Cerclage for the Management of Cervical Insufficiency

  • Kate C. Arnold
  • Caroline J. Flint


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].


Cervical insufficiency Painless dilation Preterm delivery Cerclage PTL 


  1. 1.
    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.Google Scholar
  2. 2.
    American College of Obstetricians and Gynecologists. Practice bulletin no. 142: cerclage for the management of cervical insufficiency. Obstet Gynecol. 2014;123:372–9.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Kate C. Arnold
    • 1
  • Caroline J. Flint
    • 1
  1. 1.Department of OB/GYNUniversity of Oklahoma HSCOklahoma CityUSA

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