Patients with a transabdominal cerclage due to recurrent mid-trimester losses are not at higher risk of foetal growth restriction: a retrospective study

Foetal growth restriction (FGR) is associated with neonatal morbidity, suboptimal neurodevelopmental outcomes and chronic diseases. Successful pregnancies of women with recurrent mid-trimester pregnancy losses may still be at risk of FGR and small for gestational age (SGA) outcomes. This study aimed...

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Main Authors: David R. Hall, Lana Koster, Mari van de Vyver
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Obstetrics and Gynaecology
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Online Access:https://www.tandfonline.com/doi/10.1080/01443615.2025.2452839
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author David R. Hall
Lana Koster
Mari van de Vyver
author_facet David R. Hall
Lana Koster
Mari van de Vyver
author_sort David R. Hall
collection DOAJ
description Foetal growth restriction (FGR) is associated with neonatal morbidity, suboptimal neurodevelopmental outcomes and chronic diseases. Successful pregnancies of women with recurrent mid-trimester pregnancy losses may still be at risk of FGR and small for gestational age (SGA) outcomes. This study aimed to investigate whether patients with recurrent mid-trimester pregnancy losses who undergo transabdominal cerclage (TAC) are at an increased risk of FGR. Due to a paucity of information in this regard, and to inform accurate counselling, we performed a secondary analysis of a unique set of patients with a TAC procedure. Foetal growth restriction (<3rd centile) was present in 8% of cases, with more female than male babies falling in this category (9.2 vs. 7.4%). When combined, FGR plus SGA were present in 19.4% of cases. This rate is not higher than the expected population rate of around 20% in low- and middle-income countries.
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spelling doaj-art-18ab4867a17a4ed8a805e47e161a4d112025-01-17T08:23:01ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932025-12-0145110.1080/01443615.2025.2452839Patients with a transabdominal cerclage due to recurrent mid-trimester losses are not at higher risk of foetal growth restriction: a retrospective studyDavid R. Hall0Lana Koster1Mari van de Vyver2Department of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital, Cape Town, South AfricaUndergraduate Student at Faculty of Medicine &amp; Health Sciences, Stellenbosch University, Cape Town, South AfricaDepartment of Medicine, Faculty of Medicine &amp; Health Sciences, Experimental Medicine Research Group, Stellenbosch University, Cape Town, South AfricaFoetal growth restriction (FGR) is associated with neonatal morbidity, suboptimal neurodevelopmental outcomes and chronic diseases. Successful pregnancies of women with recurrent mid-trimester pregnancy losses may still be at risk of FGR and small for gestational age (SGA) outcomes. This study aimed to investigate whether patients with recurrent mid-trimester pregnancy losses who undergo transabdominal cerclage (TAC) are at an increased risk of FGR. Due to a paucity of information in this regard, and to inform accurate counselling, we performed a secondary analysis of a unique set of patients with a TAC procedure. Foetal growth restriction (<3rd centile) was present in 8% of cases, with more female than male babies falling in this category (9.2 vs. 7.4%). When combined, FGR plus SGA were present in 19.4% of cases. This rate is not higher than the expected population rate of around 20% in low- and middle-income countries.https://www.tandfonline.com/doi/10.1080/01443615.2025.2452839Foetal growth restrictionsmall for gestational agerecurrent mid-trimester lossestransabdominal cerclagecervical insufficiency
spellingShingle David R. Hall
Lana Koster
Mari van de Vyver
Patients with a transabdominal cerclage due to recurrent mid-trimester losses are not at higher risk of foetal growth restriction: a retrospective study
Journal of Obstetrics and Gynaecology
Foetal growth restriction
small for gestational age
recurrent mid-trimester losses
transabdominal cerclage
cervical insufficiency
title Patients with a transabdominal cerclage due to recurrent mid-trimester losses are not at higher risk of foetal growth restriction: a retrospective study
title_full Patients with a transabdominal cerclage due to recurrent mid-trimester losses are not at higher risk of foetal growth restriction: a retrospective study
title_fullStr Patients with a transabdominal cerclage due to recurrent mid-trimester losses are not at higher risk of foetal growth restriction: a retrospective study
title_full_unstemmed Patients with a transabdominal cerclage due to recurrent mid-trimester losses are not at higher risk of foetal growth restriction: a retrospective study
title_short Patients with a transabdominal cerclage due to recurrent mid-trimester losses are not at higher risk of foetal growth restriction: a retrospective study
title_sort patients with a transabdominal cerclage due to recurrent mid trimester losses are not at higher risk of foetal growth restriction a retrospective study
topic Foetal growth restriction
small for gestational age
recurrent mid-trimester losses
transabdominal cerclage
cervical insufficiency
url https://www.tandfonline.com/doi/10.1080/01443615.2025.2452839
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