CERVICAL CERCLAGE

Course overview

CERVICAL CERCLAGE IS PERFORMED AS AN ATTEMPT TO PROLONG PREGNANCY IN CERTAIN WOMEN WHO ARE AT HIGHER RISK OF PRETERM DELIVERY. CERCLAGE PLACEMENT MAY BE INDICATED BY A HISTORY OF CERVICAL INSUFFICIENCY OR BY CERTAIN SONOGRAPHIC OR PHYSICAL EXAM FINDINGS IN A CURRENT PREGNANCY. THE MCDONALD AND SHIRODKAR TECHNIQUES, OR MODIFICATIONS THEREOF, ARE THE MOST COMMONLY USED METHODS FOR PLACING A CERCLAGE. THIS ACTIVITY REVIEWS THE INDICATIONS, CONTRAINDICATIONS, AND TECHNIQUES FOR PERFORMING A CERVICAL CERCLAGE AND HIGHLIGHTS THE ROLE OF THE INTERPROFESSIONAL TEAM IN EVALUATING, TREATING, AND MANAGING PATIENTS WHO ARE CANDIDATES FOR THIS PROCEDURE.