Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence.

The guidance was considered for reassessment in October 2010 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.

Description

Recurrent late miscarriages may be due to a weak (sometimes called an incompetent) cervix that shortens or opens too early in pregnancy. Cervical cerclage involves placing a stitch around the upper part of the cervix to keep it closed; the operation may be carried out through the vagina, or through the abdomen, as an open or laparoscopic ('keyhole') procedure.

NICE Pathways

This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.

Visit the NICE Pathway: antenatal care

OPCS4.6 Code(s):

R12.1 Cerclage of cervix of gravid uterus

Y75.2 Laparoscopic approach to abdominal cavity NEC
Codes in category Y95.- Gestational age must be assigned in a subsidiary position where this information is available.

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

Details

Contact details:

Links:

	IPG228 Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence: guidance (web format)	21 February 2011
	IPG228 Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence: guidance	22 August 2007
	IPG228 Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence: understanding NICE guidance	22 August 2007
	IPG228 Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence: understanding NICE guidance (MS Word format)	22 August 2007
	IPG228 Llawdriniaeth twll clo i bwytho'r serfics er mwyn atal methgludiadau lluosog: deall canllawiau NICE (fformat MS Word)	08 October 2009
	IPG228 Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence: audit criteria	11 September 2007
	IPG228 Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence: consultation comments table	22 August 2007
	IPG228 Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence: distribution list	22 August 2007
	Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence (interventional procedures consultation)	24 April 2007
	Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence (interventional procedures overview)	24 April 2007