Cervical cerclage in twin pregnancy

Publication date: Available online 4 July 2019Source: Best Practice & Research Clinical Obstetrics & GynaecologyAuthor(s): Xiaowu Huang, S.H. Saravelos, Tin-Chiu Li, Rui Huang, Ruonan Xu, Qiaoyun Zhou, Ning Ma, Enlan XiaAbstractCervical cerclage in women with twin pregnancy is not routinely indicated but appears to be beneficial in subjects with a history of preterm birth or very short cervix or dilated cervix. There is a paucity of literature data regarding transabdominal or laparoscopic cervical cerclage (LCC) in twin pregnancy. It is uncertain whether LCC is more effective than transvaginal cerclage. Our own experience of 24 cases of LCC in twin pregnancy showed encouraging results. Further, well-planned studies are required to answer whether, when, and how cervical cerclage should be performed in women with twin pregnancy.
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research