Prophylactic cerclage in pregnancy. Effect in women with a history of conization.
J Reprod Med
; 42(7): 390-2, 1997 Jul.
Article
in En
| MEDLINE
| ID: mdl-9252928
ABSTRACT
OBJECTIVE:
To evaluate the effect of prophylactic cerclage on the course of pregnancy in women with prior conization. STUDYDESIGN:
In a retrospective, observational study, the outcome of pregnancies in 69 women with (n = 30) and without (n = 39) cerclage who previously underwent conization was evaluated regarding hospitalization due to threatened preterm labor and delivery before 37 weeks of gestation.RESULTS:
The occurrence of preterm delivery was 23.3% in the cerclage group and 20.5% in the control group (P = .78). Women with prophylactic cerclage were hospitalized significantly more often due to threatened premature labor with cerclage, 66.7%; without cerclage, 33.3% (P = .006).CONCLUSION:
Prophylactic cerclage should be used more sparingly in women with a history of conization because it does not prevent premature delivery and tends to induce preterm uterine contractions.
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Database:
MEDLINE
Main subject:
Uterine Cervical Incompetence
/
Cervix Uteri
/
Conization
/
Obstetric Labor, Premature
Type of study:
Observational_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Year:
1997
Type:
Article