Document Detail


Arabin cerclage pessary in the management of cervical insufficiency.
MedLine Citation:
PMID:  22871155     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
Yuen Ha Ting; Terence T Lao; Lai Wa Law; Shuk Yi Annie Hui; Chung Ming Chor; Tze Kin Lau; Tak Yeung Leung
Related Documents :
11558095 - Investigations of crashes involving pregnant occupants.
23724965 - Prenatal exposure to polychlorinated biphenyls (pcbs) and polybrominated diphenyl ether...
12836865 - Preconception care for women with type 1 diabetes.
23558445 - Exposure to pesticides and the risk of childhood brain tumors.
3425955 - The importance of sperm motility for the fertilization of human oocytes in vivo and in ...
22264585 - Secretion and transfer of the thyroid hormone binding protein transthyretin by human pl...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-8
Journal Detail:
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:
Created Date:  2012-8-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Emergency department ultrasonography guided long-axis antecubital intravenous cannulation: How to do...
Next Document:  Depletion of Acidic Phosphopeptides by SAX to Improve the Coverage for the Detection of Basophilic K...