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Cervical cerclage is an established intervention for the management of pregnancies at high risk of preterm birth. Although studies exist to support its use in certain situations, particularly in singleton pregnancies, many questions such as adjunct therapies and efficacy in specific subgroups of high-risk women have not been fully elucidated. This review will assess the current evidence as well as areas where there is currently a paucity of data and an urgent requirement for further research.
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http://dx.doi.org/10.1111/1471-0528.17905 | DOI Listing |
Int J Surg Case Rep
September 2025
Department of Obstetrics and Gynaecology, Aga Khan Hospital, Dar es Salaam, Tanzania.
Introduction: Uterine fibroids are a common cause of infertility, and myomectomy remains a key surgical intervention to improve reproductive outcomes. However, the occurrence of an undetected pregnancy during myomectomy is rare and poses significant clinical risks.
Case Presentation: We report a 34-year-old woman, nulliparous with a history of secondary infertility and three first-trimester miscarriages.
J Obstet Gynaecol
December 2025
Obstetrical Department, Shijiazhuang Fourth Hospital, Shijiazhuang, China.
Background: Preterm birth is the leading cause of neonatal mortality and long-term health complications. Cervical cerclage (CC) represents a critical intervention for extending pregnancy duration and enhancing neonatal survival in patients diagnosed with cervical insufficiency. The aim of this study was to identify risk factors for preterm birth through a meta-analysis comparing outcomes between preterm and full-term deliveries following non-emergency CC.
View Article and Find Full Text PDFInt J Gynaecol Obstet
August 2025
Division of Minimally Invasive Gynecologic Surgery, Baylor College of Medicine, Houston, Texas, USA.
Arch Gynecol Obstet
August 2025
Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, West Gaoke Road 2699, Shanghai, 200092, China.
Purpose: To explore the safety and efficacy of cervical cerclage for asymptomatic twin pregnancies with a newly diagnosed short cervix between 24 and 27 weeks' gestation.
Methods: Eighty-six pregnant women with asymptomatic twin pregnancies and a newly diagnosed short cervix at 24-27 gestational weeks were divided into two groups based on receipt of ultrasound-indicated cerclage (UIC). The primary outcome was gestational age at birth.
Zhonghua Fu Chan Ke Za Zhi
August 2025
Department of Obstetrics, Women's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.
To investigate the clinical efficacy of cervical cerclage in singleton pregnancy with different degrees of short cervix. The clinical data of singleton pregnant women who underwent transvaginal ultrasound examination at 18-24 weeks of gestation and found cervical dilation with cervical length (CL) ≤20 mm, and without history of spontaneous preterm delivery or late abortion in Women's Hospital, Zhejiang University School of Medicine from January 2021 to September 2023 were collected and retrospectively analyzed. According to the case control matching, 78 pregnant women in the cerclage group and 78 women in the conservative treatment group were finally included.
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