| Arabin cerclage pessary in the management of cervical insufficiency. | |
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MedLine Citation:
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PMID: 22871155 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Abstract Objective: To evaluate the use of Arabin cerclage pessary in the management of cervical insufficiency. Methods: The pregnancy outcome of 20 women carrying singleton pregnancy referred for suspected cervical insufficiency and chose Arabin cerclage pessary for treatment from 2009-2011 were reviewed. Pregnancy outcome were analyzed according to presence of risk factors, amniotic fluid sludge, cervical length and gestation at pessary insertion. Results: At presentation, mean cervical length was 1.17cm (range 0-2.33cm), mean gestation at pessary insertion and delivery was 20.6 (12.9-26.1) weeks and 32.1 (14.7-40.1) weeks respectively, and mean prolongation of pregnancy was 11.5 (0.5-25.2) weeks. Overall, 5 (25%) had fetal loss between 14.7-23.1 weeks, while 3 (15%) and 12 (60%) delivered before and after 34 weeks gestation respectively with no perinatal mortality. Compared with women with cervical length < 1.5cm, all those with cervical length ≥ 1.5cm had pregnancy prolonged for ≥ 49 days (100% vs. 54% p=0.032) and 86% delivered beyond 34 weeks (86% vs. 46% p=0.085). Conclusions: Arabin cerclage pessary appears to be optimal for treating women at high risk of cervical insufficiency with a cervical length of 1.5-2.5cm, while it is an acceptable option for high risk women with cervical length < 1.5cm. |
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Authors:
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Yuen Ha Ting; Terence T Lao; Lai Wa Law; Shuk Yi Annie Hui; Chung Ming Chor; Tze Kin Lau; Tak Yeung Leung |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-8-8 |
Journal Detail:
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Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: - ISSN: 1476-4954 ISO Abbreviation: J. Matern. Fetal. Neonatal. Med. Publication Date: 2012 Aug |
Date Detail:
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Created Date: 2012-8-8 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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