{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T15:56:09Z","timestamp":1787586969556,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:00:00Z","timestamp":1747180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009708","name":"Novo Nordisk Fonden","doi-asserted-by":"publisher","award":["NNF21OC0071037"],"award-info":[{"award-number":["NNF21OC0071037"]}],"id":[{"id":"10.13039\/501100009708","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate women's experiences of being pregnant with cervical cerclage and managing the risk of preterm birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative interview study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Denmark.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women who had undergone transvaginal cervical cerclage (elective or emergency) in at least one pregnancy, regardless of outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured, in\u2010depth interviews with 21 women. The interviews lasted 42\u201390\u2009min and were analysed using reflexive thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>A qualitative analysis of women's experiences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three themes were identified. <jats:italic>Navigating uncertain and conflicting information<\/jats:italic> describes the women's experience of fear of pregnancy loss and their requests for information and professional guidance. Faced with contradictory advice regarding activity restriction, many adopted the most restrictive regimen in a \u2018better safe than sorry\u2019 approach. <jats:italic>My baby, my body, my responsibility<\/jats:italic> describes the women's sense of personal responsibility towards prolonging pregnancy (e.g., by bed rest) and their \u2018hyper\u2010alertness\u2019 to any signs of impending birth. Though restricted activity weakened their bodies, it was described as a \u2018necessary price to pay\u2019. <jats:italic>Enduring bed rest<\/jats:italic> describes the emotional and bodily burden of restricted activity, and the strategies developed to cope\u2014such as establishing daily routines, setting short\u2010 and long\u2010term goals, and drawing on support from partners and networks. Continuity of care with trusted healthcare professionals was described as essential to feeling safe and hopeful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Cervical cerclage offers some reassurance, but women still carry a heavy sense of responsibility for preventing preterm birth through restricted activity. Clear and consistent information from healthcare professionals may help reduce some of this burden.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.18218","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:49:34Z","timestamp":1747194574000},"page":"1481-1488","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Women's Pregnancy Experiences With a Transvaginal Cervical Cerclage: A Qualitative Study"],"prefix":"10.1111","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6177-5780","authenticated-orcid":false,"given":"Stina","family":"Lou","sequence":"first","affiliation":[{"name":"Center for Fetal Diagnostics, Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"DEFACTUM \u2013 Public Health Research Central Denmark Region  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lotte Groth","family":"Jensen","sequence":"additional","affiliation":[{"name":"DEFACTUM \u2013 Public Health Research Central Denmark Region  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea Kirstine","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels","family":"Uldbjerg","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pernille Tine","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital  Aarhus Denmark"},{"name":"Department of Clinical Research University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingeborg Rytter","family":"Stenstrup","sequence":"additional","affiliation":[{"name":"Center for Fetal Diagnostics, Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"DEFACTUM \u2013 Public Health Research Central Denmark Region  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puk","family":"Sandager","sequence":"additional","affiliation":[{"name":"Center for Fetal Diagnostics, Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rikke Bek","family":"Helmig","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9856-6621","authenticated-orcid":false,"given":"Julie","family":"Glavind","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"},{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2015.12.009"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17003"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17438"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16544"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17905"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.09.040"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2022.01.002"},{"key":"e_1_2_9_9_1","article-title":"The Efficacy of Emergency Cervical Cerclage in Singleton and Twin Pregnancies: A Systematic Review With Meta\u2010Analysis","volume":"5","author":"Hulshoff C. 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