Comparing Vaginal and Transabdominal Cerclage to Reduce Early Preterm Birth – Fertility Plus
Fertility Plus shared a post on LinkedIn:
“The Stitch That Saves Pregnancies: 70% Drop in Early Preterm Birth!
Many women face the heartbreak of preterm birth because their cervix opens too early, like a weak knot at the bottom of a growing balloon. Doctors usually place a vaginal stitch to help hold things closed, and it works well for lots of people. But when that stitch fails or a woman has lost pregnancies before, is there a better option?
A powerful new study compared the usual vaginal stitch to a stronger one called transabdominal cerclage (TAC). This tougher stitch is placed higher up through the abdomen, acting like a heavy-duty lock. The results? Early preterm birth (before 34 weeks) dropped dramatically – from nearly 19% with the vaginal method to just 5.5% with TAC. That’s a 70% reduction! Over 96% of babies survived, and most pregnancies reached much later, safer stages.
For women with the highest risk and complex cervical history, choosing this stronger approach earlier can make all the difference between repeated loss and finally bringing a healthy baby home. It’s not for everyone – it involves abdominal surgery and requires a caesarean delivery – but for those who need it, this could be life-changing support.
Messinger CJ et al. Effect of transabdominal versus transvaginal cerclage on preterm birth and neonatal outcomes among patients with a history of cervical insufficiency. American Journal of Obstetrics and Gynecology. 2026 Feb;234(2):480-506. doi: 10.1016/j.ajog.2025.06.049”
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