25 weeks pregnant, 2 cm dilated & short cervix — rescue cerclage or wait and watch?
’m currently 25 weeks pregnant and going through a really difficult situation and would really appreciate hearing experiences/opinions from others who may have been through something similar.
I was admitted to hospital at 22+1 after they found I was already dilated with bulging membranes. I’ve now been in hospital for almost 3 weeks. Currently I am around 2 cm dilated, my cervix is very short, but thankfully I have no signs of active labour at the moment and baby is doing well. Estimated fetal weight is around 786 g.
Today I had another internal scan and the surgeon discussed two options with me:
- Continue conservative management (“wait and watch”) with monitoring, progesterone, etc.
- Have an emergency/rescue cerclage (stitch/sutures).
They explained the possible benefit of the stitch is prolonging the pregnancy, but there are also risks including infection, rupturing membranes, or triggering labour. Because I’m already 25 weeks, they said the decision is not straightforward.
I’m feeling very overwhelmed and scared about making the wrong decision. Has anyone here had a rescue cerclage placed around 24–25 weeks with dilation/bulging membranes? Did it help prolong the pregnancy? Or did anyone choose expectant management instead?
I know everyone’s situation is different, but hearing real experiences would really help me mentally right now.
Thank you 🤍