the hospital provides comprehensive diagnostic, surgical, and post-operative care tailored to each patient’s unique needs. Whether you require a transvaginal cerclage, transabdominal cerclage (TAC), laparoscopic cerclage, or an emergency cerclage, Sunrise Hospital ensures world-class outcomes and compassionate care.

Cervical Encerlage or cervical cerclage is a surgical procedure in which a stitch (suture) is placed around the cervix to prevent it from opening prematurely during pregnancy. The cervix is the lower part of the uterus that must remain closed until labor begins. In some women, the cervix may weaken or dilate earlier than expected, increasing the risk of miscarriage or preterm birth.

Cervical Cerclage Is Done To Treat:

• Cervical incompetence
• Cervical insufficiency
• Short cervix during pregnancy
• Recurrent mid-trimester pregnancy losses
• Risk of second-trimester miscarriage
• Preterm labor due to a weak cervix

By reinforcing the cervix with a strong suture, cervical cerclage significantly improves pregnancy outcomes, helping women carry their pregnancy closer to full term.

The procedure is most commonly performed between 12–14 weeks of pregnancy, though timing can vary depending on individual cases.

Sunrise Hospital offers all major types of cervical cerclage, performed by specialists in high-risk pregnancy care.

1. Transvaginal Cervical Cerclage

This is the most common type and is performed through the vagina. It is usually done between 12–14 weeks of pregnancy.

Two main techniques include:

• McDonald Cerclage

  A simple purse-string stitch placed around the cervix.

• Shirodkar Cerclage

  A deeper, more secure stitch placed higher on the cervix.

Both techniques are available at Sunrise Hospital depending on your medical condition.

2. Transabdominal Cerclage (TAC)

TAC is recommended when:

• Transvaginal cerclage is not possible
• Previous transvaginal cerclage has failed
• Cervical tissue is extremely short or damaged

Transabdominal cerclage is performed either:

• Through laparoscopy, or
• Through open abdominal surgery

Sunrise Hospital specialises in laparoscopic TAC, ensuring quicker recovery, less pain, and superior outcomes.

3. Emergency Cervical Cerclage

Sometimes, a woman may need cerclage after the cervix has already started opening (emergency cerclage). The sooner it is performed, the better the chances of success.

Sunrise Hospital offers 24×7 emergency high-risk pregnancy management.

Cervical cerclage is recommended in the following situations:

• Cervical insufficiency diagnosed via ultrasound or history of preterm delivery
• History of recurrent second-trimester miscarriage
• Short cervix (<25mm) identified in mid-pregnancy
• Previous cervical trauma or surgery that weakens cervical tissue
• Multiple pregnancies with increased risk of cervical dilation

You may benefit from cervical cerclage if:

• You have had two or more miscarriages in the second trimester
• History of recurrent second-trimester miscarriage
• You have a short cervix diagnosed on ultrasound
• You experience painless cervical dilation
• There is cervical funneling
• You are carrying twins with high risk of preterm labour
• You have undergone cervical surgeries in the past
• You have a history of failed IVF where cervical insufficiency is a concern

Many women do not experience symptoms, but some may notice:

• Pressure in the pelvic region
• Backache
• Vaginal discharge changes
• Mild cramps
• Spotting

A painless opening of the cervix is common, which is why regular cervical length scans are crucial.

• 1. Initial Assessment: Dr. Nikita Trehan conducts a detailed evaluation, including ultrasound scans and cervical measurements.
• 2. Anesthesia: Most transvaginal cerclage procedures are done under local or regional anesthesia; transabdominal cerclage may require general anesthesia.
• 3. Stitch Placement: A strong suture is placed around the cervix to reinforce it.
• 4. Post-Procedure Care: Patients are monitored, and advice is provided on physical activity, sexual activity, and follow-up.
• 5. Follow-Up: Regular ultrasound scans and prenatal visits ensure the stitch is effective and the pregnancy is progressing safely.

Cervical cerclage offers several advantages for women at risk of pregnancy complications:

• Reduces the risk of miscarriage in women with cervical insufficiency
• Prevents preterm birth in high-risk pregnancies
• Improves the chances of carrying pregnancy to full term
• Provides reassurance and psychological comfort to expectant mothers
• Can be combined with other interventions like progesterone therapy for better outcomes

While cervical cerclage is generally safe, some risks include:

• Infection
• Bleeding or cramping
• Preterm premature rupture of membranes (PPROM)
• Rare failure of the stitch
• Potential need for emergency delivery in certain cases

Individual assessment is crucial. Dr. Nikita Trehan ensures every patient receives personalised care, evaluating factors like medical history, previous pregnancies, and cervical length before recommending the procedure.

After undergoing cervical cerclage treatment, patients are advised to:

• Limit strenuous activities
• Avoid sexual intercourse for a prescribed period
• Attend regular prenatal check-ups
• Monitor for signs of preterm labour, bleeding, or discharge
• Follow medical advice for medications or lifestyle modifications

Most women can continue normal daily activities with caution, and the success of the procedure largely depends on timely diagnosis and expert care.

Sunrise Hospital records high success rates due to:

• Early diagnosis
• Proper patient selection
• Expertise of Dr. Nikita Trehan
• Use of advanced laparoscopic techniques
• Specialised high-risk pregnancy unit

Most women with cervical insufficiency can successfully carry their pregnancy to term after cerclage.

Sunrise Hospital records high success rates due to:

1. Expert Gynecologist – Dr. Nikita Trehan

Dr. Nikita Trehan is a renowned gynecologist specialising in high-risk pregnancies and cervical cerclage procedures. Her experience ensures optimal patient outcomes.

2. State-of-the-Art Facilities

Sunrise Hospital offers advanced medical infrastructure, including:

• High-resolution ultrasound machines
• Modern operation theatres for minimally invasive procedures
• Dedicated prenatal and high-risk pregnancy units

3. Personalized Patient Care

The hospital emphasises patient-centered care, providing:

• Individualised treatment plans
• Counselling on risks, benefits, and lifestyle modifications
• Support throughout pregnancy and post-operative recovery

4. High Success Rates

With expert care and modern techniques, cervical cerclage at Sunrise Hospital shows excellent outcomes in preventing preterm birth and pregnancy loss.

Cost depends on:

• Type of cerclage (transvaginal / TAC)
• Emergency or planned
• Anaesthesia
• Duration of hospital stay
• Additional high-risk monitoring

Sunrise Hospital offers affordable packages with complete transparency.

We offer guidelines on:

• Physical activity restrictions
• Sexual abstinence (usually 1–2 weeks)
• Post-stitch ultrasound scans
• Preterm labour precaution signs
• Travel precautions
• Nutritional guidance

Our antenatal care programme ensures both mother and baby remain healthy throughout the pregnancy.

If you are experiencing signs of cervical insufficiency or have a history of recurrent pregnancy loss, consult the experts at Sunrise Hospital.

Consult the Best Gynecologist in Delhi for Cervical Cerclage – Dr. Nikita Trehan

Cervical Encerlage, or cervical cerclage, is a life-saving intervention for women at risk of pregnancy loss or preterm labour due to cervical insufficiency. Sunrise Hospital, led by Dr. Nikita Trehan, offers expert care, advanced procedures, and personalised support, making it the preferred destination in Delhi for high-risk pregnancies.