FIGO Good Practice Recommendations on Cervical Cerclage for Prevention of Preterm Birth

(Int J Gynaecol Obstet. 2021;155:19–22) Cervical cerclage, a suture preventing dilation, is an intervention commonly used on women at increased risk of preterm birth and second-trimester fetal loss. Evidence-based recommendations derived from randomized controlled trials (RCTs) meta-analyses help determine which patients would benefit cervical cerclage. Pregnant with obstetric or gynecologic history increasing risk; ultrasound suggesting shortening; presence already open cervix membrane exposure have the recommendation to undergo History-indicated cerclage indications are mid-trimester loss and/or 3 more deliveries. Ultrasound-indicated length <25 mm least one spontaneous birth. Parturient exposed, prolapsed membranes should be offered case-by-case basis. Vaginal does not increase labor, rupture membranes, cesarean section, chorioamnionitis. placement technique timing removal under discretion trained surgeon, though 36 37 weeks typical. Stitches placed as high realistically possible, anesthesia use needed for insertion but may necessary removal.