{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:23:34Z","timestamp":1773923014052,"version":"3.50.1"},"reference-count":16,"publisher":"Walter de Gruyter GmbH","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10,25]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Rescue cervical cerclage (RCC), also known as emergency cerclage, has long been the subject of controversy. Its use in women who have a dilated cervix has been ambivalent. RCC is often considered as a salvage measure for pregnancies which are at a high risk of severe preterm delivery (PTD) or mid-trimester miscarriage. This study aims to examine and assess the efficacy of RCC and its ability to prolong pregnancy until neonatal viability is achieved. The current data suggest that RCC is associated with a longer latency period frequently resulting in better pregnancy outcomes (Namouz S, Porat S, Okun N, Windrim R, Farine D. Emergency cerclage: literature review. Obstet Gynecol Surv. 2013;68:379\u201388). This is supported by the Royal College of Obstetricians and Gynaecologists (RCOG) which states that the insertion of a rescue cerclage may delay delivery by a further 5 weeks on average as compared with expectant management or bed rest alone (Shennan AH. To MS: RCOG Green Top Guidelines: Cervical Cerclage RCOG.2011. Available from: www.rcog.org.uk). It further states that it may be associated with a two-fold reduction in the possibility of delivery before 34 weeks of gestation (Shennan AH. To MS: RCOG Green Top Guidelines: Cervical Cerclage RCOG.2011. Available from: www.rcog.org.uk). Our study reveals that the average insertion to delivery interval at our centre was 71.2 days with a live birth rate of 92.5%. A total of 89.1% of women delivered beyond 24 weeks of gestation.<\/jats:p>","DOI":"10.1515\/jpm-2017-0311","type":"journal-article","created":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T17:41:40Z","timestamp":1531503700000},"page":"876-880","source":"Crossref","is-referenced-by-count":9,"title":["Does rescue cerclage work?"],"prefix":"10.1515","volume":"46","author":[{"given":"Durai","family":"Shivani","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology , KK Women\u2019s and Children\u2019s Hospital , 100 Bukit Timah Road , Singapore 229899 , Singapore , Tel.: +65 97366679"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin Huey","family":"Quek","sequence":"additional","affiliation":[{"name":"Department of Neonatology , KK Women\u2019s and Children\u2019s Hospital , 100 Bukit Timah Road , Singapore 229899 , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pih Lin","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Neonatology , KK Women\u2019s and Children\u2019s Hospital , 100 Bukit Timah Road , Singapore 229899 , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tagore","family":"Shephali","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , KK Women\u2019s and Children\u2019s Hospital , 100 Bukit Timah Road , Singapore 229899 , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2018,6,25]]},"reference":[{"key":"2021021318311417768_j_jpm-2017-0311_ref_001_w2aab3b7c28b1b6b1ab2b2b1Aa","doi-asserted-by":"crossref","unstructured":"Namouz S, Porat S, Okun N, Windrim R, Farine D. Emergency cerclage: literature review. Obstet Gynecol Surv. 2013;68:379\u201388.","DOI":"10.1097\/OGX.0b013e31828737c7"},{"key":"2021021318311417768_j_jpm-2017-0311_ref_002_w2aab3b7c28b1b6b1ab2b2b2Aa","unstructured":"Shennan AH. To MS: RCOG Green Top Guidelines: Cervical Cerclage RCOG. 2011. Available from: www.rcog.org.uk. Accessed on June 1, 2017."},{"key":"2021021318311417768_j_jpm-2017-0311_ref_003_w2aab3b7c28b1b6b1ab2b2b3Aa","doi-asserted-by":"crossref","unstructured":"Tita ATN, Andrews WW. Diagnosis and management of clinical chorioamnionitis. Clin Perinatol. 2010;37:339\u201354.","DOI":"10.1016\/j.clp.2010.02.003"},{"key":"2021021318311417768_j_jpm-2017-0311_ref_004_w2aab3b7c28b1b6b1ab2b2b4Aa","doi-asserted-by":"crossref","unstructured":"Fonseca EB, Celik E, Parra M, Singh M, Nicolaides KH. Progesterone and the risk of preterm birth among women with a short cervix. N Engl J Med. 2007;357:462\u20139.","DOI":"10.1056\/NEJMoa067815"},{"key":"2021021318311417768_j_jpm-2017-0311_ref_005_w2aab3b7c28b1b6b1ab2b2b5Aa","doi-asserted-by":"crossref","unstructured":"Hassan SS, Romero R, Vidyadhari D, Fusey S, Baxter JK, Khandelwal M, et al. Vaginal progesterone reduces the rate of preterm birth in women with a sonographic short cervix: a multicenter, randomized, double-blind, placebo-controlled trial. Ultrasound Obstet Gynecol. 2011;38:18\u201331.","DOI":"10.1002\/uog.9017"},{"key":"2021021318311417768_j_jpm-2017-0311_ref_006_w2aab3b7c28b1b6b1ab2b2b6Aa","doi-asserted-by":"crossref","unstructured":"Romero R. Vaginal progesterone in asymptomatic women with a sonographic short cervix. Am J Obstet Gynecol. 2012;206:124.e1\u201319.","DOI":"10.1016\/j.ajog.2011.12.003"},{"key":"2021021318311417768_j_jpm-2017-0311_ref_007_w2aab3b7c28b1b6b1ab2b2b7Aa","doi-asserted-by":"crossref","unstructured":"Althuisius SM, Dekker GA, Hummel P, van Geijn HP. Cervical incompetence prevention randomized cerclage trial: emergency cerclage with bed rest versus bed rest alone. Am J Obstet Gynecol. 2003;189:907\u201310.","DOI":"10.1067\/S0002-9378(03)00718-X"},{"key":"2021021318311417768_j_jpm-2017-0311_ref_008_w2aab3b7c28b1b6b1ab2b2b8Aa","unstructured":"V\u0115tr M, Hejtm\u00e1nek P. Rescue cerclage in the treatment of treatment of cervical insufficiency. Ceska Gynekol. 2005;70:419\u201325."},{"key":"2021021318311417768_j_jpm-2017-0311_ref_009_w2aab3b7c28b1b6b1ab2b2b9Aa","doi-asserted-by":"crossref","unstructured":"Zhu L-Q, Chen H, Chen L-B, Liu YL, Tan JP, Wang YH, et al. Effects of emergency cervical cerclage on pregnancy outcome: a retrospective study of 158 cases. Med Sci Monit. 2015;21:1395\u2013401.","DOI":"10.12659\/MSM.893244"},{"key":"2021021318311417768_j_jpm-2017-0311_ref_010_w2aab3b7c28b1b6b1ab2b2c10Aa","unstructured":"Aguilera M, Ramin K, Nguyen R, Giacobbe L, Swartout J. 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