Cervical cerclage before blastocyst transfer in patients having cryopreserved embryo transfer

• Published in: Fertility and sterility Vol. 92; no. 1; pp. 392.e9 - 392.e12
• Main Authors: Jin, Xiao-ying, M.Sc, Kuang, Lin, M.Sc, Lin, Xiao-na, M.Sc, Huang, Dong, M.Sc, Zhang, Song-ying, M.D., Ph.D
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2009
• Subjects: Adult; Birth Weight; Blastocyst - physiology; blastocyst transfer; Cervical cerclage; cervical insufficiency; Cervix Uteri - pathology; Delivery, Obstetric; Embryo Transfer - methods; Female; Fertilization in Vitro - methods; Humans; Infant, Newborn; Intensive Care, Neonatal; Internal Medicine; Obstetrics and Gynecology; Pregnancy; Pregnancy Complications - pathology; Cervical cerclage; blastocyst transfer; cervical insufficiency
• ISSN: 0015-0282; 1556-5653
• DOI: 10.1016/j.fertnstert.2009.03.098

Objective To present two successful pregnancy results following cervical cerclage before blastocyst transfer in patients who had cryopreserved ET and in whom cervical insufficiency was diagnosed. Design Case report. Setting Assisted reproduction unit in a university hospital. Patient(s) Two patients with infertility and cervical insufficiency. Both patients signed informed consent. Intervention(s) Cervical cerclage before blastocyst transfer. Main Outcome Measure(s) Pregnancy and birth. Result(s) Both women achieved pregnancy after transfer of a single, high-quality blastocyst and gave birth to a healthy infant. Conclusion(s) Cervical cerclage can be performed before blastocyst transfer in patients with cervical insufficiency who undergo cryopreserved ET. The procedure is especially relevant to patients in whom the cervical os is dilated and the distal cervical segment is short. Transfer of a single, high-quality blastocyst can result in pregnancy and birth.