The role of cervical cerclage in obstetric practice: Can the patient who could benefit from this procedure be identified?

Roberto Romero, Jimmy Espinoza, Offer Erez, Sonia Hassan

Research output: Contribution to journalEditorial

124 Scopus citations

Abstract

This editorial critically examines the definition of "cervical insufficiency." The definition, the clinical ascertainment, efforts to develop an objective method of diagnosis, as well as the nature of cervical disease leading to spontaneous mid-trimester spontaneous abortion and preterm delivery are reviewed. The value and limitations of cervical sonography as a risk assessment tool for spontaneous preterm delivery are appraised. The main focus is on the role of cervical cerclage to prevent an adverse pregnancy outcome. The value of assessing the presence or absence of endocervical inflammation in the outcome of cerclage placement is discussed.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalAmerican Journal of Obstetrics and Gynecology
Volume194
Issue number1
DOIs
StatePublished - 1 Jan 2006
Externally publishedYes

Keywords

  • Cervical cerclage
  • Cervical insufficiency
  • Incompetent cervix
  • Prematurity
  • Preterm delivery

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