Review Article

Adjunctive Therapies to Cerclage for the Prevention of Preterm Birth: A Systematic Review

Table 3

Studies reporting the use of empiric tocolytic agents as an adjunct to cerclage.

StudyDesign Sample SizeCervical length cutoff for cerclage (mm)Cerclage typeMean gestational age (weeks) TocolyticDurationOutcomeTocolytic group
rate of PTB
Reference group
rate of PTB

Visintine et al., 2008 [18]Retrospective cohort101<25Not specified19 versus 19Indomethacin48 hoursPTB < 35 wga39% 35%
Berghella et al., 2009 [19]Retrospective cohort222Not specifiedNot specified19 versus 18Indomethacin48 hoursPTB < 35 wga
PTB < 32 wga
PTB < 28 wga
47%
39%
34%
58%
49%
37%

PTB: preterm birth and wga: weeks gestational age.