Cervico-Isthmic Cerclage Intra-Abdominal Approach for the Management of Cervical Incompetence: Case Report

Introduction: Cervical incompetence is defined as the inability of the cervix to retain an intrauterine pregnancy in the absence of signs and symptoms of clinical contractions or labor during the second trimester of gestation. Case Report: We present a case of cervical incompetence with two previous preterm births and the use of Espinoza Flores cerclage. In this pregnancy, an abdominal cerclage was placed, resulting in a viable pregnancy until 36.5 weeks of gestation. The pregnancy concluded with a cesarean section due to premature rupture of membranes, resulting in the birth of a newborn with adequate weight and Apgar score. Discussion: The management of cervical incompetence can be performed through transvaginal cerclage; however, there are alternatives such as an intra-abdominal approach, which has shown excellent results. Conclusion: Intra-abdominal cerclage may be an option for the management of cervical incompetence in patients with previous preterm births and inadequate results with transvaginal management.