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Acta Obstétrica e Ginecológica Portuguesa
Print version ISSN 1646-5830
Abstract
BETTENCOURT-SILVA, Beatriz et al. Case report of ultrasound-indicated cerclage in triplet pregnancy. Acta Obstet Ginecol Port [online]. 2021, vol.15, n.1, pp.56-60. Epub Mar 31, 2021. ISSN 1646-5830.
In triplet pregnancies, the risk of spontaneous delivery <32 weeks gestation may be predicted by serial sonographic cervical evaluation. However, no intervention has been shown to improve neonatal outcomes in triplets with cervical shortening. Most data suggest no usefulness of ultrasound-indicated cerclage in multiple pregnancies, although recent studies in twin pregnancies reported promising results. The authors describe a case of a triplet gestation with pronounced mid-trimester asymptomatic cervical shortening. A cervical cerclage was performed as an effort to allow pregnancy viability. At the 28th gestational week, three newborns were delivered and had no severe complications in neonatal period.
Keywords : Triplet pregnancy; Short cervix; Cervical cerclage..