{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:52:03Z","timestamp":1776905523205,"version":"3.51.2"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Cervical insufficiency is rarely observed during the first trimester of pregnancy. Its diagnosis during early pregnancy is challenging; however, it may be suspected by carefully evaluating the implantation site in combination with obstetric history, serial ultrasound assessments of cervical length, and inflammatory markers. Nevertheless, the optimal management strategy remains unclear. Herein, we report a case of cervical insufficiency resulting from a previous cervical ectopic pregnancy diagnosed at 9\u2009weeks of gestation. To the best of our knowledge, this is a rare case in which emergency cervical cerclage was performed as early as 10\u2009weeks of gestation, resulting in a live birth.<\/jats:p>","DOI":"10.1111\/jog.70260","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T04:43:57Z","timestamp":1774500237000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cervical Insufficiency Treated With Emergency Cerclage at 10\u2009Weeks of Gestation: A Case Report and Literature Review"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2175-030X","authenticated-orcid":false,"given":"Yuki","family":"Minekawa","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Showa University Northern Yokohama Hospital  Yokohama Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1942-9459","authenticated-orcid":false,"given":"Minako","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Showa University Northern Yokohama Hospital  Yokohama Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Showa University Northern Yokohama Hospital  Yokohama Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayumi","family":"Okuyama","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Showa University Northern Yokohama Hospital  Yokohama Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kohei","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Showa University Northern Yokohama Hospital  Yokohama Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2436-4469","authenticated-orcid":false,"given":"Kiyotake","family":"Ichizuka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Showa University Northern Yokohama Hospital  Yokohama Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000443276.68274.cc"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16351-4"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2683"},{"key":"e_1_2_10_5_1","article-title":"Cervical Stitch (Cerclage) for Preventing Preterm Birth in Singleton Pregnancy","volume":"6","author":"Alfirevic Z.","year":"2017","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s44162-024-00040-3"},{"key":"e_1_2_10_7_1","first-page":"91","article-title":"Laparoscopic Fertility Sparing Management of Cervical Cancer","volume":"8","author":"Facchini C.","year":"2014","journal-title":"Int. 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