| Does cervical cerclage prevent preterm delivery in patients with a short cervix? | |
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MedLine Citation:
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PMID: 11408848 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Our purpose was to determine whether cerclage placement in women with a short cervix on transvaginal ultrasonography reduces the rate of preterm delivery. STUDY DESIGN: A retrospective cohort study identified patients with an ultrasonographic short cervix (cervical length < or =15 mm) between 14 and 24 weeks' gestation. Cerclage placement was performed at the discretion of the attending physician. Clinical characteristics and outcome with and without cerclage were compared. RESULTS: Seventy patients met inclusion criteria; 25 (36%) underwent cerclage placement. Patients managed with cerclage had a lower gestational age at diagnosis (19.6 weeks vs 21.3 weeks, P <.01) but had a similar median cervical length, presence of funneling, and a history of cervical surgery, in comparison with those managed without cerclage. The rate of spontaneous preterm delivery was not different between groups. Patients with cerclage had a higher rate of preterm premature rupture of membranes than those without cerclage (65.2% vs 36.4%, P <.05). CONCLUSION: Cervical cerclage in patients with a short cervix did not reduce the rate of spontaneous preterm delivery and increased the risk of preterm premature rupture of membranes. |
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Authors:
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S S Hassan; R Romero; E Maymon; S M Berry; S C Blackwell; M C Treadwell; M Tomlinson |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 184 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2001 Jun |
Date Detail:
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Created Date: 2001-06-15 Completed Date: 2001-07-12 Revised Date: 2005-11-17 |
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: 1325-9; discussion 1329-31 Citation Subset: AIM; IM |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Wayne State University/Hutzel Hospital, Detroit, Michigan 48201, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Cervix Uteri / surgery*, ultrasonography* Cohort Studies Female Fetal Membranes, Premature Rupture / etiology Humans Middle Aged Obstetric Labor, Premature / prevention & control* Pregnancy Retrospective Studies Risk Factors Suture Techniques* / adverse effects Treatment Failure |
| Comments/Corrections | |
Comment In:
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Am J Obstet Gynecol. 2002 Mar;186(3):594-5; author reply 595-6
[PMID:
11904632
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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