The role of isthmic-cervical insufficiency in miscarriage

Cervical insufficiency (CI) is one of the main pathological conditions that leads to pregnancy loss, in particular, recurrence miscarriages and premature births, which account for up 5 % all obstetric cases. Recurrence losses caused by CI lead serious psychological trauma both woman her family members, as well significant economic society. However, many women some regions world still do not know about this pathology, clinicians always diagnose condition time.At same time, etiology remains uncertain, there are ambiguous points regarding diagnosis pathology its treatment. The should be established analyzing medical history, clinical manifestations results ultrasound examination. Treatment mainly includes surgical conservative methods. Surgical treatment performed with cervical cerclage, while techniques include use vaginal progesterone insertion various types pessaries. This article summarizes potential risk factors associated great attention may useful future researches. Also, review literature considers modern methods understand cervix better. From a standpoint, consensus problematic issues presented accordance recently updated recommendations, practical importance, also important further deeper research on topical issue obstetrics.