Document Detail


Effect of cerclage on labor course and obstetric outcome: a case-control study.
MedLine Citation:
PMID:  22420733     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective: The purpose of this study was to evaluate the effects of cervical cerclage on labor course and obstetric outcome. Methods: In a retrospective case-control study, we compared labor course, total labor duration, and obstetric complications in 127 women who received cervical cerclage with 254 controls. Results: There was no significant difference in the duration of the first stage of labor (477 ± 576 vs. 373 ± 437 min, p = 0.075) or the second stage of labor (18 ± 17 vs. 20 ± 19 min, p = 0.287) between the 2 groups. In the multivariate analysis, women in the cerclage group were found to be significantly more likely to have a prolonged latent phase (odds ratio [OR], 2.802; 95% confidence interval [CI], 1.103-7.120; p = 0.030), cervical laceration (OR, 15.984; 95% CI, 3.169-80.624; p = 0.001), and treatment with tocolytics (OR, 2.580; 95% CI, 1.217-5.468; p = 0.013) than the control group. No significant difference was noted in cesarean delivery rate. Conclusions: Cervical cerclage is more likely to be associated with a prolonged latent phase and minor obstetric complications, but not with a difference in the total duration of labor or increased cesarean delivery rate.
Authors:
Jae Eun Shin; Jong Chul Shin; Sa Jin Kim; Young Lee
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-16
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:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-16     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:
Department of Obstetrics and Gynecology, College of Medicine, Catholic University of Korea , Seoul , Korea.
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