Skip Navigation LinksHome > December 2009 - Volume 52 - Issue 4 > Contemporary Use of Cerclage in Pregnancy
Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3181beabaf
Surgical Intervention in Pregnancy

Contemporary Use of Cerclage in Pregnancy

DEBBS, ROBERT H. DO, FACOOG; CHEN, JANINE MD

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Abstract

Second trimester pregnancy loss and preterm delivery may be considered an obstetrical syndrome. A multifactorial approach to the diagnosis of true cervical insufficiency is paramount. Surgical modification of the cervix benefits those with at least 3 second trimester losses or preterm deliveries, those with 2 early second trimester losses when no other cause for loss is identified, and those with a previous second trimester loss or preterm birth with ultrasound findings of a short cervix defined as less than 25 mm. Multifetal pregnancies do not benefit from cerclage and causes harm in those with ultrasound or physical examination identified cervical changes.

© 2009 Lippincott Williams & Wilkins, Inc.

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