Abstract
Abstract Cervical insufficiency poses risks for premature birth and neonatal outcomes. Preoperative sonography aids in the diagnosis and therapeutic considerations. Cervical cerclage is effective but carries risks. In our case series, 8 cases failed to complete emergent cerclage, leading to adverse outcomes. Analysis of preoperative images revealed thicker cervixes and cervical strictures may affect the surgical outcomes. Larger studies are needed to determine the reliable cutoff values. Preoperative assessment is crucial to inform treatment decisions.
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