Abstract
Cervical cerclage for the prevention of preterm birth has been in use for over 60
years, however, evidence is still limited and conflicting regarding its benefit. This
article summarises the techniques and types of cerclage and provides an overview of
current evidence for history-indicated, ultrasound-indicated and emergency cerclage.
Keywords
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Further reading
- Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy (Review).Cochrane Database Syst Rev. 2012; (4)
- Cervical length screening with ultrasound-indicated cerclage compared with history-indicated cerclage for prevention of preterm birth: a meta-analysis.Obstet Gynecol. 2011; 118: 148-155
- Cerclage for short cervix on ultrasonography in women with singleton gestations and previous preterm birth: a meta-analysis.Obstet Gynecol. 2011; 117: 663-671
- Vaginal progesterone vs cervical cerclage for the prevention of preterm birth in women with a sonographic short cervix, previous preterm birth, and singleton gestation: a systematic review and indirect comparison metaanalysis.Am J Obstet Gynecol. 2013; 208: 42e1-42e6
- MRC/RCOG Working Party on Cervical Cerclage. Final report of the Medical Research Council/Royal College of Obstetricians and Gynaecologists multicentre randomised trial of cervical cerclage.Br J Obstet Gynaecol. 1993; 100: 516-523
- Cervical cerclage.(Green-top Guideline No. 60)2011
- A randomized controlled trial of cervical scanning vs history to determine cerclage in women at high risk of preterm birth (CIRCLE trial).Am J Obstet Gynecol. 2009; 200: 623e1-623e6
- Cervical cerclage for prevention of preterm delivery in women with short cervix: randomized controlled trial.Lancet. 2004; 363: 1849-1853
Article info
Publication history
Published online: September 03, 2015
Identification
Copyright
© 2015 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
