Cervical Cerclage for Singleton Pregnant on Vaginal Progesterone With Progressive Cervical Length Shortening

Study Overview
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Brief Summary
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The aim of this study is to Determine whether cerclage with vaginal progesterone will: Reduce the overall spontaneous preterm birth rate. Prolong pregnancy latency. Improve neonatal outcome. Compared to vaginal progesterone only, in patients with progressive cervical shortening. Research question: Does cervical cerclage reduce the overall spontaneous preterm births in patients with progressive cervical shortening. Research Hypothesis In this current study, the investigators hypothesize that cervical cerclage reduces spontaneous preterm births in patients with progressive cervical shortening on vaginal progesterone only.

Detailed Description
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A randomized controlled trial The study will be done in Ain Shams University Hospital including women attending antenatal care clinic in Ain Shams University Hospital. All patients entering the trial will be counselled and will sign a written consent explaining the details of the trial. All the patients included in this study will undergo routine Fetal anomaly scan at 18-24 weeks.Patients with cervical length < 20 mm in routine anomaly scan will : Receive vaginal progesterone suppositories 200 mg daily.. (All patients will be continued with vaginal progesterone until 37 completed weeks or until they develop preterm rupture of membrane or preterm delivery). Undergo routine follow up of cervical length every 1 to 2 weeks. Patients with progressive shortening of cervical length less than 10 mm during routine follow up, will have the option of continuing vaginal progesterone daily (Progesterone 200 mg vaginal suppositories) alone, or having cervical cerclage placed in addition to daily vaginal progesterone. In cerclage group: all patients will sign a written consent for approval of cervical cerclage.

Official Title
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Cervical Cerclage for Singleton Pregnant on Vaginal Progesterone With Progressive Cervical Length Shortening

Conditions
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Preterm Labor, Cervical Incompetence

Intervention / Treatment
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* Procedure: Cerclage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women aged: 20-38 years old. Single living fetus. The patient does not have history of preterm labor (before 37 weeks of gestation) No history of cervical or uterine anomalies. Exclusion Criteria: Congenital anomalies in the fetus discovered during the follow up. History of spontaneous preterm births. Evidence of imminent delivery, or uterine contractions. Evidence of rupture of membranes, or intra amniotic infection. Intra uterine fetal death. Uterine or cervical anomalies.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 38 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Vaginal progesterone only<br>continue on vaginal progesterone only | |
| Experimental: Cervical cerclage plus vaginal progesterone<br>cerclage with vaginal progesterone. | Procedure: Cerclage<br>* Cervical cerclage under effect of spinal anaesthesia<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gestational age of delivery | After 37 weeks of pregnancy | <37 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| New born birth weight | less than 2 kg | At time of birth | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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preterm labor, cerclage