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Q. How do doctors diagnose cervical insufficiency?
A. If you are at risk for this condition, your doctor may conduct a pelvic exam or use an ultrasound early in your pregnancy to evaluate the problem. However, many cases of cervical insufficiency are not found until after a second trimester loss. Women who have already had a miscarriage because of this problem will likely have the same outcome in future pregnancies if they do not seek treatment. This can lead to great stress and emotional suffering for women and couples hoping to become parents.

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Q. What are the success rates with TAC procedures?
A. The TAC yields a term delivery by C-section in more than 95 percent of women -- many of whom have had multiple losses as a result of their weakened cervix and who have already had failed TVC procedures.

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Most believe that Dr. Haney has placed more pre-pregnancy cerclages than any other surgeon in the nation. The advantages of the prepregnancy transabdominal cerclage are that it eliminates any risk to the fetus and enables the cerclage to be placed as high as possible around the cervix. The TAC procedure is the ideal treatment for women with multiple losses due to a damaged or malformed cervix or a failed transvaginal cerclage.


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