Dear Natasha,
It seems your doctor has suspected weakness in the mouth of the
uterus. It is called as
incompetent cervix. This deficiency leads to repeated abortions in the middle three months of
pregnancy. If the diagnosis is right, you will require a stitch around the mouth of the uterus (cervix) to reinforce it. However, such condition threatens the pregnancy between 14 weeks to 28 weeks of pregnancy.
Moreover, severe bleeding does not fit into the clinical picture of incompetent cervical os. Therefore you have first to find out the cause of the bleeding. Placental separation from a normally situated placenta (abruptio placentae) or from low lying placenta (
placenta praevia) - both are rather threatening conditions. The formal leads to bleeding with pain while the later is a painless, causeless and recurrent bleeding. However, these accidents take place in the later half of the pregnancy.
If the cause for the bleeding is completely cured, there is no possibility for recurrent bleeding and you have incompetent cervical os, you will have to undergo encirclage of the cervix.
Ultrasonography at this stage will help you to reach the diagnosis. It will locate the site of bleeding and whether it has completely stopped, it will locate the site of placenta and also it will find out the status of cervical os. However, tightening the cervix before 14 weeks of pregnancy are completed cannot be accepted scientifically.
Madam, from your history, I do not feel you are having incompetent cervical os. Please get the cause of your bleeding diagnosed from a Gynaecologist first by required investigations and concentrate on the treatment for that.
I hope this will guide you appropriately.
Dr. Nishikant Shrotri