Cervical cerclage in twin pregnancy

Xiaowu Huang; S H Saravelos; Tin-Chiu Li; Rui Huang; Ruonan Xu; Qiaoyun Zhou; Ning Ma; Enlan Xia

doi:10.1016/j.bpobgyn.2019.06.001

Cervical cerclage in twin pregnancy

Best Pract Res Clin Obstet Gynaecol. 2019 Aug:59:89-97. doi: 10.1016/j.bpobgyn.2019.06.001. Epub 2019 Jul 4.

Authors

Xiaowu Huang¹, S H Saravelos², Tin-Chiu Li³, Rui Huang¹, Ruonan Xu¹, Qiaoyun Zhou¹, Ning Ma¹, Enlan Xia⁴

Affiliations

¹ Hysteroscopic Center, Fuxing Hospital, The Eighth Clinical Medical College, Capital Medical University, Beijing, China.
² IVF Unit, Hammersmith Hospital, Imperial College, London, UK.
³ Assisted Reproductive Technology Unite, Prince of Wales Hospital, The Chinese University of HongKong, HongKong.
⁴ Hysteroscopic Center, Fuxing Hospital, The Eighth Clinical Medical College, Capital Medical University, Beijing, China. Electronic address: xiaenlan@126.com.

PMID: 31331744
DOI: 10.1016/j.bpobgyn.2019.06.001

Abstract

Cervical cerclage in women with twin pregnancy is not routinely indicated but appears to be beneficial in subjects with a history of preterm birth or very short cervix or dilated cervix. There is a paucity of literature data regarding transabdominal or laparoscopic cervical cerclage (LCC) in twin pregnancy. It is uncertain whether LCC is more effective than transvaginal cerclage. Our own experience of 24 cases of LCC in twin pregnancy showed encouraging results. Further, well-planned studies are required to answer whether, when, and how cervical cerclage should be performed in women with twin pregnancy.

Keywords: Cervical cerclage; Cervical incompetence; Preterm delivery; Twin pregnancy.

Publication types

Review

MeSH terms

Cerclage, Cervical*
Cervix Uteri
Female
Humans
Infant, Newborn
Laparoscopy*
Pregnancy
Pregnancy Outcome
Pregnancy, Twin*
Premature Birth* / prevention & control