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<p>Prevention of preterm birth in singleton and twin pregnancies with a&#xa0;short cervix is a&#xa0;clinical challenge. This review describes three possible interventions: cervical pessary, cerclage, and total cervical occlusion. Pessary and cerclage are mechanical stabilization methods, whereas the total cervical occlusion aims to prevent the ascension of pathogens. Evidence, current recommendations, and the various surgical techniques are discussed.</p>

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Therapie bei kurzer Zervix – Pessar, Cerclage oder totaler Muttermundverschluss

  • 期刊论文

  • 发表日期：

    2025年9月8日

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  • Mirjam Kunze,
  • Filiz Markfeld-Erol,
  • Julia Meschede,
  • Hannes Endres,
  • Ioannis Kyvernitakis,
  • Katrina Kraft

摘要

Prevention of preterm birth in singleton and twin pregnancies with a short cervix is a clinical challenge. This review describes three possible interventions: cervical pessary, cerclage, and total cervical occlusion. Pessary and cerclage are mechanical stabilization methods, whereas the total cervical occlusion aims to prevent the ascension of pathogens. Evidence, current recommendations, and the various surgical techniques are discussed.