The Importance Of Emergency Tranvaginal Cervical Cerclage For Preventing Premature Birth: Literature Review

Abstract

Premature birth and recurrent late miscarriage are usually treated by vaginal cerclage. Of the three methods of preventing premature birth (drug tocolytic therapy, cervical cerclage and pessary), cerclage addresses asymptomatic women who have the three favoring factors: single pregnancy; previous spontaneous preterm birth; short cervical length (< 25 mm) before 24 weeks. The main benefits of cerclage refer to stopping recurrent premature birth before 35 weeks, reduction of perinatal mortality and significant reduction of neonatal morbidity. This article argues that emergency cerclage performed outside the standard indications for prolapse of amniochorial membranes through the external cervical orifice is an effective method for prolonging pregnancy and saving the fetus, allowing for improved perinatal prognosis.