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Day theatre procedure

Cervical Cerclage (Shirodkar Suture) in Windhoek

A stitch placed around the cervix during pregnancy to help prevent premature labour in women at risk of an incompetent cervix.

About this service

Cervical cerclage, also known as a Shirodkar suture, is a procedure available in Windhoek where a stitch is placed around the cervix during pregnancy to help support it and reduce the risk of premature labour in women at risk of an incompetent cervix. It is usually recommended after a history of pregnancy loss or based on findings from an ultrasound scan of the cervix during pregnancy. The stitch is typically removed later in pregnancy or at delivery.

At Eastgate Clinic this procedure is performed in our on-site day theatre, with your GP and obstetric team coordinating consultation and follow-up in our rooms. Your doctor will explain the timing and monitoring involved.

What to expect

  • A consultation and ultrasound review in our rooms before the procedure
  • An anaesthetist gives regional or general anaesthesia in our on-site day theatre before the suture is placed high on the cervix
  • You go home the same day once the anaesthetic has worn off and you have been checked
  • Regular monitoring throughout pregnancy following the procedure, as advised by your doctor
  • The stitch is removed later in pregnancy or at delivery, as planned by your doctor

Who is it for?

You may be advised to have this if you are dealing with:

  • A history of pregnancy loss linked to cervical weakness
  • A short or shortening cervix seen on ultrasound during pregnancy
  • A previous premature birth related to cervical insufficiency
  • Referral from your obstetrician for cervical support in pregnancy
  • Concern about risk of premature labour based on your history

Frequently asked questions

How is a Shirodkar suture different from a McDonald stitch?

A Shirodkar suture is placed slightly higher on the cervix, beneath the lining, which some obstetricians prefer when the cervix is very short. Your obstetrician will explain which technique suits your situation.

What should I do before a Shirodkar cerclage?

You will have a consultation and a scan of the cervix in our rooms beforehand, and you will be asked not to eat or drink for several hours before theatre. Arrange for someone to drive you home afterwards.

How long does recovery from a Shirodkar suture take?

Cramping and light spotting are common for a few days, and your obstetrician may advise resting and avoiding intercourse for a period afterwards. Regular scans and check-ups follow for the rest of the pregnancy.

For referring doctors

This procedure can be booked in Eastgate Clinic's on-site day theatre in Windhoek, with anaesthetist and theatre staff provided. Contact us to arrange theatre time for your patient.

Day theatre information for doctors

Ready to book your cervical cerclage (shirodkar suture)?

Choose a date and time online and we will confirm your appointment at Eastgate Clinic in Windhoek. Medical aid and private patients welcome.