Contemporary use of cervical cerclage

Clin Obstet Gynecol. 2007 Jun;50(2):468-77. doi: 10.1097/GRF.0b013e31804bddfd.


Although it was devised over 50 years ago, only recently controlled randomized trials have evaluated the efficacy of cervical cerclage. Cerclage was originally devised for women with both prior preterm birth (PTB) and cervical changes in the current pregnancy. Evidence suggests that transvaginal cerclage probably prevents second trimester loss/PTB in women with >or=3 PTB/second trimester loss (history-indicated cerclage best placed at 12 to 14 wk); and in women with a prior PTB 16 to 36 weeks and transvaginal ultrasound cervical length<25 mm in the current pregnancy (ultrasound-indicated cerclage at 14 to 23 6/7 wk).

Publication types

  • Review

MeSH terms

  • Cerclage, Cervical*
  • Female
  • Humans
  • Infant, Newborn
  • Physical Examination
  • Pregnancy
  • Pregnancy Outcome*
  • Premature Birth / prevention & control*
  • Premature Birth / surgery
  • Randomized Controlled Trials as Topic
  • Risk Assessment
  • Treatment Outcome
  • Uterine Cervical Incompetence / surgery*