Predictive factors for emergency cervical cerclage efficacy in singleton and twin pregnancies: A retrospective cohort study.

ABSTRACT:

Introduction

An emergency (rescue, exam-indicated) cervical cerclage can be offered to pregnant women presenting with cervical dilatation and prolapsed fetal membranes in the second trimester of pregnancy due to suspected cervical insufficiency.

Material and methods

This study aimed to evaluate the efficacy of emergency cerclage in preventing extreme preterm birth in singleton and twin pregnancies, and to identify predictors of unsuccessful outcomes. We conducted a 15-year observational cohort study at a tertiary care center in the Netherlands, including all women who underwent emergency cerclage. Analyses were conducted for the total population and stratified by pregnancy type, with direct comparisons between singleton and twin pregnancies. Outcomes included gestational age

SUBMITTER: Hulshoff CC 

PROVIDER: S-EPMC12746203 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature