Against Recommending History Indicated Cerclage.
Publication/Presentation Date
12-1-2026
Abstract
Cerclage was originally devised by Shirodkar and McDonald for individuals who develop cervical changes in the second trimester. RCT data have confirmed the efficacy of ultrasound-indicated cerclage (UIC). After 70 years of research, the only evidence-based indications for history-indicated cerclage (HIC) are ≥3 early spontaneous preterm births (SPTBs) or early second-trimester losses, and UIC followed by preterm birth < 32 weeks. All patients should undergo transvaginal ultrasound cervical length (TVU CL) screening, with UIC considered if the TVU CL shortens before 24 weeks to ≤20 mm in singletons without prior SPTB, ≤25 mm with prior SPTB, or ≤15 mm in twins.
Volume
69
Issue
4
First Page
466
Last Page
471
ISSN
1532-5520
Published In/Presented At
Paladino, I., & Berghella, V. (2026). Against Recommending History Indicated Cerclage. Clinical obstetrics and gynecology, 69(4), 466–471. https://doi.org/10.1097/GRF.0000000000001029
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
42359900
Department(s)
Administration and Leadership
Document Type
Article