Day theatre procedure
About this service
Cervical cerclage, often called a cervical stitch, is the placement of a stitch around the cervix during pregnancy to help prevent premature birth, and it is available in Windhoek at Eastgate Clinic. It is usually recommended when the cervix is weak or shortening early, a condition that can increase the risk of miscarriage or premature labour. The stitch provides extra support to help hold the pregnancy until closer to term, when it is later removed.
The procedure is carried out in our on-site day theatre under regional or general anaesthesia. Your doctor will assess your pregnancy history and cervix to decide if a cerclage is appropriate.
What to expect
- An assessment of your cervix and pregnancy history before the procedure
- An anaesthetist gives regional or general anaesthesia so you are comfortable while the stitch is tied around the cervix
- You are discharged the same day once the theatre staff have checked you and your baby
- Some cramping or spotting afterwards is normal in the first day or two
- Your doctor will explain when and how the stitch will later be removed
Who is it for?
You may be advised to have this if you are dealing with:
- A history of miscarriage or premature birth linked to cervical weakness
- A cervix found to be shortening early on ultrasound
- A diagnosis of cervical insufficiency in a current or previous pregnancy
- Concern about risk of premature labour based on your obstetric history
- Recommendation from your doctor for extra cervical support during pregnancy
Frequently asked questions
Who needs a cervical stitch during pregnancy?
A cerclage is considered when you have lost a pregnancy or delivered early because of a weak cervix, or when a scan shows the cervix shortening too soon. Your doctor weighs your history and scan findings before recommending it.
What anaesthesia is used for a cervical stitch?
Regional or general anaesthesia is given by an anaesthetist in our on-site day theatre, so you feel nothing while the stitch is placed. Your anaesthetist will discuss which option is safer for you and your baby.
What are the signs to watch for after a cervical cerclage?
Contact your doctor promptly if you notice heavy bleeding, fluid leaking, fever or regular contractions after the stitch is placed. Mild cramping and light spotting in the first day or two are expected.
For referring doctors
Eastgate Clinic's day theatre in Windhoek is equipped for cervical cerclage placement, with anaesthetist and theatre staff provided on site. Contact us to arrange theatre time for your patient.
Day theatre information for doctorsReady to book your cervical cerclage (stitch)?
Choose a date and time online and we will confirm your appointment at Eastgate Clinic in Windhoek. Medical aid and private patients welcome.