Objective: To describe clinical and subclinical characteristics and evaluate early outcomes after prophylactic cervical cerclage for the prevention of preterm birth in high-risk pregnant women at Can Tho City Obstetrics and Gynecology Hospital from 2024 to 2026.
Subjects and methods: A descriptive cross-sectional study with longitudinal follow-up was conducted on 36 high-risk pregnant women who underwent prophylactic cervical cerclage for the prevention of preterm birth.
Results: The gestational age at cervical cerclage was most frequently 15–19 weeks (52.8%), followed by 12–14 weeks (41.7%), while cerclage after 20 weeks accounted for 5.6%. All patients remained free of post-procedural labor during early follow-up. However, 97.2% of patients experienced post-cerclage symptoms, with lower abdominal pain being the most common complaint. Within the first three days after cerclage, 66.7% of patients were hospitalized for fewer than three days. The mean length of hospital stay was 3 ± 1 days.
Conclusion: The study findings showed that prophylactic cervical cerclage was mainly performed before 20 weeks of gestation. During the early post-procedural follow-up period, no cases of labor or serious complications were recorded, suggesting that cervical cerclage has short-term safety in high-risk pregnant women when appropriately indicated and closely monitored.