Objective: To report the outcomes of rescue cervical cerclages performed at a single institution. Methods: A retrospective study was carried out at a single institution between 2006 and 2011. All patients presenting for cerclage placement were identified. From these patients, those undergoing rescue cerclage were studied. Results: 236 patients met inclusion criteria for cerclage placement. Of t...

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 ...

Women with a history of excisional treatment (conization) for cervical intra-epithelial neoplasia (CIN) are at increased risk of preterm birth, perinatal morbidity and mortality in subsequent pregnancy. We aimed to develop a screening model to effectively differentiate pregnancies post-conization into low- and high-risk for preterm birth, and to evaluate the impact of suture material on the eff...

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...

Abdominal cerclage is necessary when the more commonly used transvaginal cerclage fails or anatomical abnormalities of the cervix preclude transvaginal placement. The disadvantage of an abdominal approach is that the patient can expect 2 laparotomies during her pregnancy, one for cerclage placement and the other associated with cesarean delivery. We report on an abdominal cerclage removed lapar...

OBJECTIVE To compare pregnancy outcome after elective vs. ultrasound-indicated cervical cerclage in women at high risk of spontaneous mid-trimester loss or early preterm birth. METHODS This was a retrospective study comparing two management strategies in women with singleton pregnancies who had at least one previous spontaneous delivery at 16-33 weeks of gestation. One group was managed by th...

Received: 25.11.2009; Accepted: 13.09.2011 doi: 10.1016/S0377-1237(11)60107-X • Gravida2: Six years back, spontaneous abortion at 12 weeks gestation, managed at a civil hospital. • Gravida3: Five years back, spontaneous abortion at 20 weeks gestation, managed at a peripheral military hospital. • Gravida4: Four years back, transvaginal cerclage given, spontaneous abortion at 16 weeks gestation, ...

BACKGROUND A cervical stitch has been used to prevent preterm deliveries in women with previous second trimester pregnancy losses, or other risk factors such as short cervix on digital or ultrasound examination. OBJECTIVES To assess effectiveness and safety of prophylactic cerclage (before the cervix has dilated), emergency cerclage (where cervices have started to shorten and dilate) and then...

BACKGROUND We examined the obstetric outcomes of singleton vaginal deliveries in women with cerclage at our institute to confirm the risk of intrapartum cervical lacerations in vaginal deliveries of women with cerclage. METHODS Data on all Japanese singleton vaginal deliveries at ≥ 34 weeks' gestation managed at the Japanese Red Cross Katsushika Maternity Hospital between 2008 and 2014 were c...

Cervical incompetence is often associated with mid trimester pregnancy losses and preterm labour. cervical cerclage to prevent miscarriage and preterm labour is practiced world wide. The objective of this study was to document the feto-maternal outcome following cervical cerclage for cervical incompetence. The study reviewed all case files of pregnant women who had cervical cerclage for cervica...