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Cervical Cerclage as a Rescue Procedure after Progesterone Failure in Women with Progressive Cervical Shortening.

Cervical Cerclage as a Rescue Procedure for prevention of pre-term labor after Progesterone Failure in Women with Progressive Cervical Shortening.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12615000209594
Enrollment
500
Registered
2015-03-04
Start date
2011-06-01
Completion date
2013-08-01
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

pregnant women were screened by trans- vaginal sonography for cervical length. Women with short cervix received vaginal progesterone 200 mg for prevention of pre-term labor. women with progressive shortening despite of progesterone had cervical cerclage done. All screened women were followed till the end of pregnancy and gestational age at delivery recorded.

Interventions

Transvaginal sonographic screening to measure cervical length was done.Cases with sonographically detected short cervix during mid-trimester of pregnancy were given vaginal progesterone 200 mg/day and followed up weekly for cervical length for 4 weeks. Adherence to treatment is confirmed only by patients' verbal confirmation. If progressive shortening was detected; Mcdonald cervical cerclage suture was placed. The procedure is a 10 minutes procedure done under general anaesthesia in which a syn

Transvaginal sonographic screening to measure cervical length was done.Cases with sonographically detected short cervix during mid-trimester of pregnancy were given vaginal progesterone 200 mg/day and followed up weekly for cervical length for 4 weeks. Adherence to treatment is confirmed only by patients' verbal confirmation. If progressive shortening was detected; Mcdonald cervical cerclage suture was placed. The procedure is a 10 minutes procedure done under general anaesthesia in which a synthetic band is inserted and tied around the cervix as high as possible to close internal cervical os.

Sponsors

Elsayed Elbadawy Awad
Lead SponsorIndividual

Study design

Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Prevention
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
20 Years to 35 Years
Healthy volunteers
Yes

Inclusion criteria

nulliparous women, singleton pregnancy, spontaneously conceived, not on medications, not diabetic or hypertensive.

Exclusion criteria

previous history of pre-term labor, abnormal sonographic findings like polyhydramnios, placenta previa or fetal anomalies.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026