<s>[INST] Hi, may I answer your health queries right now ?  Please type your query here... Dear Experts, I am thinking about getting pregnant, but my last two pregnancies have been very complicated. My first daughter came at 27 weeks and died after 3 days. I became pregnant again with my twince 6 moths later and they were born at 26 weeks. When I went to my 4 month checkup, I was informed by my doctor that I had dilated 3 cm and immediately had a stitch placed on the remaining cervix that I had left. The stitch was not helpful at this point because they still came early. My question for you is what do you think my next approach should be how to concieve and have a full term, healthy baby? Do you think that there is anything I should take or do on my part to help my situation? ANSWER [/INST] Hi, I think you should go for a prophylactic cervical encerclage at 14 to 16 weeks or 2 weeks before the last loss. This will decrease chances of preterm delivery. Hope I have answered your question. Regards Dr khushboo </s>