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Emergency Cervical Cerclage
Magdalena Wierzchowska-Opoka1, Żaneta Kimber-Trojnar1, Bożena Leszczyńska-Gorzelak1
1Chair and Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin, Poland.
Journal of Clinical Medicine
|April 3, 2021
Summary
Emergency cerclage, an intervention for cervical insufficiency, effectively reduces preterm birth rates. This procedure improves newborn survival chances by prolonging gestation without elevating risks of infection or membrane rupture.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Recurrent pregnancy loss and preterm birth remain significant challenges in maternal healthcare.
- Cervical insufficiency, characterized by a weak cervix unable to sustain pregnancy, is a key contributor to these adverse outcomes.
Purpose of the Study:
- To review the efficacy of rescue sutures (emergency cerclage) for managing advanced cervical insufficiency during the second trimester.
Main Methods:
- Literature review of studies investigating emergency cerclage in pregnancies with premature cervical dilatation and fetal membrane protrusion.
Main Results:
- Emergency cerclage significantly reduces the rate of preterm birth in women with advanced cervical insufficiency.
- The procedure leads to prolonged gestational age and enhanced neonatal survival.
- No increased risk of chorioamnionitis or preterm premature rupture of membranes was observed.
Conclusions:
- Emergency cerclage is a valuable intervention for selected cases of cervical insufficiency.
- This treatment improves perinatal outcomes by preventing preterm delivery and its complications.
