Comparison of Elective Cervical Cerclage by Vaginal and Laparoscopic Transabdominal Routes in the Periconceptional Period for Patients with Unfavorable Obstetrical History

What this Trial Is About

Researchers are evaluating two surgical methods for elective cervical cerclage to prevent preterm delivery in women with a history of unfavorable obstetric outcomes. The study compares the vaginal route and the laparoscopic transabdominal route, both commonly used in clinical practice for this purpose. The goal is to understand differences in outcomes between these two approaches. Participants undergo either elective vaginal cervical cerclage or laparoscopic cerclage as part of their normal care. No additional study-specific visits are required. Data collection includes details such as gestational age at cerclage, parity, age, BMI, ethnicity, history of preterm deliveries, previous uterine or cervical surgeries, operative times, hospital stay duration, surgical complications, delivery details, infant birth weight, Apgar scores, newborn pH, and neonatal intensive care admissions. Participants provide informed consent during routine follow-up visits, and data are collected in a pseudo-anonymized manner. Researchers will compare outcomes over a period of up to 100 weeks, focusing on the effectiveness and safety of the two surgical techniques. The study involves women aged 18 to 44 years with a history of at least two preterm deliveries or second-trimester abortions who underwent elective prophylactic cervical cerclage.

Comparison of Cervical Cerclage by Vaginal and by Laparoscopic Transabdominal Routes in the Periconceptional Period