Hi, ladies. I'm on a mission to advocate for the transabdominal cerclage. If you or any other mommie you know has lost a baby or had a preemie due to issues/cervical changes that brought on PTL, then they most likely have an incompetent cervix i.e. it can't hold a pregnancy until due date. Or if you or any woman you know has had any surgeries, procedures or abnormal paps...please be aware you are at risk for PTL due to a weak cervix. When this happens, the cervix shortens, funnels and/or dialates much too early. This exposes your uterus/baby to infection. Your membranes can rupture or contractions will start. After a loss due to this issue, most doctors (including high risk doctors, MFM's) will only advocate for a transvaginal cerclage (the stitch they put on your cervix via your vagina). I had one put on in my 19th week. They almost always fail to get you to term for various reasons. And are highly associated with infections. The best way to support a weak cervix is with a transabdominal cerclage. Also referred as a TAC. It is still a "stitch" but is put around the cervix (not through it)...and it is placed at the tippy top of your cervix where it meets the uterus. Because of this placement, it is put on via opening your abdomin much like when you have a c-section (but less painful!). This prevents the pressure from pregnancy from causing cervical changes i.e opening, early shortening or early funneling. Thus, preventing infections, PROM and PTL. You will have to have a c-section for delivery. This kind of cerclage never has to come out/off.
Many doctors also do it laproscopically. It can be done pre-pregnancy, as well. I'm having one put on next month before starting my next IVF cycle. This kind of cerclage makes your cervix bionic! If you need a cerclage...get the best one...the TAC. If you ask your doctor about it...beware...most will say it is for extreme cases...and it's not. Usually they just don't put them on or have experience with them at all, so they don't recommend them. If you want to know more about a TAC, please refer to http://www.abbyloopers.org
. They have a yahoo group, as well, that you can join if you have a cervical issue. You can also send me an email. There are select doctors in the US that are experts with putting them on.