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Target Population: Obstetric care providers
Accurately diagnosing cervical insufficiency is often difficult, and the condition is identified often only after second-trimester pregnancy loss following painless cervical dilatation. Attempts to diagnose cervical insufficiency prior to expulsion of pregnancy have been thwarted by lack of specific diagnostic tools. ACOG has provided guidance to help determine which women are most likely to benefit from the classic treatment, cervical cerclage (placement of a suture to keep the cervix closed).
Indications for Cerclage
One or more previous second-trimester pregnancy losses c…