Document Detail


Preconception transabdominal cervicoisthmic cerclage.
MedLine Citation:
PMID:  15295371     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to report pregnancy outcome and complication rates for women with recurrent late pregnancy loss who were treated with preconception transabdominal cervicoisthmic cerclage. STUDY DESIGN: This was a case note review of 19 women at high risk for second trimester loss and early preterm delivery who were treated with preconception transabdominal cervicoisthmic cerclage at Queen Charlotte's and Chelsea Hospital from 1994 to 2003. RESULTS: Preconception transabdominal cervicoisthmic cerclage was associated with a postoperative fetal survival rate of 100% for pregnancies that reached >12 weeks of gestation, compared with a preoperative fetal survival rate of 12%. There were no significant intraoperative, antenatal, intrapartum or neonatal complications. CONCLUSION: Within this case series, preconception transabdominal cervicoisthmic cerclage was a safe alternative to transabdominal cervicoisthmic cerclage that was performed in pregnancy with no risk to a fetus. It should be considered in appropriate cases in women seen for prepregnancy counseling.
Authors:
Katie M Groom; Bryony A Jones; D Keith Edmonds; Phillip R Bennett
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  191     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-08-05     Completed Date:  2004-09-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  230-4     Citation Subset:  AIM; IM    
Affiliation:
Imperial College London Parturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Queen Charlotte's and Chelsea Hospital, London, United Kingdom. k.groom@ic.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Abortion, Habitual / prevention & control*
Adult
Cerclage, Cervical / methods*
Female
Humans
Pregnancy
Pregnancy Outcome*
Pregnancy Trimester, Second
Pregnancy, High-Risk*
Uterus / abnormalities

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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