Abstract:

Cervical incompetence is a significant factor leading to recurrent mid-trimester miscarriages and preterm births, resulting in serious complications for preterm infants and neonatal mortality, which can severely impact the physical and mental health of women of childbearing age and their families. This paper reports a case of a pregnant woman who had previously undergone hysteroscopic septum resection and cold knife conization of the cervix. During her pregnancy, cervical length was not monitored, and at 24⁺³ weeks of gestation, painless cervical dilation was discovered, with the amniotic sac prolapsing into the vagina. Due to the inability to palpate the cervical edge during speculum and vaginal examinations, an emergency cervical cerclage could not be performed. The patient was managed with antibiotics, tocolytics, and other medications for expectant management until preterm premature rupture of membranes (PPROM) occurred at 29⁺⁵ weeks, leading to oligohydramnios. An emergency cesarean section was performed, resulting in the successful delivery of a live infant who was eventually discharged home. This case review summarizes the clinical management and highlights recent advancements in the diagnosis and treatment of cervical incompetence, providing a new treatment option for similar cases in clinical practice.

Key words: Uterine cervical incompetence, Cerclage, cervical, Therapy, Case reports, Atosiban