| History-indicated cerclage: practice patterns of maternal-fetal medicine specialists in the USA. | |
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MedLine Citation:
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PMID: 18651834 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: There is limited evidence supporting the effectiveness of history-indicated cerclage in preventing spontaneous pregnancy loss or preterm birth. This study was undertaken to estimate the practice patterns of maternal-fetal medicine specialists in regards to history-indicated cerclage. METHODS: We performed a mail-based survey of all SMFM specialists in the US. Subjects were asked whether they would recommend a history-indicated cerclage at 12-14 weeks in a patient whose prior pregnancy was her first pregnancy and ended in a spontaneous, painless loss at 19 weeks with no identifiable cause. RESULTS: A total of 827 (46%) of SMFM members responded of which 75% would recommend a history-indicated cerclage for this patient. Twenty-one percent would not recommend one, but would place one if desired by the patient. Only 4% would not place a history-indicated cerclage in this scenario. A total of 71% believed a history-indicated cerclage was associated with moderate or significant benefit, and 89% believed it involved minimal or no risk. Female gender, non-academic practice, practicing in the southern region and greater interval since residency training were all independently associated with the recommendation for a history-indicated cerclage. CONCLUSIONS: Despite limited level-I evidence supporting its use, a history-indicated cerclage is recommended by most maternal-fetal medicine specialists. |
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Authors:
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Nathan S Fox; Shari E Gelber; Robin B Kalish; Stephen T Chasen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of perinatal medicine Volume: 36 ISSN: 0300-5577 ISO Abbreviation: J Perinat Med Publication Date: 2008 |
Date Detail:
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Created Date: 2008-11-07 Completed Date: 2009-02-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0361031 Medline TA: J Perinat Med Country: Germany |
Other Details:
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Languages: eng Pagination: 513-7 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Weill Cornell Medical College, New York, NY, USA. nfox@mfmnyc.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerclage, Cervical / utilization* Female Humans Male Medical History Taking Middle Aged Obstetrics / statistics & numerical data* Physician's Practice Patterns / statistics & numerical data* Prenatal Care / methods* Questionnaires Risk Assessment United States Uterine Cervical Incompetence / diagnosis, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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