Neutrophil-to-lymphocyte ratio is associated with early cervical shortening after cerclage: a single-center cohort study integrating C-reactive protein.

The clinical relevance of 0.09 mm/week is modest in absolute terms but may be significant over the 10–16-week follow-up period: a woman with an NLR of 5.0 would be expected to lose approximately 0.45 mm/week more than a woman with an NLR of 1.0, translating to an additional 4.5–7.2 mm over the observation window—a magnitude that approaches or exceeds the measurement error of transvaginal ultrasound (±2–3 mm) but lies at the lower boundary of detectability.

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