Does a stitch in time save lives? An update on the evidence for cervical cerclage in 2024

The potential therapeutic benefit of cervical cerclage for preventing pregnancy loss has been recognised for over 120 years; however, there remain many unanswered questions. There is considerable uncertainty  regarding who is most suitable or will benefit most from cerclage, what type of suture should be used, such as low vaginal, high vaginal or transabdominal sutures, and indeed the suture technique, as well as when alternative or adjunctive therapies may be employed. This review presents a summary of recent guidance, new evidence and expectations for ongoing research to inform understanding of the role of cervical cerclage in 2024 and beyond.

Source: Obstetrics, Gynaecology and Reproductive Medicine - April 3, 2024 Category: OBGYN Authors: Nicole Pilarski, R. Katie Morris, Victoria Hodgetts-Morton Tags: Spotlight Source Type: research