Abstract
Cervical insufficiency, a condition marked by premature cervical dilation, poses a significant risk for preterm birth and second-trimester pregnancy loss. This review systematically evaluates the effectiveness of cervical cerclage and its alternatives in managing cervical insufficiency to improve perinatal outcomes. The study’s objective is to analyze various techniques, including single and double cerclage, elective versus emergency interventions, and non-surgical alternatives such as the cervical pessary and vaginal progesterone. A systematic literature review was conducted using databases such as PubMed, Scopus, and Embase, focusing on studies from the last 10 years. Of the 50 articles reviewed, 26 met the inclusion criteria and provided quantitative or qualitative data on perinatal outcomes and complications. The findings underscore the importance of personalized intervention methods, revealing that certain techniques may be more effective in high-risk populations. This review contributes to both clinical and theoretical discussions, emphasizing early intervention and tailored treatment plans. Further research should include diverse populations and examine long-term neonatal outcomes. Limitations of the study include potential selection bias and language restrictions.
Published Version
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