Shirodkar cervical cerclage: what should you know?

The stitch is placed around the cervix through the vagina and is secured beneath the cervical tissue. It is usually considered when a shortened or opening cervix, or a previous pregnancy history, suggests a risk of preterm birth. The timing and suitability depend on examination, ultrasound findings, pregnancy history and signs of infection or labour.

A Shirodkar stitch is different from a simpler cerclage because it is placed higher and may be more deeply secured. Your obstetric team will explain the chosen technique, anaesthetic, expected discharge and follow-up.

Rest as instructed, take prescribed medicines, and attend cervical and pregnancy follow-up. Mild cramping or a small amount of spotting can occur, but report changes rather than judging them yourself. Avoid vaginal intercourse, swimming, heavy activity or internal products until your maternity team confirms what is suitable for you.

Ask when the stitch should be removed and what plan applies if labour or your waters break first. Reading about Cervical Cerclage and Preterm Labour can help you prepare for that discussion.

Contact your maternity unit urgently for regular contractions, increasing pelvic pressure, vaginal bleeding, leaking fluid, fever, foul-smelling discharge or severe pain. If you think labour has started or your waters have broken, do not wait for a routine appointment; the stitch may need prompt management.

Ask why a Shirodkar stitch is recommended, what alternatives fit your situation, which activities are restricted, how follow-up will monitor the cervix, and when removal is planned.