Cervical cerclage is a procedure performed to reduce the risk of preterm birth in certain high-risk pregnancies. Despite its wide spread use, there is much controversy over which circumstances cerclage is actually beneficial. One such difficult clinical scenario is a patient with a dilated cervix in the second trimester. In this 2014 publication in the European Journal of Obstetrics and Gynecology, we reported our experience with cerclage in a series of patients with singleton and twin pregnancies and a dilated cervix in the second trimester and demonstrated excellent outcomes in this group of patients.
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