{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T21:05:05Z","timestamp":1786568705102,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T00:00:00Z","timestamp":1516665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Cervical insufficiency is a significant cause of morbidity and mortality. Cervical cerclage is one option in the management of cervical insufficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate obstetric outcomes following insertion of a pre\u2010pregnancy laparoscopic transabdominal cerclage in women at high risk for pre\u2010term labour and\/or mid\u2010trimester pregnancy loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective observational study of consecutive women who underwent laparoscopic transabdominal cerclage from 2007 to 2017. Eligible women had a diagnosis of cervical insufficiency based on previous obstetric history and\/or a short or absent cervix and were considered not suitable for a transvaginal cerclage. The primary outcome was neonatal survival and the secondary outcome was delivery of an infant at \u226534\u00a0weeks gestation. Surgical morbidity and complications were also evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 225 women underwent laparoscopic transabdominal cerclage. We present the outcomes of 121 pregnancies resulting in 125 babies. The perinatal survival rate of viable pregnancies was 98.5% with a mean gestational age at delivery of 35.2\u00a0weeks; 79.7% of babies were delivered at \u226534.0\u00a0weeks gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic transabdominal cerclage is a safe and effective procedure resulting in favourable obstetric outcomes in women with a poor obstetric history. For optimal success the procedure requires the correct surgical expertise, equipment and appropriate patient selection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12774","type":"journal-article","created":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T08:36:40Z","timestamp":1516696600000},"page":"606-611","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Laparoscopic transabdominal cerclage: Outcomes of 121 pregnancies"],"prefix":"10.1111","volume":"58","author":[{"given":"Alex","family":"Ades","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal Women's Hospital University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6406-8782","authenticated-orcid":false,"given":"Sneha","family":"Parghi","sequence":"additional","affiliation":[{"name":"Agora Centre for Women's Health Epworth HealthCare Richmond  Richmond Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehrnoosh","family":"Aref\u2010Adib","sequence":"additional","affiliation":[{"name":"Agora Centre for Women's Health Epworth HealthCare Richmond  Richmond Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,23]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"WHO Preterm birth fact sheet November 2016. 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