Authors: Saubhagya Kumar Jena, Soumya Samal, Basanta Kumar Behera

Cervical cerclage is commonly performed by the obstetricians in cervical insufficiency. It can either be performed transvaginally or transabdominally. The laparoscopic approach needs more careful evaluation. In modern obstetric practice cerclage placement is indicated in three common conditions in singleton pregnancies. So far there is paucity of clinical trials, which can unquestionably demonstrate the advantages of cervical cerclage in comparison with a 'wait and see ' aptitude. Recent evidences suggest that vaginal progesterone or cerclage are equally efficacious in the prevention of preterm birth in women with a sonographic short cervix in the mid trimester, singleton gestation, and previous preterm birth. Selection of the optimal treatment needs to consider adverse events, cost and patient/clinician preferences. Key words: Cervical cerclage, McDonald cerclage, Shirodkar cerclag