###Human: I had four miscarriages due to amniotic fluid leakage. Is cervical stitch necessary? ###Assistant: Hello,  Welcome to iclinq.com. Do not think twice. It is better you get a cervical stitch done. Considering your history and present cervical length, it would be better if you go for cervical suture. Obviously, as the gestation increases the cervical length would shorten up more. The cut off is 25 mm, so no point in waiting. Also, add weekly intramuscular Hydroxyprogesterone caproate injection 500 mg would quiesten the uterus without contractions until 32 weeks and it helps. Another thing is strict rest, avoid any strain like constipation, cough, sneeze, strenuous exercises, etc. Short cervix. Cervical stitch. Strict rest, avoid sitting positions, as it increases the pressure over internal os. When necessary.