Background: The pregnancy outcome following cervical cerclage for women with cervical incom- petence is generally favourable. However, the outcome for emergency cerclage is less favourable. Methodology: A retrospective analysis of the case notes of pregnant women who underwent emergency cervical cerclage from January 2007 until December 2010 at Garkuwa Hospital and Sheehan Hospital was performed. Results: There were a total of 56 cases of cervical cerclage com- prising 46 elective and 10 emergency cervical cerclage respectively. The procedure prolonged pregnancy in all the patients with the mean duration of 38 days. The outcome for emergency cer- clage was 3 stillbirths (IUFD) and 7 live births (6 survived with 1 early neonatal death). Neonatal outcome was good if the initial cervical dilatation was 4 cm or less. Conclusion: Favourable out- comes should be expected in carefully selected cases and all patients should be informed of the survival rates before undergoing this procedure.