| Evaluation of outcomes after transabdominal cervicoisthmic cerclage. | |
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MedLine Citation:
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PMID: 19672608 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate maternal and neonatal outcomes after transabdominal cerclage. METHODS: Retrospective analysis of 15 patients receiving transabdominal cerclage. Using the patient's prior pregnancy as her own control, we assessed the effect of this procedure on gestational age and neonatal survival. RESULTS: All patients had experienced a prior pregnancy loss. Twelve out of the 15 patients (80%) had at least one prior failed vaginal cerclage. The median gestational age at surgery was 14 (range 12-16) weeks. There was one case of surgical site infection. After cerclage, the proportion of women delivered beyond 32 weeks was significantly higher [11/15 (73.3%) vs. 1/15 (6.7%), P=0.0016], as was neonatal survival [12/15 (80%) vs. 1/15 (6.7%), P=0.0009]. CONCLUSIONS: While transabdominal cerclage is a major surgical procedure, subsequent pregnancy outcomes were improved. |
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Authors:
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Eric James Knudtson; Jennifer Peck; Valerie Skaggs; Andrew Elimian; Jean Goodman; John Stanley |
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Publication Detail:
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Type: Journal Article Date: 2009-08-12 |
Journal Detail:
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Title: Archives of gynecology and obstetrics Volume: 281 ISSN: 1432-0711 ISO Abbreviation: Arch. Gynecol. Obstet. Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-04-05 Completed Date: 2010-06-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: Germany |
Other Details:
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Languages: eng Pagination: 891-4 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, The University of Oklahoma Health Sciences Center, PO Box 26901, WP 2470, Oklahoma City, OK 73126, USA. eric-knudtson@ouhsc.edu |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerclage, Cervical / methods* Female Humans Infant, Newborn Laparotomy Pregnancy Pregnancy Outcome Retrospective Studies Uterine Cervical Incompetence / surgery* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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