www.AJOG.org

Editorials

Cerclage in twins: we can do better! Vincenzo Berghella, MD; Amanda Roman, MD

T

wins have a 50% rate of preterm birth (PTB) and 5 times higher risk of early death compared with singletons.1 Yet, we have no real interventions to prevent PTB in multiple gestations. Cerclage has been shown to be effective in preventing PTB in 3 populations, based on randomized controlled trial (RCT) data: (1) history-indicated: singletons with 3 or more early PTBs or second trimester losses in 107 randomized women;2 (2) ultrasound-indicated: singletons with prior spontaneous PTB and a short transvaginal ultrasound cervical length (TVU CL)

Cerclage in twins: we can do better!

Cerclage in twins: we can do better! - PDF Download Free
106KB Sizes 3 Downloads 4 Views