(Abstracted from Am J Obstet Gynecol 2020;222:261.e1–261.e9)Women who experience multiple late miscarriages or spontaneous preterm births may be candidates for vaginal cerclage. In women with a history of pregnancy loss with vaginal cerclage, observational studies have suggested that transabdominal cerclage (TAC) may be beneficial over high vaginal cerclage (HVC) and low vaginal cerclage (LVC).