Preterm birth: evaluation of uterine cerclage and the use of progesterone to prolong pregnancy

• DOI: https://doi.org/10.22533/at.ed.159522503017

• Palavras-chave: Preterm labor; Therapy; Cervical cerclage; Progesterone.

• Keywords: Preterm labor; Therapy; Cervical cerclage; Progesterone.

• Abstract:

  Objective: To evaluate the effectiveness of cerclage and progesterone treatment in relation to prolonging pregnancy. Methods: Integrative literature review through a search for articles related to the topic in the PubMed and VHL databases, using the descriptors: "cerclage" and "prematurity", applying the inclusion criteria controlled clinical trial and observational study, published between 2018 and 2023, text in English, complete and free, and articles that did not fit the proposed theme were excluded to select the most suitable articles. Results: The final sample consisted of 9 articles, which were analyzed and it was evidenced that the use of progesterone, cerclage alone or association of the two methods are effective treatments in general, but in specific situations there is a prevalence of one method over another. Final considerations: The interventions are different in each case, so it is up to the specialist to individualize each patient's condition and jointly choose the best treatment method.