Treatment of cervical incompetence by cerclage and other methods has yet to be standardized, as its diagnosis is not uniformly accepted. Its diagnosis, particularly in the African setting, is mostly based on past obstetric history of pregnancy losses, while in developed centres; ultrasound diagnosis is increasingly being used. The mainstay of treatment in developing countries is cervical cercla...

THE ISSUE: Undeniably, the 2 major risk factors for preterm births, the bane of modern obstetrics, are history of spontaneous delivery 37 weeks and transvaginal cervical length 2.5 cm. A multicenter randomized clinical trial has evaluated the role of cerclage for women with these 2 risk factors and concluded that intervention is associated with improved outcomes. Despite the level I evidence fo...

Cervical insufficiency is seen in 0.1% 1% of all pregnancies and classical treatment involves vaginal cerclage. In some conditions, such as an extremely short, deformed or absent cervix, surgery needs to be done by transabdominal approach. We use a simplified technique for laparoscopic transabdominal cerclage compared to the technique described in previous studies. Furthermore, we give a review...

OBJECTIVES To study the fetal outcome with the use of McDonald cerclage and total cervical occlusion in women with recurrent mid-trimester miscarriages or preterm deliveries, as well as complications of total cervical occlusion in the women. METHODS Prospective descriptive observational study on patients with two or more mid-trimester miscarriages, deliveries before 36 weeks, or patients who ...

BACKGROUND Cervical incompetence is one of the main contributors to repeated pregnancy loss, accounting for approximately 25% of the cases. Typically it results in progressive cervical dilatation, leading to a painless second- or early-third-trimester abortion. OBJECTIVES The main objective of the study was to explore the benefit from cervical cerclage in pregnant women with anatomical cervic...

OBJECTIVE To assess the incidence rate of cervical incompetence diagnoses in Denmark 1980-1990 according to maternal age, to analyse regional variations, to investigate how often cerclage is applied, and finally to estimate abortion rates among women with cervical incompetence with and without cerclage. DESIGN A register-based retrospective cross section study. SETTING All Danish gynecologi...

BACKGROUND Several observational studies have claimed high success rates for cerclage in women with cervical insufficiency. A recent Cochrane review found no conclusive evidence of benefit, although significant heterogeneity was present for some of the important clinical outcomes. OBJECTIVES We undertook an individual patient data (IPD) meta-analysis to examine effect of cerclage on neonatal ...