Analysis of the use of obstetric pessary and cervical cerclage in patients with cervical insufficiency

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Cervical insufficiency is the main point in the realization of premature birth. The issues of early diagnosis and correction of this condition remain unresolved today. This work is devoted to a comparative analysis of the course of pregnancy and perinatal outcomes in groups of women with cervical insufficiency, which was corrected by obstetric pessary and cervical cerclage against the background of intravaginal progestogens up to 34 weeks of gestation.

Sobre autores

Anna Romanovskaya

Saratov State Medical University named after V. I. Razumovsky

Email: annavictorovna@mail.ru
ORCID ID: 0000-0003-4736-2749

MD, Head of the Department of Obstetrics and Gynecology, Faculty of Medicine

Rússia, Saratov

Yulya Mysovskaya

Saratov State Medical University named after V. I. Razumovsky

Autor responsável pela correspondência
Email: yulya-mys@yandex.ru
ORCID ID: 0000-0002-0544-7886

Assistant Professor at the Department of Obstetrics and Gynecology, Faculty of Medicine

Rússia, Saratov

Alibek Classov

Saratov State Medical University named after V. I. Razumovsky

Email: mysovsk93@gmail.com

5th-year student at the Institute of Clinical Medicine
Rússia, Saratov

Bibliografia

  1. Society for Maternal-Fetal Medicine (SMFM) et al. Society for Maternal-Fetal Medicine Consult Series №65: Transabdominal cerclage. American journal of obstetrics and gynecology. 2023;228(6):2–10. doi: 10.1016/j.ajog.2023.02.018.
  2. Brown R., Gagnon R., Delisle M.F. No. 373-Cervical Insufficiency and Cervical Cerclage. Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada: JOGC. 2019;41(2):233–247. doi: 10.1016/j.jogc.2018.08.009.
  3. Ananth C.V., Vintzileos A.M. Medically indicated preterm birth: recognizing the importance of the problem. Clinics in perinatology. 2008;35(1):53-67. doi: 10.1016/j.clp.2007.11.001.
  4. Vyas N.A., Vink J.S., Ghidini A., Pezzullo J.C., Korker V., Landy H.J. et al. Risk factors for cervical insufficiency after term delivery. American Journal of Obstetrics and Gynecology. 2006;195(3):787–91. doi: 10.1016/j.ajog.2006.06.069.
  5. Wei M., Jin X., Li T.C., Yang C., Huang D., Zhang S. A comparison of pregnancy outcome of modified transvaginal cervicoisthmic cerclage performed prior to and during pregnancy. Archives of gynecology and obstetrics. 2018;297(3):645–652. doi: 10.1007/s00404-017-4636-x
  6. Barinov S.V., Artymuk N.V., Novikova O.N., Shamina I.V., Tirskaya Y.I., Belinina A.A. et al. Analysis of risk factors and predictors of pregnancy loss and strategies for the management of cervical insufficiency in pregnant women at a high risk of preterm birth. Journal of maternal-fetal and neonatal medicine. 2021;34(13):2071–2079. doi: 10.1080/14767058.2019.1656195
  7. Meng L., Öberg S., Sandström A., Wang C., Reilly M. Identification of risk factors for incident cervical insufficiency in nulliparous and parous women: a population-based case-control study. BMC Med. 2022;12;20(1):348. doi: 10.1186/s12916-022-02542-7.
  8. Mateus Nino J., Combs C.A., Davidson C. SMFM Patient Safety and Quality Committee. Electronic address: smfm@smfm.org. Society for Maternal-Fetal Medicine Special Statement: Checklists for transabdominal cerclage. American journal of obstetrics and gynecology. 2023;229(4):B2–B6. doi: 10.1016/j.ajog.2023.07.015
  9. Roman A., Suhag A., Berghella V. Overview of Cervical Insufficiency: Diagnosis, Etiologies, and Risk Factors. Clinical obstetrics and gynecology. 2016;59(2):237–40. doi: 10.1097/GRF.0000000000000184.
  10. Boelig R.C., Berghella V. Current options for mechanical prevention of preterm birth. Seminars in perinatology. 2017;41(8):452–460. doi: 10.1053/j.semperi.2017.08.003.

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Declaração de direitos autorais © Romanovskaya A.V., Mysovskaya Y.S., Classov A.M., 2025

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Este artigo é disponível sob a Licença Creative Commons Atribuição 4.0 Internacional.

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