Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Brain volumes in fetuses with congenital heart disease and placental vascular abnormalities.

Journal of perinatology : official journal of the California Perinatal Association·2026
Same author

Placental and Fetal Brain Volumes in Congenital Heart Disease Are Smallest Among Fetuses With Genetic Abnormalities.

Prenatal diagnosis·2025
Same author

Comparison of fetal abdominal circumference references for the prediction of small for gestational age.

American journal of obstetrics & gynecology MFM·2025
Same author

Spatiotemporal Angiogenic Patterns in the Development of the Mouse Fetal Blood-Brain Barrier System During Pregnancy.

International journal of molecular sciences·2025
Same author

Xylazine Positivity in Opioid-positive Drug Screens on an Inpatient Labor Unit.

Journal of addiction medicine·2024
Same author

The association between first trimester physical activity levels and perinatal outcomes.

American journal of obstetrics & gynecology MFM·2024
Same journal

Regenerative Cell and Cell-Free Therapies for Necrotizing Enterocolitis: Progress Toward Clinical Translation.

American journal of perinatology·2026
Same journal

WIC Participation and the Education-related Gap in Adverse Neonatal Outcomes: A Population-based Cohort Study.

American journal of perinatology·2026
Same journal

Low-Dose Aspirin Prophylaxis for Preeclampsia and the Risk of Postpartum Hypertensive Outcomes: A Propensity Score Analysis.

American journal of perinatology·2026
Same journal

Cystic Periventricular Leukomalacia in Preterm Infants: Clinical Risks, Heart Rate, and Oxygenation Patterns.

American journal of perinatology·2026
Same journal

International Consensus Curriculum and Competency Framework for Maternal Point-of-Care Ultrasound Training.

American journal of perinatology·2026
Same journal

From InSurE to MIST: A Quality Improvement Initiative in a Level IV NICU.

American journal of perinatology·2026
See all related articles

Related Experiment Video

Updated: May 24, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Cervical cerclage: one stitch or two?

Jennifer M Park1, Methodius G Tuuli, Melissa Wong

  • 1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, MO, USA. mcnamaraj@wudosis.wustl.edu

American Journal of Perinatology
|March 9, 2012
PubMed
Summary
This summary is machine-generated.

Routine placement of a second stitch during cervical cerclage increases stitch height but does not significantly reduce the risk of preterm birth before 35 weeks. Further research is needed to confirm efficacy.

More Related Videos

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
09:41

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Related Experiment Videos

Last Updated: May 24, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
09:41

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Area of Science:

  • Maternal-Fetal Medicine
  • Obstetrics
  • Surgical Innovation

Background:

  • Cervical cerclage is a procedure to prevent preterm birth.
  • The optimal technique for cerclage placement is not fully established.
  • Evaluating modifications to standard procedures is crucial for improving pregnancy outcomes.

Purpose of the Study:

  • To investigate if a two-stitch cervical cerclage technique enhances procedural efficacy compared to a single stitch.
  • To assess the impact of the number of cerclage stitches on preventing spontaneous preterm delivery.

Main Methods:

  • Retrospective cohort study analyzing 146 patients undergoing cervical cerclage.
  • Comparison of pregnancy outcomes between two-stitch and one-stitch cerclage groups.
  • Statistical analyses included univariable, multivariable, and Kaplan-Meier survival analyses.

Main Results:

  • The two-stitch cerclage was associated with increased median cerclage height (20 mm vs. 17 mm, p=0.008).
  • No significant difference was observed in spontaneous preterm delivery before 35 weeks' gestation (47.6% vs. 41.0%, adjusted OR 1.22, p=0.630).
  • Baseline characteristics were similar, with noted differences in prior cerclage history and multiple gestations.

Conclusions:

  • While a two-stitch approach to cervical cerclage can increase cerclage height, it may not offer improved efficacy in preventing preterm delivery.
  • The findings suggest current evidence does not support routine adoption of a two-stitch technique solely for efficacy enhancement.