Effectiveness of emergency cerclage in cervical insufficiency

Abstract

Emergency cerclage is a valid therapeutic option between the 14th and 24th gestational week in presence of cervical insufficiency when signs of premature labour or infection are not present, with lower expectations with a dilatation greater than 5 cm.

The efficiency of emergency cerclage for the prevention of pregnancy losses and preterm labor

“…However, in cases where the procedure is not or cannot be done, high rate of pregnancy loss has been reported. [9][10][11][12][13] Ciavattini et al [9] compared the clinical characteristics of 19 cases that are on bed rest and 18 cases that underwent emergency cerclage, who all received diagnosis at similar weeks. They found that the interval period (16.8±7.9 weeks) up to delivery was significantly higher in the group which underwent emergency cerclage.…”

A Possible Immuno-Modulatory Action for Cervical Cerclage in Women at Risk for Preterm Labor.

“…Similarly, Wang et al (1) reported that CC showed more benefits for both maternal and neonatal outcomes than VP for women with asymptomatic short cervix and prior PTB history. Also, Ciavattini et al (15) found CC is a valid therapeutic option in presence of cervical insufficiency (CI) when signs of premature labor or infection are not present, with lower expectations of a dilatation >5 cm. Recently, in 2018, Sinkey et al (16) , documented that combination of CC with intramuscular progesterone resulted in similar PTB prevention to CC alone.…”

Nesa Days 2015, Conference Report

“…Obstetrics & Gynecology, Medical Center Yoseftal Hospital, Israel, discussed on emergency cerclage in bulging membrane -"to do or not to do" -as the leading question [87]. In his experience, during 18 years, 125 Cerclage have been done, 24 cases of Emergency Cerclage performed in second trimester, in eight cases with Bulging Membrane, the Cerclage was performed 4 days after rest from diagnosis.…”