Are you looking for Gynaecologist ? We share some important points about cervical encirclage. A cervical cerclage is a treatment that involves temporarily sewing the cervix closed with stitches. This may help the cervix hold a pregnancy in the uterus. A cerclage is done in the second trimester of pregnancy to prevent preterm birth. How it diagnosed: pregnancy loss due to painless cervical dilation in the second trimester multiple second trimester pregnancy losses or preterm births a previous cerclage due to painless cervical dilation in the second trimester Your ob-gyn also may recommend placing a cerclage based on painless cervical dilation in the second trimester an ultrasound exam that shows a short cervix, if you also have other risk factors for preterm birth How to placed ? There are two types of cerclage: 1 Transvaginal cerclage. Ob-gyns most often do a cerclage by reaching through the vagina to place stitches in the cervix. 2 cerclage. This is when a cut is made in the abdomen (belly) to reach the cervix and place stitches. This can be done with open surgery (laparotomy) or with a very small cut and a camera (laparoscopy). Sometimes transabdominal cerclage is done if you have had surgeries on your cervix in the past had a previous transvaginal cerclage that didn’t prevent the loss of a pregnancy Cerclage is usually done in a hospital. It typically require an overnight stay. Dr SWATEE GAGGARE MBBS MS OBGY