Tuesday, July 29, 2014

Cervical cerclage

Cervical cerclage or cervical stitch is a non-invasive operation for cervical incompetence or insufficiency. My doctors are convinced that I have a weak cervix after having a miscarriage at 17 weeks. Therefore, in order to prevent another miscarriage, they are recommending that I have my cervix stitched. Yes, literally "stitched" (but of course under a general anesthesia)!

So after passing on all my clinical tests, I was scheduled to have my cervical cerclage at 12 weeks GA. I was asked to fast from 12 midnight and discontinue taking aspirin, prednisolon, and clexane injection.

My operation is at 9am but I was asked to check-in at 7am. After changing to the hospital gown, I was injected progesterone oil in the butt and allergy-check shot in my forearm. The nurse also fixed my IV. The nurse tried to check baby's heartbeat via doppler but failed to hear it. I felt nervous but tried to stay calm. She ordered an ultrasound machine instead so my baby can be checked before the operation.

I was wheeled to operating room at 9am. The operation started past 9am because we waited for the ultrasound machine to arrive first. I was given general anesthesia and was down before I finished counting from 1 to 10!

I was wheeled back to the private room after an hour or 2. I was on strict bed rest-- no sitting, standing or walking. I may pee using a bed pan only (while lying down). I had minor bleeding but no disturbing pain. I continued with all my medicines except for Clexane, Aspirin and Prednisolon. I have new medicines for recovery: Coamoxiclav (2x daily), Metronidazole (2x daily), Duphaston (3x daily).

The next day, I was still on strict bed rest but I can go to the bathroom with assistance. My doctor came by to check me up. She described how terrible my cervix was and that she has to put a more sturdy stitch. She said that there was also a lot of bleeding when she put the stitch that she has to press for a while in order to stop the bleeding (perhaps this is due to the blood thinners that I am taking). But overall, the operation went well. She told us that she checked on our baby before and after the operation.

I was discharged from hospital the following day around noon. We went to see our baby at my doctor's office. Our baby is doing well-- kicking and jumping! I was advised to continue with all my meds except for Aspirin and Clexane (but continue taking after 1 week). I was also advised to continue bed rest, drink plenty of fluids and avoid constipation.

No comments:

Post a Comment