Women undergoing troubling pregnancies in the Greater Los Angeles area rely on compassionate Dr. Steve Rad, a double-board certified Obstetrician-Gynecologist with sub-specialty training in Maternal-Fetal Medicine. Our talented OB/GYN always puts your welfare first and practices with a conservative hand.
A prime example of this well-rounded attitude appears when consulting with women considering a cervical cerclage. The cervical cerclage procedure can be an effective way of preventing preterm delivery or premature labor caused by cervical incompetence (also called a weak cervix). Indeed, the procedure is successful in almost 90% of cases. However, diagnosing an incompetent cervix can be difficult and is often inaccurate.
Research suggests that cervical cerclage reduces the risk of premature delivery in pregnant women with proven cervical insufficiency. However, the timing of cervical cerclage can also affect the outcome. Emergency cervical cerclage done in the presence of advanced cervical change and prolapsed membranes have a poorer outcome, according to the Mayo Clinic.
Dr. Rad excels in accurately diagnosing and advising patients on cervical insufficiency.
What is a cervical cerclage?
Cerclage refers to a hoop that’s stitched into the cervix. There are two methods of performing cervical cerclage; the most common is through the vagina, which is called a transvaginal cervical cerclage. Less common is transabdominal cerclage – which goes through the abdomen.
Why is cervical cerclage done?
Before pregnancy, the cervix is long, firm, and closed. But during pregnancy, the cervix decreases in length (effacement), softens, and opens (dilation). If your cervix is too short (incompetent), problems may arise. An incompetent cervix may open too soon, resulting in loss of a pregnancy or premature birth.
This is where Dr. Rad’s expertise comes into play. During your consultation and evaluation, he can assess whether surgical intervention to prevent premature birth is necessary. Signs a cervical cerclage may be required include:
Second-trimester pregnancy loss related to painless cervical dilation
Previous cerclage because of painless cervical dilation
A short cervix (cervical length is less than 25mm) before 24 weeks of pregnancy
Which patients can’t have cerclage?
The cerclage procedure is not recommended for every patient at risk for preterm birth. The following factors may exclude an expectant mother:
The amniotic sac protrudes through the cervix (prolapsed fetal membranes)
Cervical laceration
Any prior cervical procedures or trauma, including loop electrode excisional procedure (LEEP), cone biopsy, prior cervical lacerations, or repetitive cervical dilation and/or pregnancy terminations
History of second-trimester miscarriages
How to prepare for cerclage
If Dr. Rad decides that you are a good candidate for cerclage surgery, he will likely do an ultrasound to check the baby’s vital signs and rule out any major birth defects. The doctor may then take a swab of your cervical secretions or perform an amniocentesis to check for infection. If there is an infection, the procedure will be called off.
Ideally, a cervical cerclage procedure is done between 12 and 14 weeks of gestation (after 14 weeks the procedure is called an emergent cerclage). The procedure can be performed up until week 23 if an exam demonstrates that the pelvis is beginning to open. The operation is typically avoided after week 24 because of the potential danger of nicking the amniotic sac and triggering premature rupture of membranes.
Call (844) 473-6100 or click here to schedule online
The cervical cerclage procedure
Typically performed on an outpatient basis, cervical cerclage is usually accomplished in one of three surgical procedures:
McDonald operation
The doctor uses a needle to sew cervical stitches (sutures) around the outside of the cervix where it has begun to dilate.
Shirodkar operation
A transvaginal cerclage. The physician uses forceps to pull the cervix toward him while pulling back the walls of the vagina. He then makes small incisions in the cervix and threads tape through them to close the cervix.
Transabdominal cerclage (TAC)
The doctor uses a strong, synthetic band to hold the cervix shut. This band is applied via an abdominal incision. This band can stay in place for future pregnancies.
The doctor usually uses general anesthesia with this surgical procedure. Patients who’ve had transabdominal cerclage generally give birth via C-section.
How to recover from cervical cerclage?
After cervical cerclage, your doctor will typically do an ultrasound to check on the baby’s well-being.
Many women have some spotting, cramps, vaginal discharge, and painful urination for a few days after the procedure. Over-the-counter pain relievers are recommended for pain or discomfort. If your health care provider used stitches to reposition vaginal tissue affected by incisions in your cervix, you might notice the passage of the material in two to three weeks as the stitches dissolve.
If you had history-indicated cervical cerclage, you’ll likely be able to go home after you recover from the anesthetic. As a precaution, your healthcare provider might recommend avoiding sex for at least a few weeks.
If you had cervical cerclage because your cervix had already begun to open or an ultrasound showed that your cervix is short, you might need to remain on bedrest in the hospital for observation. As a precaution, your health care provider might recommend limiting physical activity and sex until delivery.
Your health care provider will continue to monitor you closely for signs or symptoms of preterm labor.
About Dr. Rad: Leading Maternal-Fetal Care OB-GYN
Dr. Rad and his world-class obstetrics and gynecology team at Los Angeles Fetal and Maternal Care Center understand your healthcare needs before, during, and after birth. Our doctors provide compassionate care and help you understand your pregnancy, answer questions, and provide emotional support to safely navigate your pregnancy.
We are conveniently located for patients throughout Southern California and the Los Angeles area at locations in or near Beverly Hills, Santa Monica, West Los Angeles, West Hollywood, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, Newport Beach, Irvine, and Downtown Los Angeles. We also offer in-home prenatal care and a fly-in program for out-of-town and international patients. Dr. Rad even travels to patients who need him throughout the U.S. and around the world.
If you can’t make it to Dr. Rad, he also offers virtual consultations worldwide.
Call (844) 473-6100 or click here to schedule online
Web Site Privacy Policy, Terms and Conditions of Use
The Los Angeles Fetal & Maternal Care Center (hereafter referred to as the “Clinic”) supports initiatives that improve the quality of medical and health information available on the World Wide Web.
Your privacy is critical to us. Likewise, we have built up this Policy with the goal that you should see how we gather, utilize, impart, and reveal and utilize individual data. The following blueprints are our privacy policy.
Before or at the time of collecting personal information, we will identify the purposes for which information is being collected.
Your personal information, including SMS consent and phone numbers, will not be sold, disclosed, or shared with any third party under any circumstances.
We will gather and utilize individual data singularly to satisfy those reasons indicated by us and for other good purposes unless we get the assent of the individual concerned or as required by law.
We will just hold individual data for the essential length of time to satisfy those reasons.
We will gather individual data by legal and reasonable means and, where fitting, with the information or assent of the individual concerned.
Personal information ought to be important to the purposes for which it is to be utilized and, to the degree essential for those purposes, ought to be exact, complete, and updated.
We will protect individual data by security shields against misfortune or burglary and also against unapproved access, divulgence, duplicating, use, or alteration.
We will promptly provide patients access to our policies and procedures for administering individual data.
We are focused on leading our business according to these standards, with a specific end goal of guaranteeing that the privacy of individual data is secure and maintained.
As a result, we pledge the following:
1. Authoritative
Any medical or health advice provided and hosted on this site will only be given by medically trained and qualified professionals unless a clear statement is made that a piece of advice offered is from a non-medically qualified individual or organization.
2. Complementary
The information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician.
3. Privacy
Confidentiality of data relating to individual patients and visitors to a medical/health Web site, including their identity, is respected by this Web site. The Web site owners undertake to honor or exceed the legal requirements of medical/health information privacy that apply in the country and state where the Web site and mirror sites are located.
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We collect phone numbers from our patients and obtain consent to send SMS notifications or updates related to our services. We do not share these phone numbers with any third parties or affiliates for marketing purposes. The phone numbers provided are strictly used to contact the website visitor so we may fulfill their request (such as scheduling a consultation, etc.), obtain consent for SMS communication, and deliver relevant updates or notifications.
We are committed to safeguarding our patients’ privacy and ensuring that their personal information, including phone numbers, is protected from unauthorized access or misuse.
By providing your phone number with SMS consent, you agree to receive SMS notifications or updates from us related to our services”
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Where appropriate, this site’s information will be supported by clear references to source data and, where possible, specific HTML links to that data. The date when a clinical page was last modified will be displayed.
The source of the medically related content is written by the doctors and medical staff of the Clinic. Authorship is attributed to the content page, and all information is medically reviewed by the clinic’s education team.
6. Justifiability
Any claims relating to the benefits/performance of a specific treatment, commercial product or service will be supported by appropriate, balanced evidence in the manner outlined above.
Please note that there are no guarantees that every medical treatment or surgery will satisfactorily cure or repair every condition for every person every single time.
Regarding any before and after pictures displayed on our website, the following are true:
The person in the before picture and the after picture are the same.
The pictures were not digitally modified or enhanced.
Each surgery produces unique results for each patient, and no one can guarantee the same result for every person visiting our website.
The Clinic has the explicit consent of its patients to take their pictures and publish them on your website.
7. Transparency
The designers of this Website will always seek to provide information in the clearest possible manner and provide contact addresses for visitors that seek further information or support. The Webmaster’s e-mail address is private@drsteverad.com.
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The Clinic does not accept any advertising from any company or individual and never has.
If that ever changes, the source of funding will be clearly stated, and a brief description of our advertising policy adopted by the site owners will be displayed on the site. If advertising and/or other promotional material is ever presented to website visitors, it will be in a manner and context that facilitates differentiation between it and the original material created by the institution operating the site.
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Permission is allowed to temporarily download one duplicate of the materials (data or programming) on the Clinic’s site for individual and non-business use only. This is just a permit of license and not an exchange of title, and under this permit, you may not:
modify or copy the materials;
use the materials for any commercial use or any public presentation (business or non-business);
attempt to decompile or rebuild any product or material contained on the Clinic’s site;
remove any copyright or other restrictive documentations from the materials or
transfer the materials to someone else or even “mirror” the materials on another server.
This permit might consequently be terminated if you disregard any of these confinements and may be ended by the Clinic whenever deemed necessary. After permit termination or when your viewing permit is terminated, you must destroy any downloaded materials in your ownership, whether in electronic or printed form.
3. Disclaimer The materials on the Clinic’s site are given “as is.” The Clinic makes no guarantees, communicated or suggested, and thus renounces and nullifies every other warranty, including without impediment, inferred guarantees, or states of merchantability, fitness for a specific reason, or non-encroachment of licensed property or other infringement of rights. Further, the Clinic does not warrant or make any representations concerning the precision, likely results, or unwavering quality of the utilization of the materials on its Internet site or generally identifying with such materials or on any destinations connected to this website.
4. Constraints On no occasion should the Clinic or its suppliers be subject to any harm (counting, without constraint, harms for loss of information or benefit, or because of business interference) emerging out of the utilization or powerlessness to utilize the materials on the Clinic’s Internet webpage, regardless of the possibility that the Clinic or an approved agent has been told orally or in written of the likelihood of such harm? Since a few purviews don’t permit constraints on inferred guarantees or impediments of obligation for weighty or coincidental harms, these confinements may not make a difference to you.
5. Amendments and Errata The materials on the clinic’s site could incorporate typographical or photographic mistakes. The Clinic does not warrant that any materials on its site are exact, finished, or current. The Clinic may roll out improvements to the materials on its site whenever without notification. The Clinic does not, then again, make any dedication to update the materials.
6. Links The Clinic has not checked on the majority of the websites or links connected to its website and is not in charge of the substance of any such connected webpage. Incorporating any connection does not infer support by the Clinic of the site. Utilization of any such connected site is at the user’s own risk.
7. Site Terms of Use Modifications The Clinic may update these terms of utilization for its website without notification. By utilizing this site, you consent to be bound by the then-current form of these Terms and Conditions of Use.
8. Governing Law Any case identifying with the Clinic’s site should be administered by the laws of the country of the United States of America and the General Terms and Conditions applicable to the Use of a Web Site.
About Good Faith Estimates
Dear Patient,
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, examinations, office visits prescription drugs, and equipment (items or services reasonably expected to be furnished by this practice).
Make sure your health care provider gives you a Good Faith Estimate in writing at least one (1) business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises. To speak to our billing department, please call (844) 473-6100.
Thank you.
Dr. Rad and your friends at the Los Angeles Fetal & Maternal Care Center
Open Payments Database Notice
For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.
The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at https://openpaymentsdata.cms.gov.
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