Serclage for the Management of Servical Insufficiency

In February of 2014, ACOG released Practice Bulletin 142, which is Serclage for the Management of Servical Insufficiency. The recommendation was that in a current Singleton pregnancy with a prior spontaneous preterm birth at less than 34 weeks, who has a short cervical length less than 25 millimeters before 24 weeks of gestation, then consideration of a Serclage could be done. In SMFM's special statement that again was released today on April the 13th, 2023, there is a portion of that that addresses Serclage. And yes, it's clear there is some data, it's evidence-based to offer Serclage in patients with a previous history of pre