Labor outcomes after Shirodkar cerclage.
J Reprod Med
; 54(6): 361-5, 2009 Jun.
Article
en En
| MEDLINE
| ID: mdl-19639925
ABSTRACT
OBJECTIVE:
To describe labor outcomes in women who had a Shirodkar cerclage placed during pregnancy and removed before labor.METHODS:
A review was conducted of 69 patients with a singleton pregnancy and a Shirodkar cervical cerclage placed before 24 weeks' gestation. Indications for cerclage were history indicated, ultrasound indicated or physical examination indicated.RESULTS:
The mean time from cerclage removal to delivery was 9.4 +/- 8.8 days. The overall cesarean delivery rate was 18.8%, with the majority (9 of 13) being for fetal indications. Two (2.9%) patients had a uterine rupture of an unscarred uterus and 2 (2.9%) patients had an umbilical cord prolapse. Four (5.8%) patients had a cervical laceration requiring repair.CONCLUSION:
Patients with a Shirodkar cerclage placed and removed during the index pregnancy appear to have a higher than expected rate of cesarean delivery for fetal indications and complications associated with significant neonatal morbidity including uterine rupture and cord prolapse.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Suturas
/
Incompetencia del Cuello del Útero
/
Remoción de Dispositivos
/
Cerclaje Cervical
/
Parto Obstétrico
/
Complicaciones del Trabajo de Parto
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Reprod Med
Año:
2009
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA