Success rate and impacts of cervical cerclage on pregnancy outcomes: Single-center experience

Cervical cerclage represents the most controversial surgical procedure in the obstetric field, as it is still not accepted by many obstetricians around the world as an effective maneuver, while being considered by others as a fundamental treatment of women with a history of preterm birth, shortened cervix on ultrasound, and a history of cervical incompetence.

To assess the success rate and investigate the impacts of cervical cerclage on pregnancy outcomes.

It was a retrospective cohort study through the review of medical records of singleton women who underwent cervical cerclage at Al-Hada Armed Forces Hospital, Taif, throughout 2020-2024. Successful cervical cerclage was defined as a procedure accompanied by the delivery of live infants.

This study included 125 patients. The age of more than half of them (56.8%) ranged between 30 and 39 years. The majority of women (96.7%) had elective cervical cerclage, with a success rate of 89.2%. Younger maternal age (P = 0.038), 1-3 parity (P = 0.047), and higher gestational age at delivery (P < 0.001) were significantly associated with successful cervical cerclage. Almost half (50.8%) of women who underwent cervical cerclage stayed 3 days at the hospital, while neonatal complications were observed among 23.2% of the women.

High success rate of cervical cerclage has been reported, with few maternal complications. However, high neonatal complications were reported.