Cervical Cerclage in Twin Pregnancies Following Invitro Fertilization A Randomized Controlled Trial

Abstract

We concluded that cervical cerclage is a well-known surgical procedure carried out during pregnancy, aiming to give a mechanical support to the cervix and thereby reducing the risk of preterm labor. One of causes of increasing the incidence of preterm births increasing AVF techniques, cerclage was done routinely is this patients. In our study we there focused on the role of vaginal cerclage in prophylaxis of spontaneous preterm labour in twins pregnancies conceive after IVF/ICSI. One hundred twenty two pregnant women who conceived in twins after IVF recruited to the study. There is no significant difference in age weight, height body mass index, Hemoglobin, fasting blood sugar or cervical lens. There is higher mean gestational age at delivery among cases with intervention (36.4w) compared to control group (35.9w) but the difference is not significant statistically. Fetal complication showed higher percentage among control group (22.6%) compared to intervention group (12%). On other hand maternal complications were higher among intervention group (20%) compared to control (11%). We concluded that cervical cerclage has no role in decreasing preterm labor after using IV technique. Safety could not be confirmed due to the small number of cases. Therefore, further studies are needed to determine if the use of routine prophylactic cervical cerclage in assisted reproduction conceived multifetal pregnancy reduces the rate of preterm labor and subsequently improves fetal outcome.