Abstract
Objective: To describe ischemocervical incompetence: emergency cerclage versus expectant conduct. Bibliographic review: Previous studies have indicated that there is a benefit in terms of surgical treatment, since pregnant women have a longer latency period until delivery, a higher gestational age at birth and a lower rate of birth. prematurity. Women affected by cervical cerclage for the treatment of cervical isthmus incompetence (IIC) continue to be at high risk for prematurity. In emergency cerclage, however, there are higher rates of prematurity and greater complications if correlated with prophylactic or therapeutic cerclage. And, in general, cerclage increases the risk of puerperal infections (6%), hospital admissions, and hospitalization. cesarean sections. Final considerations: The diagnosis of cervical incompetence is based primarily on the clinical history and can be performed before or during pregnancy. Cerclage is the most accepted procedure according to the literature, due to the rates of fetal survival and of pregnant women with IIC in the period before childbirth and after undergoing treatment and surgical procedure.