Prematurity prevention: The role of cerclage

Current Opinion in Obstetrics and Gynecology

Volumn 21, Issue 2, 2009, Pages 148-152

  Daskalakis, George J ^a,b  

^a UNIVERSITY OF ATHENS   (Greece)

^b Department of Obstetrics and Gynecology ^*  (Greece)

Author keywords

Cervical cerclage; Cervical insufficiency; Cervical length; History; Physical examinationindicated cerclage; Preterm delivery; Ultrasound

Indexed keywords

CERCLAGE; CERVICAL LENGTH MEASUREMENT; HUMAN; PREMATURE LABOR; PREMATURITY; PRIORITY JOURNAL; REVIEW; SECOND TRIMESTER PREGNANCY; TREATMENT INDICATION; UTERINE CERVIX INCOMPETENCE;

CERCLAGE, CERVICAL; FEMALE; HUMANS; OBSTETRIC LABOR, PREMATURE; OBSTETRICS; PREGNANCY; PREGNANCY TRIMESTER, SECOND; PREMATURE BIRTH; RANDOMIZED CONTROLLED TRIALS AS TOPIC; RISK; ULTRASONOGRAPHY, PRENATAL; UTERINE CERVICAL INCOMPETENCE;

EID: 67649619856     PISSN: 1040872X     EISSN: None     Source Type: Journal    
DOI: 10.1097/GCO.0b013e3283294785     Document Type: Review

References (38)

1. Iams JD, Johnson FF, Sonek J, et al. Cervical competence as a continuum: a study of ultrasonographic cervical length and obstetric performance. Am J Obstet Gynecol 1995; 172:1097-1106.
2. Harger JH, Archer DF, Marchese SM, et al. Etiology of recurrent pregnancy loss and outcome of subsequent pregnancies. Obstet Gynecol 1983; 62:574-581.
3. Harger JH. Cerclage and cervical insufficiency: an evidence-based analysis. Obstet Gynecol 2002; 100:1313-1327.
4. Dor J, Shaley J, Mashiach S, et al. Elective cerclage suture of twin pregnancies diagnosed ultrasonically in the first trimester following induced ovulation. Gynecol Obstet Invest 1982; 13:55-60.
5. Lazar P, Gueguen S, Dreyfus J, et al. Multicentred controlled trial of cervical cerclage in women at moderate risk of preterm delivery. Br J Obstet Gynaecol 1984; 91:731-735.
6. Rush RW, Isaacs S, McPherson K, et al. A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery. Br J Obstet Gynaecol 1984; 91:724-730.
7. MRCOG Working Party on cervical cerclage. Final report of the Medical Research Council/Royal College of Obstetricians and Gynaecologists multicentre trial of cervical cerclage. Br J Obstet Gynaecol 1993; 100:516-523.
8. Althuisius SM, Dekker GA, Van Geijn HP, et al. Cervical incompetence prevention randomized cerclage trial (CIPRACT): study design and preliminary results. Am J Obstet Gynecol 2000; 183:823-829.
9. Iams JD, Goldenberg RL, Meis PJ, et al. The length of the cervix and the risk of spontaneous premature delivery. National Institute of Child Health and Human Development Maternal Fetal Medicine Unit Network. N Engl J Med 1996; 334:567-572.
10. Heath VC, Southall TR, Souka AP, et al. Cervical length at 23 weeks of gestation: prediction of spontaneous preterm delivery. Ultrasound Obstet Gynecol 1998; 12:312-317.
11. Hassan SS, Romero R, Berry SM, et al. Patients with an ultrasonographic cervical length ≤15mm have nearly a 50% risk of early spontaneous preterm delivery. Am J Obstet Gynecol 2000; 182:1458-1467.
12. Rust OA, Atlas RO, Reed J, et al. Revisiting the short cervix detected by transvaginal ultrasound in the second trimester: why cerclage therapy may not help. Am J Obstet Gynecol 2001; 185:1098-1105.
13. Althuisius SM, Dekker GA, Hummel P, et al. Final results of the cervical incompetence prevention randomized cerclage trial (CIPRACT): therapeutic cerclage with bed rest versus bed rest alone. Am J Obstet Gynecol 2001; 185:1106-1112.
14. Berghella V, Odibo AO, Tolosa JE. Cerclage for prevention of preterm birth in women with a short cervix found on transvaginal ultrasound examination: a randomized trial. Am J Obstet Gynecol 2004; 191:1311-1317.
15. To MS, Alfirevic Z, Heath VCF, et al. Cervical cerclage for prevention of preterm delivery in women with short cervix: randomised controlled trial. Lancet 2004; 363:1849-1853.
16. Berghella V, Odibo AO, To MS, et al. Cerclage for short cervix on ultrasonography: meta-analysis of trials using individual patient-level data. Obstet Gynecol 2005; 106:181-189.
17. Incerti M, Ghidini A, Locatelli A, et al. Cervical length ≤25mm in low-risk women: a case control study of cerclage with rest vs rest alone. Am J Obstet Gynecol 2007; 197:315e1-315e4.
18. Sakai M, Shiozaki A, Tabata M, et al. Evaluation of effectiveness of prophylactic cerclage of a short cervix according to interleukin-8 in cervical mucus. Am J Obstet Gynecol 2006; 194:14-19.
19. Hedriana H, Lanouette J, Haesslein H, et al. Is there value for serial ultrasonographic assessment of cervical lengths after a cerclage? Am J Obstet Gynecol 2008; 198:705.e1-705.e6. An interesting retrospective study, which related the cervical length above the cerclage to the risk of preterm delivery.
20. Althuisius SM, Dekker GA, Hummel P, et al. Cervical incompetence prevention randomized cerclage trial: emergency cerclage with bed rest versus bed rest alone. Am J Obstet Gynecol 2003; 189:907-910.
21. Daskalakis G, Papantoniou N, Mesogitis S, et al. Management of cervical insufficiency and bulging fetal membranes. Obstet Gynecol 2006; 107:221-226.
22. Pereira L, Cotter A, Gomez R, et al. Expectant management compared with physical examination-indicated cerclage (EM-PEC) in selected women with a dilated cervix at 14(0/7)-25(6/7) weeks: results from the EM-PEC international cohort study. Am J Obstet Gynecol 2007; 197:483.e1-486.e8.
23. Stupin J, David M, Siedentopf JP, et al. Emergency cerclage versus bed rest for amniotic sac prolapse before 27 gestational weeks. A retrospective, comparative study of 161 women. Eur J Obstet Gynecol Repr Biol 2008; 139:32-37.
24. Jorgensen A, Alfirevic Z, Tudur Smith C, et al. Cervical stitch (cerclage) for preventing pregnancy loss: individual patient data meta-analysis. BJOG 2007; 114:1460-1476. A meta-analysis of randomized trials on cerclage, which showed that the indication for cerclage and the maternal history did not influence the efficacy of the procedure.
25. Rebarber A, Roman AS, Istman N, et al. Prophylactic cerclage in the management of triplet pregnancies. Am J Obstet Gynecol 2005; 193:1193-1196.
26. Baxter J, Airoldi J, Berghella V. Short cervical length after a history-indicated cerclage: is a reinforcing cerclage beneficial? Am J Obstet Gynecol 2005; 193:1204-1207.
27. Benson RG, Durfee RD. Transabdominal cervicouterine cerclage during pregnancy for the treatment of cervical incompetence. Obstet Gynecol 1965; 25:145-155.
28. Fick A, Caughey A, Parer J. Transabdominal cerclage: can we predict who fails? J Mat Fet Neonat Med 2007; 21:63-67.
29. Debbs R, Dela Vega G, Pearson S, et al. Transabdominal cerclage after comprehensive evaluation of women with previous unsuccessful transvaginal cerclage. Am J Obstet Gynecol 2007; 197:317.e1-317.e4.
30. Liddell H, Lo C. Laparoscopic cervical cerclage: a series in women with a history of second trimester miscarriage. J Minim Invasive Gynecol 2008; 15:342-345.
31. Reid G, Wills H, Shukla A, et al. Laparoscopic transabdominal cervico-isthmic cerclage: a minimally invasive approach. Aust N Z J Obstet Gynecol 2008; 48:185-188.
32. Barmat L, Glaser G, Davis G, et al. Da Vinci-assisted abdominal cerclage. Fertil Steril 2007; 88:1437.e1-1437.e3.
33. Woensdregt K, Norwitz E, Cackovic M, et al. Effect of 2 stitches vs 1 stitch on the prevention of preterm birth in women with singleton pregnancies who undergo cervical cerclage. Am JObstetGynecol 2008; 198:396.e1-396.e7. A retrospective study on history and ultrasound indicated cerclage, which showed no benefit to the placement of two stitches over one stitch during cerclage.
34. Visintine J, Airoldi J, Berghella V. Indomethacin administration at the time of ultrasound-indicated cerclage: is there an association with a reduction in spontaneous preterm birth? Am J Obstet Gynecol 2008; 198:643.e1-643.e3. A retrospective study that found no benefit of indomethacin administration at the time of ultrasound-indicated cerclage.
35. Romero R, Gonzalez R, Sepulveda W, et al. Infection and labor. VIII. Microbial invasion of the amniotic cavity in patients with suspected cervical incompetence: prevalence and clinical significance. Am J Obstet Gynecol 1992; 167:1086-1091.
36. Gomez R, Romero R, Nien JK, et al. A short cervix in women with preterm labor and intact membranes: a risk factor for microbial invasion of the amniotic cavity. Am J Obstet Gynecol 2005; 192:678-689.
37. Svare JA, Schmidt H, Hansen BB, et al. Bacterial vaginosis in a cohort of Danish pregnant women: prevalence and relationship with preterm delivery, low birthweight and perinatal infections. BJOG 2006; 113:1419-1425.
38. Witt A, Berger A, Guber CJ, et al. Increased intrauterine frequency of ureaplasma urealyticum in women with preterm labor and preterm premature rupture of the membranes and subsequent cesarean delivery. Am J Obstet Gynecol 2005; 193:1663-1669.