Cerclage and Toxic Shock Syndrome

Patient

Q: I have been advised to get a cerclage (cervical stitch) in a future pregnancy after a preterm pregnancy loss at 23 weeks. I have also survived toxic shock syndrome when I was a teenager. I am wondering if having a cerclage can cause toxic shock syndrome to recur. I am hoping a cerclage will allow me to carry a baby full term in the future. Thanks for any information you can help me with.

Doctor

A:   I understand your concern about Cerclage and Toxic shock syndrome. Cerclage might be recommended in cases of incompetent cervix and it is not a risk factor for Toxic Shock Syndrome. Toxic shock Syndrome is caused by a Staph aureus preformed toxin; it is commonly presented in young women who have used tampons during menses. Your previous TSS event does not increase your chances of recurrence.
Cerclage might increase the risk for cervical infections but with a different entity, part of the procedure is to prescribe antibiotics in some cases to prevent this.
The patient is also regularly checked and controlled and generally the thread is removed at the 37th week of pregnancy, but it can be removed before if a woman’s water breaks or contractions start. Most stitches are removed in the doctor’s office without any problems. I wish you the best.

Related Q&A

Q: Is it possible for me to be pregnant? Are these signs? Is it too early to tell? I had unprotected sex on 12/16/16, an...

Q: I had my period from 12- 18 and realised drops of blood from 18-25.had sex on 5-10 but he produced outside .i feel bl...

Q: Hello, I took the morning after pill (19th November) whilst I was at the end of my first period and within two weeks ...

Q: Hi I had unprotected sex on my ovulation day or at least around that time. But I still had my period thirteen days a...

Q: On the poor advice from someone at Planned Parenthood (who I think was a volunteer and not a professional), about a w...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews