What should you know about rescue cervical cerclage?

The cervix is the lower opening of the uterus. In some pregnancies it becomes short or opens before the baby is ready to be born. A rescue cerclage, also called an emergency cervical stitch, may be considered after an examination and ultrasound when the pregnancy team believes placement is appropriate. The decision depends on cervical findings, contractions, bleeding, infection, and whether the membranes have ruptured.

The procedure is usually performed in hospital with anaesthesia. The clinician places a strong stitch around the cervix and explains the observation plan afterwards. A cerclage cannot treat established labour or every cause of early birth, so careful selection and follow-up are essential.

Follow the maternity team’s instructions about rest, activity, medicines, and appointments. Mild cramping or light spotting may occur, but report changes rather than trying to judge them alone. Keep a record of bleeding, fluid loss, tightening, pain, and temperature if your team asks you to monitor at home. Avoid inserting anything into the vagina or having sex until your clinician gives specific advice.

Contact your maternity unit urgently for regular tightenings, increasing pelvic pressure, heavy bleeding, a gush or ongoing leak of fluid, fever, chills, foul-smelling discharge, or severe abdominal or back pain. These symptoms can indicate labour, infection, or ruptured membranes and need prompt assessment. Do not wait for a scheduled appointment if they occur.

Ask why rescue cerclage is being considered, what the examination showed, what warning signs require immediate attendance, and how appointments will be arranged. Discuss medicines, activity, travel, sex, and when the stitch would be removed or reviewed.