Graham Tydeman

Sep 24, 2024 | ejog.org | Lea Kirstine Hansen |Andrew H Shennan |Graham Tydeman

AbbreviationsPTB (Preterm birth)CT (Computed tomography)SD (Standard deviation)CI (Confidence interval)KeywordsCervical cerclageSimulation trainingPremature birthTransvaginal cerclageIntroductionA cervical cerclage is a mechanical support to the incompetent cervix to prevent mid-trimester loss or preterm birth (PTB) [1]. Live training for the procedure is challenging both due to low number of cases, and the procedure itself can be difficult due to poor visualization of the operative field [2–4].

Nov 2, 2023 | mdpi.com | Annette L. Briley |Sergio A. Silverio |Andrew H Shennan |Graham Tydeman

1. IntroductionIn the UK, more than 25% of babies are born by caesarean section (CS) [1], increasingly, these occur in the late first or second stage of labour, when the foetal head is deep within the maternal pelvis. It has been estimated that full-dilatation caesarean sections (FDCS) are undertaken in 2–5% of cases [2,3,4,5,6] and in 15% of all intrapartum caesareans [7].