Cervical insufficiency refers to painless cervical dilation that leads to second-trimester fetal expulsion (miscarriage or preterm birth). Although the diagnosis may be suspected in the first pregnancy in which it occurs, the diagnosis is confirmed when it recurs in consecutive pregnancies. The ACOG definition of cervical insufficiency is “the inability of the uterine cervix to retain a pregnancy in the second trimester in the absence of clinical contractions, labor, or both”. Structural cervica
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