A 30-year-old woman at 8 weeks of gestation attends the GP. She has a history of two mid-trimester losses at 18 and 20 weeks, both following painless ...

Question

A 30-year-old woman at 8 weeks of gestation attends the GP. She has a history of two mid-trimester losses at 18 and 20 weeks, both following painless cervical dilatation. She has no history of cervical surgery. Which is the single most appropriate management to discuss for this pregnancy?

Accepted Answer

History-indicated cervical cerclage at 12-14 weeks after counselling

Answer

Cervical length surveillance only from 14 weeks

Answer

Vaginal progesterone pessaries from 16 weeks

Answer

Bed rest from 14 weeks onwards

Answer

No intervention as mid-trimester losses are unexplained

uk-drcog MCQ (SBA): Cervical Insufficiency - History-Indicated Cerclage

A 30-year-old woman at 8 weeks of gestation attends the GP. She has a history of two mid-trimester losses at 18 and 20 weeks, both following painless cervical dilatation. She has no history of cervical surgery. Which is the single most appropriate management to discuss for this pregnancy?