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Updated: Jan 30, 2026
05:21
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
477
No. 373-Cervical Insufficiency and Cervical Cerclage
Richard Brown1, Robert Gagnon2, Marie-France Delisle3
1Beaconsfield, QC.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|January 15, 2019
Summary
This guideline helps clinicians identify women at high risk for cervical insufficiency and determine when cerclage procedures may be beneficial for preventing pregnancy loss.
Area of Science:
- Maternal-Fetal Medicine
- Obstetrics
- Gynecology
Background:
- Cervical insufficiency is a significant cause of mid-trimester pregnancy loss.
- Accurate risk assessment and appropriate intervention are crucial for improving pregnancy outcomes.
Purpose of the Study:
- To establish a framework for identifying women at high risk of cervical insufficiency.
- To guide clinicians on the appropriate use of cerclage in specific circumstances.
Main Methods:
- Comprehensive literature search of major databases (PubMed, Medline, CINAHL, Cochrane Library) up to June 2018.
- Inclusion of systematic reviews, RCTs, and observational studies.
- Inclusion of grey literature from health technology agencies and professional societies.
Main Results:
- The guideline provides criteria for risk stratification of cervical insufficiency.
- It outlines the indications and circumstances where cerclage may offer benefit.
Conclusions:
- This framework aims to optimize the use of cerclage for women at risk of cervical insufficiency.
- It supports evidence-based decision-making to improve pregnancy outcomes.
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