Does cervical cerclage prevent preterm delivery in patients with a short cervix?
Am J Obstet Gynecol
; 184(7): 1325-9; discussion 1329-31, 2001 Jun.
Article
em En
| MEDLINE
| ID: mdl-11408848
ABSTRACT
OBJECTIVE:
Our purpose was to determine whether cerclage placement in women with a short cervix on transvaginal ultrasonography reduces the rate of preterm delivery. STUDYDESIGN:
A retrospective cohort study identified patients with an ultrasonographic short cervix (cervical length < or =15 mm) between 14 and 24 weeks' gestation. Cerclage placement was performed at the discretion of the attending physician. Clinical characteristics and outcome with and without cerclage were compared.RESULTS:
Seventy patients met inclusion criteria; 25 (36%) underwent cerclage placement. Patients managed with cerclage had a lower gestational age at diagnosis (19.6 weeks vs 21.3 weeks, P <.01) but had a similar median cervical length, presence of funneling, and a history of cervical surgery, in comparison with those managed without cerclage. The rate of spontaneous preterm delivery was not different between groups. Patients with cerclage had a higher rate of preterm premature rupture of membranes than those without cerclage (65.2% vs 36.4%, P <.05).CONCLUSION:
Cervical cerclage in patients with a short cervix did not reduce the rate of spontaneous preterm delivery and increased the risk of preterm premature rupture of membranes.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colo do Útero
/
Técnicas de Sutura
/
Trabalho de Parto Prematuro
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Middle aged
/
Pregnancy
Idioma:
En
Revista:
Am J Obstet Gynecol
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Estados Unidos