Cervical Insufficiency and Cervical Cerclage

doi:10.12280/gjszjk.20220405

Abstract

Abstract:

Cervical insufficiency is characterized by painless cervical dilatation and shortening in the second and third trimester of pregnancy, which is a common cause of recurrent second trimester loss or spontaneous preterm birth. Currently, there is no unified guideline for cervical insufficiency because the diagnosis criteria and pathogenesis are unclear. The transvaginal ultrasound for monitoring cervical length plays a guiding role in the treatment of cervical insufficiency. Cervical cerclage is a simple and effective treatment for the cervical insufficiency. According to the surgical methods, it can be divided into the transvaginal cervical cerclage and the transabdominal cervical cerclage. It also can be categorized based on surgical indications, such as the history-indicated cerclage, ultrasound-indicated cerclage, and emergency cerclage. The postoperative management and the optimal timing of suture removal of cervical cerclage should be individual.

Key words: Cervical insufficiency, Cervical length measurement, Cerclage, cervical, Abortion, spontaneous, Premature birth, Individual treatment

SU Jing, GAO Xiao-li, LI Zeng-yan. Cervical Insufficiency and Cervical Cerclage[J]. Journal of International Reproductive Health/Family Planning, 2022, 41(6): 514-518.

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