ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2021
FIGO good practice recommendations on cervical cerclage for prevention of preterm birth.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Trial
- Pregnancy outcomes and prognostic factors after history- and ultrasound-indicated cerclage in women with cervical insufficiency and/or short cervix: A retrospective cohort study.European journal of obstetrics & gynecology and reproductive biology: X · 2026Article
- Cervical Cerclage Performed at 24-32+0 Weeks in Twin Pregnancies: A Multicenter Descriptive Cohort Study.Medicina (Kaunas, Lithuania) · 2026Article
- Pregnancy Outcomes of Cervical Cerclage in a Tertiary Care Centre: A Retrospective Study.Cureus · 2026Article
- Braided Polyester Sutures with Different Manufacturing Characteristics in Cervical Cerclage: A Pilot Study Comparing Obstetric Outcomes and Operative Characteristics.Journal of clinical medicine · 2026Article
- Dual-Targeted Nanotherapy Restores Redox Homeostasis and Suppresses Uterine Hypercontractility for Effective Preterm Birth Intervention.Advanced healthcare materials · 2026Article
- Clinical Characteristics Associated With Very Preterm Delivery Despite Transabdominal Cerclage: A Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026Observational
- Policy and advocacy considerations for the prevention and care of preterm birth.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Review
- Pregnancy outcomes after ultrasound- and physical examination-indicated cervical cerclage: a retrospective cohort study.Archives of gynecology and obstetrics · 2026Article
- Cervical Insufficiency Beyond Terminology: From Fixed Labels to Pregnancy-Specific Vulnerability in Personalized Maternal-Fetal Care.Journal of personalized medicine · 2026Article
- When belief drives practice: The case of cervical cerclage.Pregnancy (Hoboken, N.J.) · 2026Article
- Relative position of cerclage - an ultrasound marker for prediction of preterm birth.BMC pregnancy and childbirth · 2026Article
- Evaluation of Cervical Cerclage Timing and Perinatal Outcomes in Women with Cervical Insufficiency: A 10-Year Retrospective Study.Journal of clinical medicine · 2026Article
- Triage and care for women with symptoms or diagnosis of pregnancy loss between 14 + 0 and 21 + 6 weeks' gestation.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Neutrophil-to-lymphocyte ratio is associated with early cervical shortening after cerclage: a single-center cohort study integrating C-reactive protein.Frontiers in medicine · 2026Article
- Ultrasound-Indicated Versus Physical Examination-Indicated Cerclage in Twin Pregnancies Between 24 and 27 + 6 Weeks: An Exploratory Observational Analysis of Pregnancy and Neonatal Outcomes.Journal of pregnancy · 2026Observational
- Laparoscopic Cervical Cerclage Band Erosion into the Rectal Lumen Complicated by Recto-Uterine Fistula: A Case Report.International journal of women's health · 2026Article
- Ultrasound-indicated cerclage as a critical decision window in cervical insufficiency: a mini review of time-dependent risk interpretation.Frontiers in medicine · 2026Review
- Clinical management factors influencing gestational age prolongation and neonatal outcomes in second-trimester patients with cervical insufficiency: a retrospective study.BMC pregnancy and childbirth · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Cervical cerclage is an intervention which when given to the right women can prevent preterm birth and second-trimester fetal losses. A history-indicated cerclage should be offered to women who have had three or more preterm deliveries and/or mid-trimester losses. An ultrasound-indicated cerclage should be offered to women with a cervical length <25 mm if they have had one or more spontaneous preterm birth and/or mid-trimester loss. In high-risk women who have not had a previous mid-trimester loss or preterm birth, an ultrasound-indicated cerclage does not have a clear benefit in women with a short cervix. However, for twins, the advantage seems more likely at shorter cervical lengths (<15 mm). In women who present with exposed membranes prolapsing through the cervical os, a rescue cerclage can be considered on an individual case basis, taking into account the high risk of infective morbidity to mother and baby. An abdominal cerclage can be offered in women who have had a failed cerclage (delivery before 28 weeks after a history or ultrasound-indicated [but not rescue] cerclage). If preterm birth has not occurred, removal is considered at 36-37 weeks in women anticipating a vaginal delivery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.