abstract background: to compare pregnancy outcomes in women at risk for cervical incompetence after elective versus ultrasound- indicated cerclage. methods: in a prospective randomized tlial, singleton pregnancies with at least one previous spontaneous midtrimester loss or early preterm delivery (between 15 and 32 weeks' gestation) who met clinical crite1ia for the diagnosis of cervical in...

PURPOSE OF THE STUDY Twisting is clinically the most frequently applied method for tightening and maintaining cerclage fixation. The twisting procedure is controversially discussed. Several factors during twisting affect the mechanical behaviour of the cerclage. This in vitro study investigated the influence of different parameters of the twisting procedure on the fixation strength of the cercl...

OBJECTIVE The purpose of this study was to compare the outcomes of pregnancy after transabdominal cerclage versus after transvaginal cerclage in patients with a failed transvaginal cerclage during a previous pregnancy. STUDY DESIGN MEDLINE and EMBASE were searched in English. We included studies that reported perinatal and/or maternal outcomes in women who had a transabdominal cerclage or a t...

UNLABELLED This article reviews the use and effectiveness of emergency cerclage for women who present with a dilated cervix in the second trimester of pregnancy and seeks to identify predictors of favorable emergency cerclage outcomes. We searched PubMed and the Cochrane Library for the period January 1995 to April 2012 and used the terms "emergency cerclage," "emergency stitch," "rescue cercla...

OBJECTIVE To determine whether the degree of cervical lengthening after cerclage and whether serial follow-up measurements of cervical length after cerclage are predictive of pregnancy outcome. METHODS Eighty women whose primary physician determined that a prophylactic (n = 50) or urgent cerclage (n = 30) was indicated had transvaginal ultrasonographic evaluation before and after cerclage. Th...

OBJECTIVE The objectives were to assess whether anatomical location of ultrasound (USS) indicated cervical cerclage and/or the degree of cervical shortening (cervical length; CL) prior to and following cerclage affects the risk of preterm birth (PTB). METHOD A retrospective cohort study of 179 women receiving cerclage for short cervix (≤25mm) was performed. Demographic data, CL before and aft...

OBJECTIVES To look retrospectively at patients undergoing elective, ultrasound indicated and rescue cervical cerclage, examine the immediate pregnancy outcomes and compare them. DESIGN This was a retrospective observational study using the maternity and neonatal databank to identify patients having cervical cerclage between 1985 and 2009 inclusive. Data extracted included patient demographics...

OBJECTIVES To evaluate the effect of cervical cerclage on preventing preterm birth in twin pregnancies. METHODS We searched Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, Current Controlled Trials, China Biology Medicine (CBM), Chinese National Knowlegde Infrastructure (CNKI) and VIP Chinese Journal database (VIP) from April to August 2012. All available randomized...

 ABSTRACT Background: To compare pregnancy outcomes in women at risk for cervical incompetence after elective versus ultrasound- indicated cerclage. Methods: In a prospective randomized tlial, singleton pregnancies with at least one previous spontaneous midtrimester loss or early preterm delivery (between 15 and 32 weeks' gestation) who met clinical crite1ia for the diagnosis of cervical incomp...

OBJECTIVES To review and compare pregnancy outcomes of patients undergoing history-indicated, ultrasound-indicated, or rescue cerclage. DESIGN Case series with internal comparison. SETTING A regional obstetric unit in Hong Kong. PATIENTS Women undergoing cervical cerclage at Kwong Wah Hospital between 1 January 2001 and 31 December 2011. INTERVENTIONS Cervical cerclage. MAIN OUTCOME M...