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Aims: This study aims to assess the impact of cervical cerclage on gestational and perinatal outcomes at a tertiary hospital, considering various surgical indications. Preterm labor (PTL) is a major cause of neonatal and perinatal morbidity and mortality, affecting about 15 million newborns globally each year. Cervical insufficiency (CI) contributes significantly to PTL, particularly in women with a history of spontaneous preterm births or second-trimester losses. This research examines how cervical cerclage, a standard treatment for CI, influences these outcomes. Study Design: This is an observational, analytical, retrospective cohort study based on documentary research. Place and Duration of Study: The study was conducted at a tertiary public hospital in Cascavel, Paraná, Brazil, from January 1, 2020, to March 20, 2024. Methodology: A database review was performed for pregnant women who received cervical cerclage using the McDonald technique. Participants were divided into three groups based on the indication for the procedure: obstetric history only, ultrasound only, and both. The study analyzed gestational and perinatal outcomes. Comparisons were made using ANOVA, Kruskal-Wallis, and Chi-square tests, with P 37 weeks), and the average pregnancy length post-cerclage was 21 weeks (IQR: 5.00). Additionally, 90.3% of neonatal outcomes were favorable. Conclusion: All three indications for cervical cerclage were associated with extended gestation, increased rates of full-term births, and favorable neonatal outcomes.
Ueda et al. (Mon,) studied this question.