Abstract
Cervical insufficiency is commonly described as painless cervical dilation with subsequent delivery. Cerclages may be placed in three distinct settings: history-indicated, ultrasound-indicated, and physical examination-indicated. Cerclages are most commonly placed vaginally, however, abdominal cerclages may be needed if a vaginal approach is not possible or if the patient has a history of failed vaginal cerclage [1].
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Gabbe SG, Niebyl JR, Simpson JL, Landon MB, Galan HL, Jauniaux ERM, Driscoll DA. Obstetrics: normal and problem pregnancies. Chapter 27. 6th ed. Philadelphia, PA: Elsevier; 2012.
American College of Obstetricians and Gynecologists. Practice bulletin no. 142: cerclage for the management of cervical insufficiency. Obstet Gynecol. 2014;123:372–9.
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Arnold, K.C., Flint, C.J. (2017). Cerclage for the Management of Cervical Insufficiency. In: Obstetrics Essentials. Springer, Cham. https://doi.org/10.1007/978-3-319-57675-6_27
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DOI: https://doi.org/10.1007/978-3-319-57675-6_27
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