Ethics/education| Volume 25, ISSUE 11, P333-335, November 2015

Cervical cerclage

Published:September 03, 2015DOI:


      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.


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      Further reading

        • Alfirevic Z.
        • Stampalija T.
        • Roberts D.
        • Jorgensen A.L.
        Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy (Review).
        Cochrane Database Syst Rev. 2012; (4)
        • Berghella V.
        • Mackeen D.
        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
        • Berghella V.
        • Rafael T.J.
        • Szychowski J.M.
        • Rust O.A.
        • Owen J.
        Cerclage for short cervix on ultrasonography in women with singleton gestations and previous preterm birth: a meta-analysis.
        Obstet Gynecol. 2011; 117: 663-671
        • Conde-Agudelo A.
        • Romero R.
        • Nicolaides K.
        • et al.
        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
      1. 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
        • Royal College of Obstetricians and Gynaecologists
        Cervical cerclage.
        (Green-top Guideline No. 60)2011
        • Simcox R.
        • Seed P.T.
        • Bennett P.
        • Teoh T.G.
        • Poston L.
        • Shennan A.H.
        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
        • To MS
        • Alfirevic Z.
        • Heath V.C.
        • et al.
        Cervical cerclage for prevention of preterm delivery in women with short cervix: randomized controlled trial.
        Lancet. 2004; 363: 1849-1853