instruction: hello doctor I have a query regarding my current pregnancy I had a miscarriage last year at my 16th week due to amniotic fluid leakage the doctor could not tell the reason for it and now I am pregnant again with 16 weeks too and this time my doctor suggested me to consider cervical suture as my cervix size is 26 my and I really did not want to do it considering the risks I will have another scan at 18 weeks to check the size again but I am really worried as I had four miscarriages and I do not want to lose this too currently I am taking aspirin and progesterone could you please kindly advise me on this
output: hello welcome to iclinq com do not think twice it is better you get a cervical stitch done considering your history and present cervical length it would be better if you go for cervical suture obviously as the gestation increases the cervical length would shorten up more the cut off is 25 my so no point in waiting also add weekly intramuscular hydroxyprogesterone caproate injection 500 my would quieten the uterus without contractions until 32 weeks and it helps another thing is strict rest avoid any strain like constipation cough sneeze strenuous exercises etc short cervix cervical stitch strict rest avoid sitting positions as it increases the pressure over internal os when necessary