Neveu ME, et al. - The effectiveness of Fernandez' cervico-isthmic cerclage in subsequent pregnancies is reported in this study. The cervico isthmic cerclage utilizing the technique of Fernandez makes it possible to obtain subsequent pregnancies without further surgery with very satisfactory results in regards to neonatal survival.

Methods

• For this research, they designed a retrospective study.
• This study was conducted in the gynecologic department of two teaching hospitals from March 2002 to April 2014.
• The inclusion criterion was history of cervico-isthmic cerclage utilizing Fernandez's technique amid the previous pregnancy.
• This study received IRB approval number CEROG 2016-GYN-0302.

Results

• In this study, total 125 women underwent a definitive cervico-isthmic cerclage.
• They observed that the total percentage of neonatal survival after 14 weeks was 91% and the total percentage of neonatal survival after 24 weeks of gestation was 98.2%.
• Among these114 women, 33 desired a second pregnancy.
• Out of which 29 had a spontaneous pregnancy.
• The percentage of total neonatal survival rate after 14 weeks was 92.86% and the percentage of total neonatal survival after 24 weeks was 96.3%.
• Out of the 29 women with a second pregnancy, 5 women achieved a third pregnancy.
• The five births occurred after 37 weeks of gestation with a percentage of total neonatal survival of 100%.