Cervical cerclage: A review of current evidence

Danielle Abbott; Meekai To; Andrew Shennan

doi:10.1111/j.1479-828X.2012.01412.x

Cervical cerclage: A review of current evidence

Danielle Abbott^*, Meekai To, Andrew Shennan

^*Corresponding author for this work

Women & Children's Health

King's College Hospital

Research output: Contribution to journal › Literature review › peer-review

25 Citations (Scopus)

Abstract

Cervical cerclage is commonly used in the management of women considered to be at high risk of second-trimester loss and spontaneous preterm birth. Insertion is dictated by factors such as multiple pregnancy, uterine anomalies, a history of cervical trauma through destructive procedures or forced dilatation, and cervical shortening seen on transvaginal ultrasound examination. However, its use and efficacy in these different groups is highly controversial as there is contradiction in the results of individual studies and meta-analyses. This review examines the contemporary evidence on cervical cerclage and its current role in obstetrics.

Original language	English
Article number	N/A
Pages (from-to)	220-223
Number of pages	4
Journal	Australian and New Zealand Journal of Obstetrics and Gynaecology
Volume	52
Issue number	3
DOIs	https://doi.org/10.1111/j.1479-828X.2012.01412.x
Publication status	Published - Jun 2012

Keywords

cerclage
cervical suture
cervix
preterm
FAILED TRANSVAGINAL CERCLAGE
MCDONALD CERCLAGE
PRETERM DELIVERY
CONTROLLED-TRIAL
WOMEN
PREVENTION
LENGTH
SUTURE
BIRTH

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10.1111/j.1479-828X.2012.01412.x

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title = "Cervical cerclage: A review of current evidence",

abstract = "Cervical cerclage is commonly used in the management of women considered to be at high risk of second-trimester loss and spontaneous preterm birth. Insertion is dictated by factors such as multiple pregnancy, uterine anomalies, a history of cervical trauma through destructive procedures or forced dilatation, and cervical shortening seen on transvaginal ultrasound examination. However, its use and efficacy in these different groups is highly controversial as there is contradiction in the results of individual studies and meta-analyses. This review examines the contemporary evidence on cervical cerclage and its current role in obstetrics.",

keywords = "cerclage, cervical suture, cervix, preterm, FAILED TRANSVAGINAL CERCLAGE, MCDONALD CERCLAGE, PRETERM DELIVERY, CONTROLLED-TRIAL, WOMEN, PREVENTION, LENGTH, SUTURE, BIRTH",

author = "Danielle Abbott and Meekai To and Andrew Shennan",

year = "2012",

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doi = "10.1111/j.1479-828X.2012.01412.x",

language = "English",

volume = "52",

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T1 - Cervical cerclage

T2 - A review of current evidence

AU - Abbott, Danielle

AU - To, Meekai

AU - Shennan, Andrew

PY - 2012/6

Y1 - 2012/6

N2 - Cervical cerclage is commonly used in the management of women considered to be at high risk of second-trimester loss and spontaneous preterm birth. Insertion is dictated by factors such as multiple pregnancy, uterine anomalies, a history of cervical trauma through destructive procedures or forced dilatation, and cervical shortening seen on transvaginal ultrasound examination. However, its use and efficacy in these different groups is highly controversial as there is contradiction in the results of individual studies and meta-analyses. This review examines the contemporary evidence on cervical cerclage and its current role in obstetrics.

AB - Cervical cerclage is commonly used in the management of women considered to be at high risk of second-trimester loss and spontaneous preterm birth. Insertion is dictated by factors such as multiple pregnancy, uterine anomalies, a history of cervical trauma through destructive procedures or forced dilatation, and cervical shortening seen on transvaginal ultrasound examination. However, its use and efficacy in these different groups is highly controversial as there is contradiction in the results of individual studies and meta-analyses. This review examines the contemporary evidence on cervical cerclage and its current role in obstetrics.

KW - cerclage

KW - cervical suture

KW - cervix

KW - preterm

KW - FAILED TRANSVAGINAL CERCLAGE

KW - MCDONALD CERCLAGE

KW - PRETERM DELIVERY

KW - CONTROLLED-TRIAL

KW - WOMEN

KW - PREVENTION

KW - LENGTH

KW - SUTURE

KW - BIRTH

U2 - 10.1111/j.1479-828X.2012.01412.x

DO - 10.1111/j.1479-828X.2012.01412.x

M3 - Literature review

SN - 0004-8666

VL - 52

SP - 220

EP - 223

JO - Australian and New Zealand Journal of Obstetrics and Gynaecology

JF - Australian and New Zealand Journal of Obstetrics and Gynaecology

IS - 3

M1 - N/A

ER -

Cervical cerclage: A review of current evidence

Abstract

Keywords

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