| Cervicoisthmic cerclage: transabdominal vs transvaginal approach. | |
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MedLine Citation:
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PMID: 19376490 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: We sought to compare the outcomes of cervicoisthmic (CI) cerclage using traditional transabdominal (TA) approach vs the lesser used transvaginal (TV) approach. STUDY DESIGN: We conducted a retrospective cohort study of women who underwent placement of a CI cerclage. RESULTS: Before CI placement, the abdominal group had a total of 100 pregnancies that continued beyond the first trimester and had 27 (27%) surviving infants. After cerclage placement, there were 34 pregnancies and 24 (71%) surviving infants. Before cerclage placement, the vaginal group had a total of 90 pregnancies that continued beyond the first trimester and had 11 (12%) surviving infants. After cerclage placement, there were 29 pregnancies and 20 (69%) surviving infants. The vaginal cerclage group had a significantly shorter mean operative time of 33 vs 69 minutes, and shorter hospital stay of 0.5 vs 3.2 days. CONCLUSION: Both TV and TA CI cerclage offers select patients with cervical insufficiency improved neonatal survival. The TV placement of a CI has less morbidity than the TA approach with a comparable neonatal survival. |
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Authors:
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Marili U Witt; Saju D Joy; Jennifer Clark; Amy Herring; Watson A Bowes; John M Thorp |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-04-18 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 201 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-07-06 Completed Date: 2009-08-21 Revised Date: 2011-09-26 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 105.e1-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7570, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerclage, Cervical
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methods* Female Humans Length of Stay Pregnancy Pregnancy Outcome* Retrospective Studies |
| Grant Support | |
ID/Acronym/Agency:
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P30 ES010126-09/ES/NIEHS NIH HHS; R24 HD050924-06/HD/NICHD NIH HHS; R24 HD050924-07/HD/NICHD NIH HHS; T32 ES007018-33/ES/NIEHS NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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