Cerclage doesn't prevent preterm birth


While it is true that having a shorter cervix is associated with preterm delivery, cervical cerclage with a Shirodkar suture makes no difference in the outcome, according to a randomized, controlled trial of more than 47,000 pregnant women in various countries.

Researchers randomized women with a cervix of 15 mm or less in length to receive either cervical cerclage or expectant management. The proportion of preterm deliveries before 33 weeks' gestation was similar in both groups: 22% in the cerclage group vs. 26% of controls. The procedure also did not reduce perinatal morbidity or mortality.

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.

Related Videos
Navigating menopause care: Expert insights from ACOG 2024 | Image Credit: mayo.edu.
raanan meyer, md
New data shows elinzanetant's efficacy in treating menopausal symptoms | Image Credit: uvahealth.com
Navigating vasomotor symptoms in breast cancer patients | Image Credit: menopausefoundationcanada.ca.
Fertility counseling for oncology patients | Image Credit: allhealthtv.com
Learning what women prefer in STI preventive care
Related Content
© 2024 MJH Life Sciences

All rights reserved.