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Updated: Jan 23, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Emergency cerclage: gestational and neonatal outcomes
Maíra Marinho Freire Costa1, Antonio Gomes de Amorim Filho1, Mônica Fairbanks de Barros1
1Department of Obstetrics and Gynecology, University of São Paulo Medical School, São Paulo, Brasil.
Emergency cerclage significantly improves pregnancy outcomes for women with early cervical dilation. This intervention leads to longer latency periods and reduced fetal death rates compared to expectant management.
Area of Science:
- Maternal-Fetal Medicine
- Obstetrics
- Perinatal Outcomes
Background:
- Early cervical dilatation presents a high risk for preterm birth.
- Evaluating emergency cerclage versus expectant management is crucial for optimizing outcomes.
Purpose of the Study:
- To compare gestational and neonatal outcomes in women with early cervical dilatation treated with emergency cerclage versus expectant management and bed rest.
Main Methods:
- Retrospective analysis of pregnant women (2001-2017) with 1-3 cm cervical dilatation and/or bulging membranes.
- Inclusion criteria: singleton pregnancy, no fetal malformations, gestational age 16-25 weeks 6 days.
- Exclusion criteria: delivery or miscarriage within 2 days of admission.
Main Results:
- The cerclage group (19 patients) showed significantly higher gestational age at delivery (28.7 vs. 23.3 weeks) and longer latency (48.6 vs. 16 days).
- Fetal death rate was substantially lower in the cerclage group (5.3% vs. 54.5%).
- No significant difference in gestational age at delivery for live newborns between groups (29.13 vs. 27.4 weeks).
Conclusions:
- Emergency cerclage is associated with improved pregnancy duration and reduced fetal mortality in cases of early cervical dilatation.
- Cerclage offers a significant benefit in prolonging latency and improving survival rates.
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