Document Detail


Contemporary use of cerclage in pregnancy.
MedLine Citation:
PMID:  20393412     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Second trimester pregnancy loss and preterm delivery may be considered an obstetrical syndrome. A multifactorial approach to the diagnosis of true cervical insufficiency is paramount. Surgical modification of the cervix benefits those with at least 3 second trimester losses or preterm deliveries, those with 2 early second trimester losses when no other cause for loss is identified, and those with a previous second trimester loss or preterm birth with ultrasound findings of a short cervix defined as less than 25 mm. Multifetal pregnancies do not benefit from cerclage and causes harm in those with ultrasound or physical examination identified cervical changes.
Authors:
Robert H Debbs; Janine Chen
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical obstetrics and gynecology     Volume:  52     ISSN:  1532-5520     ISO Abbreviation:  Clin Obstet Gynecol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-04-15     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0070014     Medline TA:  Clin Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  597-610     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Pennsylvania Hospital, Division of Maternal Fetal Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19107, USA. Debbsr@pahosp.com
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MeSH Terms
Descriptor/Qualifier:
Abortion, Habitual
Cerclage, Cervical* / methods
Cervix Uteri / abnormalities,  surgery,  ultrasonography
Female
Fetal Membranes, Premature Rupture
Humans
Physical Examination
Pregnancy
Pregnancy Outcome
Pregnancy Trimester, Second
Premature Birth / prevention & control
Uterine Cervical Incompetence / surgery,  ultrasonography

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


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