BACKGROUND Our objective was to evaluate the use of cervical suture in cervical pregnancy. METHODS AND RESULTS All cases of cervical pregnancy diagnosed and treated in the gynaecological department at the Sheba Medical Center between 1994-2000 were included in the study. Eight such cases were diagnosed. The first four cases were treated medically. The last four cases (the study group) of cerv...

Cervical incompetence in the mare is widely recognized as a major cause of pregnancy failure. Failure to attain adequate closure during pregnancy is a key predisposing factor to ascending placentitis. In humans, cervical insufficiency is of major concern and can result in preterm birth and lateterm abortions, similar to observations in mares. Emerging clinical and laboratory-based evidence sugg...

Objective: To report the outcomes of rescue cervical cerclages performed at a single institution. Methods: A retrospective study was carried out at a single institution between 2006 and 2011. All patients presenting for cerclage placement were identified. From these patients, those undergoing rescue cerclage were studied. Results: 236 patients met inclusion criteria for cerclage placement. Of t...

OBJECTIVE To evaluate whether increasing body mass index (BMI) alters the efficacy of ultrasound-directed cerclage in women with a history of preterm birth. METHODS This was a planned secondary analysis of a multicenter trial in which women with a singleton gestation and prior spontaneous preterm birth (17 to 33 + 6 weeks' gestation) were screened for a short cervix by serial transvaginal ult...

OBJECTIVE Data published from the United States have demonstrated that the use of cervical cerclage has fallen in the period 1998-2013. This is in contrast to recommendations in Australia. We examined this trend using data from the Australian Institute of Health and Welfare (AIHW). STUDY DESIGN Retrospective population-based study. METHODS Data from the Australian Institute of Health and We...

Pregnancy outcome before and after insertion of transabdominal cervical cerclage is evaluated. The series also reports on the first cases of second pregnancies with the original suture left in situ. It is our view that transabdominal cervical cerclage should only be performed in units that have specialists in Perinatal Medicine.

(Int J Gynaecol Obstet. 2021;155:19–22) Cervical cerclage, a suture preventing dilation, is an intervention commonly used on women at increased risk of preterm birth and second-trimester fetal loss. Evidence-based recommendations derived from randomized controlled trials (RCTs) meta-analyses help determine which patients would benefit cervical cerclage. Pregnant with obstetric or gynecologic hi...

Cervical cerclage remains a proven method for the prevention of preterm birth caused by a ‘weak cervix’. However, there is controversy as regards the precise diagnosis and definition of ‘cervical incompetence’, the actual surgical technique, choice of suture material and number of sutures and ties to be made during the procedure. There is now emerging evidence that other alternatives to cervica...

OBJECTIVE To determine the relationship between high vaginal pro-inflammatory cytokines and cervical shortening in women at high risk of spontaneous preterm labor and to assess the influence of cervical cerclage and vaginal progesterone on this relationship. METHODS This prospective longitudinal observational study assessed 112 women with at least one previous preterm delivery between 16 and ...

BACKGROUND Cervical pregnancy, an uncommon variety of ectopic gestation is associated with high morbidity and adverse consequences for future fertility. Currently there are no specific recommendations for the best treatment of this entity. CASE A 35-year-old nullipara presented with 8 weeks of amenorrhea and painless brown discharge. The patient was diagnosed with cervical pregnancy with embr...