Key clinical point: Among women with twin pregnancies and asymptomatic cervical dilation before 24 weeks, cerclage may reduce perinatal mortality and preterm birth.
Major finding: Perinatal mortality occurred in 18% of neonates in the cerclage group (6 of 34), compared with 77% in the group without cerclage (20 of 26). All perinatal mortality cases were associated with delivery before 24 weeks.
Study details: A randomized controlled trial that included 30 women with twin pregnancies.
Disclosures: The study had no external financial support. The authors had no conflicts of interest.
Roman A et al. Am J Obstet Gynecol. 2020 Jun. doi: 10.1016/j.ajog.2020.06.047.