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February 28, 2026BMC Pregnancy and Childbirth1 citationsOpen Access

Relative Position of Cerclage as a Predictor for Preterm Birth

Relative position of cerclage – an ultrasound marker for prediction of preterm birth

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Authors

LKLaura van der KrogtLSLisa StoryASAndrew Shennan

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Overview

Retrospective cohort study evaluates relative position of cerclage and preterm birth risk in singleton pregnancies, suggesting its predictive value over other ultrasound metrics.

Key Points

  • The study aims to evaluate the relative position of transvaginal cerclage as a predictor of spontaneous preterm birth compared to other ultrasound parameters.
  • Conducted a retrospective cohort study of singleton pregnancies with transvaginal cerclage.
  • Collected demographic and ultrasound data to assess differences between preterm and term delivery.
  • Used Student’s t-test for continuous data and chi-squared test for categorical data.
  • Generated receiver operator curves to evaluate predictive performance.
  • 25% of women delivered preterm with a significant difference in relative position of cerclage (mean 0.41 vs. 0.52, p = 0.024).
  • Length above the cerclage was shorter in preterm births (mean 11 mm vs. 16 mm, p = 0.008).
  • Funnelling and amniotic fluid sludge were more likely in preterm deliveries after cerclage.
  • ROC analysis indicated good predictive ability for relative position (AUC 0.74) and length above cerclage (AUC 0.73).
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Cite This Study

Krogt et al. (2026) studied this question.

synapsesocial.com/papers/69a287570a974eb0d3c02ff7https://doi.org/10.1186/s12884-026-08872-1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prognostic Value of Post-Cerclage Transvaginal Ultrasound Parameters in Predicting Spontaneous Preterm Birth2025
  2. 2Cervical length following cerclage as a predictor of spontaneous preterm birth2026
  3. 3Clinical observation on 184 cases of transvaginal cervical cerclage2024
  4. 4Cerclage for singleton pregnancies with an extremely short cervix (≤10 mm) and no history of spontaneous preterm birth: A multisite observational study2026 · 2 citations
  5. 5Association between the timing of cervical cerclage placement and postoperative outcomes: A retrospective study2025