Preterm birth - prevention Pregnancy and Childbirth Preterm labour
Conditions
Interventions
The participants will be randomly allocated to the following three arms:
1. Low vaginal cervical cerclage
2. High vaginal cervical cerclage
3. Transabdo
Sponsors
King's College London (UK)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Previous second trimester miscarriage or preterm birth before 28 weeks' gestation despite having a low vaginal cerclage in place 2. Not yet pregnant or <14 weeks' pregnant
Exclusion criteria
Exclusion criteria: 1. Inability or unwillingness to give informed consent 2. Women under the age of 16
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Rate of delivery <32 weeks' gestation 2. Rate of neonatal death | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Serious operative complication rates 2. Complications of pre- and post-conception cerclages for high vaginal cerclages and transabdominal cerclages Duration of follow up: a maximum of 2 years | — |
Countries
United Kingdom
Outcome results
None listed