Preterm labor - Cervical circlage

Provides a mechanical barrier to prevent untimely cervical dilatation, but decreasing of preterm labor is uncertain.
In high risk women serial cervical length measurements by TVS are performed between 12 to 24weeks and circlage is undertaken if indicated (cervix < 25mm).
Doing this can significantly reduce the need for circlage without having any adverse effect on perinatal outcome.
Women with encirclage in situ must be counseled to report if pain abdomen occurs, which may be due to premature uterine contractions or rupture of membranes.
In case of foul smelling vaginal discharge or vaginal bleeding also they have to report.
Circlage may need to be removed if the uterine contractions cannot be arrested with tocolytics, to prevent tearing and damage to the cervix.
 With preterm PROM also conservative management can be done, if there are no uterine contractions and no evidence of infection.
The circlage to be removed routinely around 37 weeks.

Preterm labor-etiologicalfactors
Preterm labor-pathogenesis and diagnosis
Preterm labor-investigations
Preterm labor-prediction
Preterm labor-complications
Preterm labor -prevention
Preterm labor-bacterialvaginosis
Preterm labor-progesterone.html
Preterm labor-cervical circlage
Pretem labor-management
Preterm labor-tocolytics
Preterm labor-with premature rupture of membranes