Midtrimester miscarriage or preterm birth due to cervical incompetence Pregnancy and Childbirth Maternal care for cervical incompetence
Conditions
Interventions
Cerclage can occur at any gestation between 14-20 weeks as long as it is performed as an elective procedure.The Monofilament non-braided suture used will be a looped Nylon and the Multifilament braide
Sponsors
Birmingham Women's Hospital (UK)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. All women (>17 years) with a singleton pregnancy and a valid indication for cervical cerclage, as per Royal College of Obstetricians and Gynaecologists (RCOG) guidance, as follows: 1.1. History of three or more previous mid trimester losses or premature (<28 weeks) births. 1.2. Had cervical sutures in previous pregnancies 1.3. History of mid-trimester loss or premature delivery with a shortened cervix on ultrasound scan (<25mm) 1.4. Deemed at risk of preterm labour at the clinicians discretion (e.g. radical trachelectomy)
Exclusion criteria
Exclusion criteria: 1. Women who are unable or unwilling to give informed consent 2. Multiple pregnancy 3. Women under the age of 17 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Live birth rate | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Gestation at delivery 2. Mode of delivery 3. Length of stay in neonatal unit | — |
Countries
United Kingdom
Outcome results
None listed