Cervical insufficiency - UpToDate

This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Select the option that best describes you Contributor Disclosures INTRODUCTION Cervical insufficiency can be defined as recurrent painless cervical dilation leading to second-trimester pregnancy losses. The American College of Obstetricians and Gynecologists' definition is "the inability of the uterine cervix to retain a pregnancy in the second trimester in the absence of clinical contractions, labor, or both" [1]. Although it may occur in a single pregnancy, the diagnosis is confirmed when it recurs in consecutive pregnancies. This topic will review issues related to diagnosis and management of patients with cervical insufficiency. Issues related to cerclage procedures for treatment of cervical insufficiency are discussed separately. (See "Transvaginal cervical cerclage" and "Transabdominal and laparoscopic cervicoisthmic cerclage".) PATHOGENESIS Structural cervical weakness is th

This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Select the option that best describes you Contributor Disclosures INTRODUCTION Cervical insufficiency can be defined as recurrent painless cervical dilation leading to second-trimester pregnancy losses. The American College of Obstetricians and Gynecologists' definition is "the inability of the uterine cervix to retain a pregnancy in the second trimester in the absence of clinical contractions, labor, or both" [1]. Although it may occur in a single pregnancy, the diagnosis is confirmed when it rec