Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies
  1. Home
  3. Against Recommending History Indicated Cerclage.
  1. Home
  3. Against Recommending History Indicated Cerclage.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Induction at 38 weeks for large-for-gestational-age or macrosomic fetuses decreases the incidence of cesarean delivery: meta-analysis of randomized controlled trials.

American journal of obstetrics & gynecology MFM·2026
Same author

Unpublished completed obstetric randomized clinical trials registered at ClinicalTrials.gov: how big is this issue?

American journal of obstetrics & gynecology MFM·2023
Same author

Per Oral Endoscopic Myotomy in pregnancy.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·2023
Same author

National and international guidelines on the management of twin pregnancies: a comparative review.

American journal of obstetrics and gynecology·2023
Same author

Myth busted: magnesium does not increase blood loss during cesarean delivery.

American journal of obstetrics & gynecology MFM·2023
Same author

What I want fellows to do: change the world!

American journal of obstetrics & gynecology MFM·2023
Same journal

The Case for History-Indicated Cerclage: A Patient-Centered Approach to Preventing Pregnancy Loss and Preterm Birth.

Clinical obstetrics and gynecology·2026
Same journal

Beyond the Pelvis: Central Sensitization, Chronic Pain Syndromes, and Their Impact on Chronic Pelvic Pain.

Clinical obstetrics and gynecology·2026
Same journal

Obstetric Care of Patients With Disabilities: Moving From Barriers to Best Practices.

Clinical obstetrics and gynecology·2026
Same journal

Best Practices for Obstetric Care of Physical Disabilities.

Clinical obstetrics and gynecology·2026
Same journal

Mind Matters: Integrating Psychological Insights Into Chronic Pelvic Pain Care.

Clinical obstetrics and gynecology·2026
Same journal

Best Practices in Obstetrics for Patients Who Are Nonspeaking.

Clinical obstetrics and gynecology·2026
See all related articles

Related Experiment Video

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Against Recommending History Indicated Cerclage.

Ilaria Paladino1,2, Vincenzo Berghella1

  • 1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA.

Clinical Obstetrics and Gynecology
|June 26, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Cerclage, a procedure to prevent preterm birth, is effective when indicated by ultrasound. History-indicated cerclage is reserved for specific high-risk cases based on prior pregnancy outcomes.

Keywords:
HICTVU CL surveillanceUIC

More Related Videos

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
03:30

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Related Experiment Videos

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
03:30

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Area of Science:

  • Maternal-Fetal Medicine
  • Obstetric Ultrasound
  • Surgical Obstetrics

Background:

  • Cerclage, developed by Shirodkar and McDonald, addresses second-trimester cervical changes.
  • Randomized controlled trial (RCT) data validate ultrasound-indicated cerclage (UIC).
  • Despite 70 years of research, evidence-based indications for history-indicated cerclage (HIC) remain limited.

Purpose of the Study:

  • To review the evidence-based indications for cerclage.
  • To outline current screening and management protocols for cerclage.
  • To emphasize the role of transvaginal ultrasound cervical length (TVU CL) in cerclage decision-making.

Main Methods:

  • Review of randomized controlled trials (RCTs) and clinical guidelines.
  • Analysis of indications for history-indicated cerclage (HIC) and ultrasound-indicated cerclage (UIC).
  • Description of transvaginal ultrasound cervical length (TVU CL) screening protocols.

Main Results:

  • History-indicated cerclage (HIC) is indicated for ≥3 spontaneous preterm births (SPTBs) or early second-trimester losses.
  • Ultrasound-indicated cerclage (UIC) is recommended for preterm birth <32 weeks.
  • Transvaginal ultrasound cervical length (TVU CL) screening is crucial for identifying candidates for UIC.

Conclusions:

  • Transvaginal ultrasound cervical length (TVU CL) screening should be standard for all patients.
  • Ultrasound-indicated cerclage (UIC) thresholds vary based on singleton/twin status and prior SPTB history.
  • Cerclage decisions should be guided by robust evidence and objective ultrasound measurements.