Live birth following abdominal cervical cerclage in a woman with recurrent pregnancy losses

We present a case of abdominal cervical cerclage with live birth. She was a 40-year-old woman with a history of recurrent second-trimester pregnancy losses and preterm deliveries. A cervicoisthmic cerclage was applied through the abdominal route at 16 weeks of gestation and the pregnancy progressed to 35 weeks and 4 days when she developed preterm contractions necessitating an emergency cesarean delivery of a set of healthy twins. Only few centers in Nigeria offer abdominal cerclage because of paucity in skills. This case is presented as a reminder that such cases still exist, and the skill must be maintained and taught resident doctors as it may become useful when such cases present.