ArticleBMC pregnancy and childbirth2025
The efficacy of emergency cervical cerclage in singleton pregnancies at 26-27
Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Cervical Cerclage Performed at 24-32+0 Weeks in Twin Pregnancies: A Multicenter Descriptive Cohort Study.Medicina (Kaunas, Lithuania) · 2026Article
- Risk factors for preterm birth and prolonged pregnancy following cervical cerclage in women with cervical insufficiency: a retrospective analysis and predictive model.BMC pregnancy and childbirth · 2026Article
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9 authors.
Funding
Abstract
backgroundPresently, cervical cerclage is regarded as a valid method to treat cervical insufficiency, which could reduce late miscarriage and spontaneous preterm birth (sPTB). Nonetheless, the safety and effectiveness of emergency cervical cerclage (ECC) as a high-risk surgery still remains debatable when the cervix has dilated or the membranes protrude into the vagina during pregnancy at 26-27
objectiveTo estimate maternal and perinatal outcomes of ECC in singleton pregnancy at 26-27
methodsIn this multicenter retrospective cohort study, the study group comprised all singleton pregnancy without signs of labor or chorioamnionitis at 26-27
resultsFifty-four women underwent ECC (ECC group), while 114 were treated with expectant treatment (Control group). Demographic characteristics were similar in two groups. However, the pregnancy latency was significantly longer (66.21 vs 33.53 days, p < 0.001) and the GA at delivery was significantly higher (36 vs 30.45 weeks, p < 0.001) in ECC group compared with control group. The rates of sPTB at different GAs, as well as neonatal related indicators (live births only) also displayed noticeable difference between two groups (p < 0.001). For subgroup analysis, either cervical dilation ≥ 3cm or < 3 cm, ECC group both delineated later GA at delivery and better neonatal outcomes verse Control group (p < 0.05). After adjusting for confounding factors which were represented by a directed acyclic graph (DAG), there were significant differences in the GA at delivery (beta, 5.195; 95% CI, 3.818 - 8.572; p < 0.001), pregnancy latency (beta, 34.160; 95% CI, 17.799 - 50.522; p < 0.001), the rates of sPTB at < 28, < 30, < 32, < 34, < 36 weeks were all significantly lower than those in the control group (all p < 0.001), and neonatal birthweight was significantly increased (beta, 1007.427; 95%CI, 715.300 - 1299.554; p < 0.001), and the rates of 5-min Apgar > 7 was significantly higher in ECC group when compared with the control group, further indicated that ECC in singleton pregnancies with cervical dilation 0.5-4 cm in 26-27
conclusionIn singleton pregnant women with cervical dilation 0.5-4 cm at 26-27
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