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Updated: Aug 22, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Purpose:
The purpose of this document is to provide evidence-based indications, surgical techniques, alternatives, and management strategies for cervical cerclage in pregnancy.
Target Population:
Patients with an indication for cervical cerclage, including cervical insufficiency, prior obstetric history, and cervical shortening.
Methods:
This guideline was developed using an a priori protocol in conjunction with a writing team consisting of three maternal-fetal medicine subspecialists appointed by the American College of Obstetricians & Gynecologists' (ACOG's) Committee on Clinical Practice Guidelines-Obstetrics. ACOG medical librarians completed a comprehensive literature search for primary literature within Cochrane Library, Cochrane Collaboration Registry of Controlled Trials, EMBASE, PubMed, and MEDLINE. Studies that moved forward to the full-text screening stage were assessed by the writing team based on standardized inclusion and exclusion criteria. Included studies underwent quality assessment, and a modified GRADE (Grading of Recommendations Assessment, Development and Evaluation) evidence-to-decision framework was applied to interpret and translate the evidence into recommendation statements.
Recommendations:
This Clinical Practice Guideline provides recommendations for cervical cerclage indications, surgical approach, and management, as well as alternative therapies. Recommendations are classified by strength and evidence quality.
