Conclusions

The case report mentions the role of a rescue cervical cerclage in twin pregnancy, but it is important to consider the holistic picture and give careful consideration. Following comprehensive counselling and shared decision-making, the patient elected to undergo rescue cerclage, which was associated with prolongation of pregnancy by approximately 10 weeks and survival of both neonates. However, the potential benefits of prolonging pregnancy must be carefully balanced against the procedural risks, including preterm premature rupture of membranes, infection, and pregnancy loss.

This case underscores the importance of individualised assessment, tailored care planning, and collaborative multidisciplinary team efforts, as well as the potential benefits of timely interventions in such clinical scenarios. Further high-quality prospective studies and randomised controlled trials are required to define better the indications, effectiveness, and safety of rescue cervical cerclage in twin pregnancies.