Cerclage for the Management of Cervical Insufficiency
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 .
KeywordsCervical insufficiency Painless dilation Preterm delivery Cerclage PTL
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