Evidence map›Paper›PMID 40364708›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2025

Women's Pregnancy Experiences With a Transvaginal Cervical Cerclage: A Qualitative Study.

Stina Lou, Lotte Groth Jensen, Lea Kirstine Hansen, Niels Uldbjerg, Pernille Tine Jensen, Ingeborg Rytter Stenstrup, Puk Sandager, Rikke Bek Helmig, Julie Glavind

Abstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Stina LouCenter for Fetal Diagnostics, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID https://orcid.org/0000-0001-6177-5780
Lotte Groth JensenDEFACTUM - Public Health Research, Central Denmark Region, Aarhus, Denmark.
Lea Kirstine HansenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Niels UldbjergDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Pernille Tine JensenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Ingeborg Rytter StenstrupCenter for Fetal Diagnostics, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Puk SandagerCenter for Fetal Diagnostics, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Rikke Bek HelmigDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Julie GlavindDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID https://orcid.org/0000-0002-9856-6621

Funding

Axel Kastrup-Nielsens Memorial Fund 2023-0032Novo Nordisk Fonden NNF21OC0071037
6 · The paper itself

Abstract

objectiveTo investigate women's experiences of being pregnant with cervical cerclage and managing the risk of preterm birth.

designQualitative interview study.

settingDenmark. POPULATION: Women who had undergone transvaginal cervical cerclage (elective or emergency) in at least one pregnancy, regardless of outcome.

methodsSemi-structured, in-depth interviews with 21 women. The interviews lasted 42-90 min and were analysed using reflexive thematic analysis.

main outcome measuresA qualitative analysis of women's experiences.

resultsThree themes were identified. Navigating uncertain and conflicting information describes the women's experience of fear of pregnancy loss and their requests for information and professional guidance. Faced with contradictory advice regarding activity restriction, many adopted the most restrictive regimen in a 'better safe than sorry' approach. My baby, my body, my responsibility describes the women's sense of personal responsibility towards prolonging pregnancy (e.g., by bed rest) and their 'hyper-alertness' to any signs of impending birth. Though restricted activity weakened their bodies, it was described as a 'necessary price to pay'. Enduring bed rest describes the emotional and bodily burden of restricted activity, and the strategies developed to cope-such as establishing daily routines, setting short- and long-term goals, and drawing on support from partners and networks. Continuity of care with trusted healthcare professionals was described as essential to feeling safe and hopeful.

conclusionsCervical cerclage offers some reassurance, but women still carry a heavy sense of responsibility for preventing preterm birth through restricted activity. Clear and consistent information from healthcare professionals may help reduce some of this burden.

Indexed as

Cerclage, CervicalPremature BirthUterine Cervical IncompetenceAdultBed RestDenmarkFemaleHumansPregnancyQualitative ResearchYoung Adultactivity restrictioncervical cerclagemiscarriagepregnant womenpremature birthqualitative research

Identifiers

PMID40364708
PMCPMC12315079

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Registered trials

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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.