Abdominal cerclage is another corrective method. Here, the stitch is placed in the
neck of the womb via an abdominal incision. There is evidence that this method is
more effective. The stitch will normally be left in place until the mother has completed
her family. Deliveries are, therefore, by caserean section only.
Success of cervical cerclage
The success rate of vaginal route cervical cerclage is modest but actual figures
are not clearly known. It is now increasingly accepted that the more difficult procedure
of abdominal stitch insertion rather than vaginal may be superior, with a better
With the abdominal method, the suture is applied to the cervix through the abdomen;
hence it is a bigger and technically more difficult operation. It, therefore, may
not be available in all hospital units.