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Abstract Objective: To analyze the clinical characteristics and pregnancy outcomes of 184 pregnant women with cervical insufficiency (CI) who underwent transvaginal cervical cerclage (TVC) surgery, and to evaluate its effectiveness and clinical significance. Method: A retrospective analysis was conducted on the case data of 184 pregnant women who underwent vaginal cervical cerclage from January 2017 to December 2023, including gestational age, gestational frequency, parity, cerclage time, cervical length before cerclage, extended gestational weeks after cerclage, pregnancy outcome, and newborn condition. Firstly, based on the cervical length at the time of cerclage, they were divided into aResult: The gestational age, extended gestational age, newborn body weight, and newborn Apgar score (1 and 5 minutes) of the group with cervical length ≥ 2.0cm during cerclage were significantly higher than those of theConclusion: Pregnant women with a cervical length of ≥ 2.0cm during cerclage have better pregnancy outcomes than those with a cervical length of<2.0cm; Preventive cervical cerclage can improve the rate of full-term delivery and fetal survival; Emergency cerclage is a feasible remedial measure; Transvaginal cervical cerclage at 16-25 weeks of pregnancy can be an effective method to prolong pregnancy time.
Zhou et al. (Thu,) studied this question.