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Review
. 2006 Jan;194(1):1-9.
doi: 10.1016/j.ajog.2005.12.002.

The role of cervical cerclage in obstetric practice: can the patient who could benefit from this procedure be identified?

Roberto Romero, Jimmy Espinoza, Offer Erez, Sonia Hassan
Review

The role of cervical cerclage in obstetric practice: can the patient who could benefit from this procedure be identified?

Roberto Romero et al. Am J Obstet Gynecol. 2006 Jan.

Abstract

This editorial critically examines the definition of "cervical insufficiency." The definition, the clinical ascertainment, efforts to develop an objective method of diagnosis, as well as the nature of cervical disease leading to spontaneous mid-trimester spontaneous abortion and preterm delivery are reviewed. The value and limitations of cervical sonography as a risk assessment tool for spontaneous preterm delivery are appraised. The main focus is on the role of cervical cerclage to prevent an adverse pregnancy outcome. The value of assessing the presence or absence of endocervical inflammation in the outcome of cerclage placement is discussed.

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Figures

Figure:
Figure:
The syndromic nature of a short cervix.
See this image and copyright information in PMC

Comment in

  • Inflammatory markers and selective cervical cerclage.
    Jain V. Jain V. Am J Obstet Gynecol. 2007 Jan;196(1):e32; author reply e32-3. doi: 10.1016/j.ajog.2006.05.030. Epub 2006 Jul 5. Am J Obstet Gynecol. 2007. PMID: 16824469 No abstract available.
  • References revisited.
    Althuisius SM, Hummel P. Althuisius SM, et al. Am J Obstet Gynecol. 2007 Aug;197(2):218; author reply 218-9. doi: 10.1016/j.ajog.2007.03.077. Am J Obstet Gynecol. 2007. PMID: 17689661 No abstract available.

Comment on

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