GUIDELINE FOR TRANS-ABDOMINAL CERVICAL CERCLAGE
Sunderand offer a regional service. Indications:
1. Previous recurrent mid-trimester losses suggestive of cervical incompetence
2. Previous failed elective trans-vaginal cerclage
3. Alternatively previous mid-trimester loss or losses suggestive of cervical incompetence where available length of vaginal cervix is inadequate to use a vaginal approach.