Controversies in family planning: management of second-trimester losses in the setting of an abdominal cerclage

For women who have a fetal demise with an abdominal cerclage in place, route of uterine evacuation is a clinical dilemma. We review a case of a second trimester loss in the setting of an abdominal cerclage in an HIV positive woman. We provide other clinician's experience and management strategies and provide a review of cases found in the literature.