Document Detail


Exam-indicated cerclage in patients with fetal membranes at or beyond external os: A retrospective evaluation.
MedLine Citation:
PMID:  22640560     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  To evaluate pregnancy outcome in women with fetal membranes at or beyond external os who underwent exam-indicated cerclage or conservative management. Material and Methods:  Retrospective cohort study including 52 patients with fetal membranes at or beyond external os between 17 and 27 weeks of gestation, treated in two third-level hospitals, between January 2001 and April 2009. The outcomes of interest of the study, prolongation of pregnancy and neonatal survival rate, were stratified according to type of management, parity, clinical conditions and blood tests at admission and calculated using the Kaplan-Meier algorithm. Results:  Of 52 women, 37 received exam-indicated cerclage and 15 were managed conservatively. The rate of patients still pregnant beyond 180 days within the cerclage group differed significantly from those of the conservative management group (80% vs 0%, respectively) (P-value < 0.001). No difference has been found according to neonatal survival (82% versus 53%, respectively). Conclusion:  Exam-indicated cerclage appears to prolong gestation compared to expectant management.
Authors:
Alessandra Curti; Giuliana Simonazzi; Antonio Farina; Hilda Memeci; Fabio Facchinetti; Nicola Rizzo
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-28
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  -     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology.
Affiliation:
Department of Obstetrics and Gynecology, St. Orsola Malpighi Hospital, University of Bologna, Bologna Department of Obstetrics and Gynecology, Modena University Hospital, Modena, Italy.
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