| Changing trends in the obstetric indications for cervical cerclage. | |
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MedLine Citation:
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PMID: 12963508 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cervical incompetence causes repeated mid-trimester miscarriage and preterm delivery with high fetal wastage. Since the introduction of cervical cerclage in 1951, it has undergone many changes with regard to the techniques, indications and postoperative care. The objective of this study is to review the changing trends in the current indications of cervical cerclage and subsequent perinatal outcome at the maternity hospital from January 1992 to December 1999. All the files of women who had had cervical cerclage were evaluated in terms of characteristics of the women, indications and obstetric outcome after cervical cerclage. Of 65539 who delivered in the hospital, 1021 women had had cervical cerclage, giving an incidence of 1.21%. There was a significant increase in the incidence of cervical cerclage, from 1.13% in 1992 to 1.40% in 1999 (P < 0.01). More women with multiple pregnancy in 1996 - 99 had cerclage than in 1992 - 94 period [22.7 vs. 8.5% (P < 0.01)]. It is clear that more cervical sutures are being performed in multiple pregnancies arising from assisted reproductive technology as well as after ultrasonographic evidence of cervical dilatation. A multicentre randomised clinical trial is therefore advocated to evaluate its effectiveness in these cases. |
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Authors:
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M Al-Azemi; F Al-Qattan; A Omu; S Taher; N Al-Busiri; A Abdulaziz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 23 ISSN: 0144-3615 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-09-09 Completed Date: 2003-11-25 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 507-11 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Faculty of Medicine, Kuwait University, Kuwait. alazemimajda@hsc.kuniv.edu.kw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerclage, Cervical / trends, utilization* Female Humans Kuwait Pregnancy Pregnancy Outcome Uterine Cervical Incompetence / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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