'Rescue' cervical cerclage

Question 1

Do not offer ‘rescue’ cervical cerclage to women with

Answer 1

• Signs of infection
• Active vaginal bleeding
• Uterine contractions

Question 2

Consider ‘rescue’ cervical cerclage for women between 16+0 and 27+6 weeks of pregnancy with a dilated cervix and exposed, unruptured fetal membranes

Answer 2

• Take into account gestational age (being aware that the benefits are likely to be greater for earlier gestations) and the extent of cervical dilatation
• Discuss with a consultant obstetrician and consultant paediatrician