| Emergency cervical cerclage. Does the gestational age make a difference? | |
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MedLine Citation:
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PMID: 15322593 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the effectiveness of emergency cervical cerclage in prolongation of pregnancy and its effect on pregnancy outcome in patients with cervical incompetence. METHODS: A retrospective review of patients who had an emergency cervical cerclage performed for cervical incompetence during the period from July 1995 to June 2002 was carried out in Abha General Hospital, Abha, Kingdom of Saudi Arabia. Twenty patients between 16 and 26 weeks of gestation with 1) cervical effacement, 2) cervical dilatation of < or =3 cm, 3) herniation of intact fetal membranes through the cervical os, 4) absence of established labor, and 5) absence of clinical evidence of infection were studied. The duration of cerclage in situ, gestation at delivery and birth weight were analyzed. RESULTS: The mean duration of cerclage in situ was 68.5 days. The mean gestation at delivery was 30.5 weeks and the mean birth weight was 1844 grams. The duration of cerclage in situ was significantly longer when the procedure was performed at or before 22 weeks of gestation with a p value of <0.02 (Mann-Whitney U test), but the difference in the gestation at delivery and birth weight was not significant. There was also a significant negative correlation between the gestation at cerclage and the duration of cerclage in situ (Spearman's correlation coefficient rs = -0.56, p<0.05). CONCLUSION: Emergency cervical cerclage in early second trimester effectively prolonged pregnancy compared to emergency cerclage performed in late second trimester. |
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Authors:
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Mamdoh A Eskandar; Adekunle A Sobande; Ian O Damole; Ahmed M Bahar |
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Publication Detail:
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Type: Comparative Study; Journal Article; Retracted Publication |
Journal Detail:
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Title: Saudi medical journal Volume: 25 ISSN: 0379-5284 ISO Abbreviation: Saudi Med J Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-08-23 Completed Date: 2004-10-26 Revised Date: 2009-03-24 |
Medline Journal Info:
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Nlm Unique ID: 7909441 Medline TA: Saudi Med J Country: Saudi Arabia |
Other Details:
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Languages: eng Pagination: 1028-31 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology and Reproductive Medicine, College of Medicine, King Khalid University, PO Box 641, Abha, Kingdom of Saudi Arabia. mamdoheskandar@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Cerclage, Cervical / methods* Emergency Medical Services Female Gestational Age Humans Maternal Age Pregnancy Pregnancy Complications / diagnosis, surgery* Pregnancy Outcome* Pregnancy, High-Risk Probability Retrospective Studies Risk Assessment Saudi Arabia Statistics, Nonparametric Time Factors Treatment Outcome Uterine Cervical Incompetence / diagnosis, surgery* |
| Comments/Corrections | |
Retraction In:
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Saudi Med J. 2008 Dec;29(12):1836
[PMID:
19082250
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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