Irish medical journal · 2026
Pregnancy outcomes in women with a surgically short cervix with no history of preterm birth.
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Fricke L T, Bartels H C, Corbett G, Lüthe L, Corcoran S
Аннотация
AIMS: Preterm birth is the leading cause for potentially lifelong morbidity and neonatal death. This study explores pregnancy outcomes for women with a surgically short cervix and no history of preterm birth.
METHODS: This was a single-centre prospective cohort study including 144 patients who attended a specialist preterm birth clinic in a tertiary referral maternity hospital between 2019 and 2023. Inclusion criteria were significant cervical surgical history and no history of preterm birth.
RESULTS: Among women with prior significant cervical surgical, those with a short cervical length (n=8/40, 20%) had a higher rate of preterm birth than women with a normal cervical length (n=7/104, 7%). Women with a short cervical length who had received a transabdominal cerclage were less likely to experience preterm birth (n=0/18, 0%) than if they did not have a transabdominal cerclage (n=5/22, 23%). Women with a normal cervical length could safely be managed conservatively.
CONCLUSION: Women with a short cervical length and no history of preterm birth may benefit from transabdominal cerclage. Where there is a history of significant cervical surgery but the cervical length remains normal, there is a high chance of a term birth. This study provides reassuring data to help counsel patients effectively.
METHODS: This was a single-centre prospective cohort study including 144 patients who attended a specialist preterm birth clinic in a tertiary referral maternity hospital between 2019 and 2023. Inclusion criteria were significant cervical surgical history and no history of preterm birth.
RESULTS: Among women with prior significant cervical surgical, those with a short cervical length (n=8/40, 20%) had a higher rate of preterm birth than women with a normal cervical length (n=7/104, 7%). Women with a short cervical length who had received a transabdominal cerclage were less likely to experience preterm birth (n=0/18, 0%) than if they did not have a transabdominal cerclage (n=5/22, 23%). Women with a normal cervical length could safely be managed conservatively.
CONCLUSION: Women with a short cervical length and no history of preterm birth may benefit from transabdominal cerclage. Where there is a history of significant cervical surgery but the cervical length remains normal, there is a high chance of a term birth. This study provides reassuring data to help counsel patients effectively.