Suture choice for cervical cerclage

Preterm birth is a global health-care problem that leads to significant neonatal morbidity and mortality, 1 Chawanpaiboon S Vogel JP Moller A-B et al. Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis. Lancet Glob Health. 2019; 7: e37-e46 Summary Full Text Full Text PDF PubMed Scopus (1384) Google Scholar results in suffering within families, and incurs considerable health-care costs. 2 Petrou S Yiu HH Kwon J Economic consequences of preterm birth: a systematic review of the recent literature (2009–2017). Arch Dis Child. 2019; 104: 456-465 Crossref PubMed Scopus (68) Google Scholar Cerclage is a surgical intervention in which the cervix is closed with the aim of preventing pregnancy loss or preterm birth. Indications for cerclage are varied, including short cervical length in a current pregnancy or history of preterm birth or cervical insufficiency. 3 Shennan A Story L Jacobsson B et al. FIGO good practice recommendations on cervical cerclage for prevention of preterm birth. Int J Gynecol Obstet. 2021; 155: 19-22 Crossref PubMed Scopus (19) Google Scholar Monofilament suture versus braided suture thread to improve pregnancy outcomes after vaginal cervical cerclage (C-STICH): a pragmatic randomised, controlled, phase 3, superiority trialMonofilament suture did not reduce rate of pregnancy loss when compared with a braided suture. Clinicians should use the results of this trial to facilitate discussions around the choice of suture thread to optimise outcomes. Full-Text PDF Open Access