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Updated: Nov 16, 2025
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Amnioreduction with rescue cerclage at advanced cervical dilation or gestational age
Leslie K Proctor1, Stefania Ronzoni1,2, Nir Melamed1,2
1Department of Obstetrics and Gynaecology, University of Toronto, Toronto, Ontario, Canada.
Objective:
To determine the feasibility of rescue cerclage and amnioreduction at advanced cervical dilation or gestational age.
Methods:
We present a retrospective case series of women who underwent rescue cerclage at either an advanced gestational age (24 + 0 to 24 + 6 weeks) or cervical dilation (≥4 cm), with a subset undergoing amnioreduction prior to cerclage placement.
Results:
Nine women were included and amnioreduction was performed in 7 (78%). A bi-modal distribution of obstetric outcomes was observed, with 5 (56%) women delivering ≥34 weeks gestation, 3 (33%) of which delivered at term. Two (22%) women experienced intra-operative rupture of membranes and subsequent perinatal deaths. Two (22%) women delivered extremely premature, with one resulting in infant death.
Discussion:
Our data show that rescue cerclage with amnioreduction may be successful at advanced gestational ages or cervical dilations, suggesting that these women should be included in prospective studies to better establish the efficacy and safety of this procedure.
