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Emergency cerclage: gestational and neonatal outcomes.

Costa, Maíra Marinho Freire; Amorim Filho, Antonio Gomes de; Barros, Mônica Fairbanks de; Rodrigues, Agatha Sacramento; Zugaib, Marcelo; Francisco, Rossana Pulcineli Vieira; Carvalho, Mário Henrique Burlacchini de.
Rev Assoc Med Bras (1992) ; 65(5): 598-602, 2019 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-31166434


The gestational and neonatal outcomes of women with early cervical dilatation undergoing emergency cerclage were evaluated and compared with women treated with expectant management and bed rest.


Retrospective analysis of pregnant women admitted between 2001 and 2017 with a diagnosis of early cervical dilatation and/or bulging membranes. Patients with a singleton pregnancy of a fetus without malformations, between 16 and 25 weeks and 6 days, with cervical dilatation of 1 to 3 cm were included; patients who delivered or miscarried within 2 days after admission were excluded.


The study enrolled 30 patients: 19 in the cerclage group and 11 in the rest group. There was a significant difference, with the cerclage group showing better results concerning gestational age at delivery (28.7 vs. 23.3 weeks; p=0.031) and latency between hospital admission and delivery (48.6 vs. 16 days; p=0.016). The fetal death rate was lower in the cerclage group (5.3% vs. 54.5%, p=0.004). Considering gestational age at delivery of live newborns, no difference was observed between the cerclage and rest groups (29.13 vs. 27.4 weeks; p=0.857).


Emergency cerclage was associated with longer latency, a significant impact on gestational age at delivery and reduction in the fetal death rate.