Evidence map›Paper›PMID 42630865›Full record

ArticleCase reports in obstetrics and gynecology2026

Successful Late Emergency Cerclage for Painless Cervical Dilation in Triplet Gestation.

Zagdon Keidar Shir, Spiegel Efrat, Silberstein Tali

Abstract read
In one paragraph

Article in Case reports in obstetrics and gynecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Zagdon Keidar ShirDepartment of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel, bgu.ac.il.ORCID https://orcid.org/0009-0003-5567-7406
Spiegel EfratDepartment of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel, bgu.ac.il.ORCID https://orcid.org/0000-0001-9154-1619
Silberstein TaliDepartment of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel, bgu.ac.il.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The efficacy of emergency cerclage placement in triplet pregnancies remains controversial. This case describes a favorable outcome following such an intervention in prolonging gestation and improving neonatal outcomes in high-risk multiple gestations complicated by cervical insufficiency. Case Presentation: We report a bichorionic triamniotic (BCTA) triplet pregnancy in a primigravida admitted at 21 + 5 weeks gestation with asymptomatic cervical dilation and bulging membranes. After thorough counseling regarding risks and benefits, an emergency McDonald cerclage was placed at 22 + 4 weeks. The pregnancy was prolonged until 29 + 3 weeks, when the patient underwent cesarean delivery of three healthy neonates following preterm premature rupture of membranes and suspected chorioamnionitis. Informed consent was obtained from the patient for publication. Discussion: Despite the inherent risks, emergency cerclage may be considered in highly selected triplet pregnancies with cervical insufficiency. This case underscores the importance of individualized decision-making and may contribute to the existing literature and generate hypotheses for future research.

Indexed as

asymptomatic cervical dilationemergency cerclagetriplet pregnancy

Identifiers

PMID42630865
PMCPMC13494658

What OpenQuestion holds

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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.