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Cervical cerclage: A review of current evidence
Author(s) -
Abbott Danielle,
To Meekai,
Shennan Andrew
Publication year - 2012
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2012.01412.x
Subject(s) - medicine , cervical cerclage , obstetrics , second trimester , cervical dilatation , pregnancy , cervical insufficiency , preterm delivery , gynecology , gestation , cervix , genetics , cancer , biology
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.