Delivery after cerclage
By Craig L. Bissinger
Bonnie Pleasant Valley, NY
Dear Bonnie,

You are asking very interesting questions. In order to answer them so others will benefit as well, I'd like to digress for a moment. Some women develop a weakness in their cervix. It cannot stay closed long throughout a pregnancy. In these situations, the pregnancy doesn't last long enough to have a healthy child. Most times, the incompetent cervix was triggered by surgery on the cervix (cone biopsy, LEEP (loop electrosurgical excision procedure), or many dilations of the cervix with miscarriages). Cerclage—placing a stitch around the cervix to tighten it—has proven to be a very successful treatment. Obviously, it is working well for you.

You should be able to have a vaginal delivery. I have delivered numerous women vaginally after removing their cerclage who have gone on to have other healthy pregnancies. Speak with your doctor about having a vaginal delivery. It sounds like he or she has done a great job to get you this far—as have you! Congratulations and good luck.