Cervical cerclage in twin pregnancy

Cervical cerclage in women with twin pregnancy is not routinely indicated but appears to be beneficial in subjects with a history of preterm birth or very short cervix or dilated cervix. There is a paucity of literature data regarding transabdominal or laparoscopic cervical cerclage (LCC) in twin pregnancy. It is uncertain whether LCC is more effective than transvaginal cerclage. Our own experience of 24 cases of LCC in twin pregnancy showed encouraging results. Further, well-planned studies are required to answer whether, when, and how cervical cerclage should be performed in women with twin pregnancy. •Cervical cerclage in women with twin pregnancy is not routinely indicated but appears to be of benefit in subjects with a history of preterm birth (PTB) or very short cervix or dilated cervix.•Laparoscopic cervico-isthmic cerclage (LCC) appears to be a safe, simple, and minimally invasive approach, which could potentially play an important role in women with cervical incompetence and twin gestations for women who have had a failed TVC or a very short cervix.•It seemed that the use of prophylactic LCC might be beneficial in improving reproductive outcomes in infertile patients with known cervical incompetence who subsequently conceived twin gestations through IVF-ET treatment.•Further well-planned studies are required to answer whether, when, and how cervical cerclage should be performed in women with twin pregnancy.