Successful pregnancy outcome after pre-pregnancy transabdominal cerclage in a patient with cervical insufficiency

Presently, recurrent miscarriage remains an urgent medical and social problem. This pathology affects the female reproductive function and consequently leads to a decrease in the birth rate. The etiology of recurrent miscarriage is frequently attributed to cervical insufficiency. This condition is associated with spontaneous abortion and early preterm birth, which significantly increases perinatal mortality and morbidity of newborns in the early neonatal period.

This paper presents a case of full-term pregnancy after laparoscopic transabdominal cerclage at the pre-pregnancy stage. The patient complained of recurrent miscarriage, having had a history of three pregnancies that ended in spontaneous abortion in the second trimester. All pregnancies were associated with cervical insufficiency. In view of the burdened obstetric history, the patient underwent laparoscopic transabdominal cerclage. The patient completed this pregnancy and was delivered by cesarean section at 39 weeks of gestation. The postpartum period was uneventful, and the woman and baby were discharged home on day 5.

The treatment of miscarriage requires an individualized approach. For patients with recurrent episodes of asymptomatic cervical shortening, laparoscopic transabdominal cerclage is an effective method that facilitates full-term pregnancy.