Obstetric Anaesthesia Annual Scientific Meeting 2025

Survey on Anaesthesia for Cervical Cerclage

Background

•A stitch placed around the cervix to reduce the risk of premature delivery

•No uniform anaestheticmanagement.

•Variable practice across the world.

•Results from a survey among the members of OAA - 348 responses

Special Considerations

•Chlorprocaine is a reasonable option,

•Abdominal cerclage is a laparoscopic procedure done at selected centresonly – Requires GA.

•Emergency / Salvage Cerclage - High risk of foetal loss – Consider lateral position for spinal or GA.

•Coughing is used to test the suture. High blocks can impair coughing.

Conclusion

•Spinal anaesthesia is preferred technique,

•Drug of choice

•Prilocaine 2% Heavy (2 – 3 ml)

•Bupivacaine 0.5% Heavy (2 – 2.4 ml)

•Opioids usually not needed,

•Desired block height - T10/T11,

•Individualize anaesthetictechnique.

Survey on Anaesthesia for Cervical Cerclage