August 21, 2026 · BJOG : an international journal of obstetrics and gynaecology · DOI: 10.1111/1471-0528.70320

High Versus Low Transvaginal Cerclage and Pregnancy Outcomes: A Secondary Analysis of the C-STICH Trial

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The authors aimed to compare pregnancy outcomes between high and low transvaginal cerclage techniques in women at high risk of preterm birth. Their analysis of the C-STICH trial revealed no significant difference in pregnancy loss rates between the two techniques, but high vaginal cerclage was associated with a slight increase in mean gestational age and a lower incidence of births before 32 weeks.

Laura van der Krogt, Nicole Pilarski, Victoria Hodgetts Morton, Alexandra Emms, Philip Toozs-Hobson, Lee Middleton, Andrew Shennan, Catherine A Moakes

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