Document Detail


Results of cervical cerclage operations in pregnant women during a five-year period.
MedLine Citation:
PMID:  7316443     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During the five-year period from 1974 to 1978, 102 pregnancies (0.67% of all deliveries during this period) were treated with cerclage operations. The 16th week of pregnancy was the most common time for operation. In the majority of the cases the indication for surgery was strictly prophylactic; the women had a history of one or more second or early third trimester foetal losses, but there was no dilatation or effacement of the cervix at the time of surgery. No abortions were caused by the surgery. The most serious complication observed was a vesicovaginal fistula. Prior to their first cerclage operation the women investigated had an infant survival rate of 42% of their pregnancies. In the treated pregnancies the corresponding figure was 91%. It is concluded that cerclage operations performed mainly on the basis of prophylactic indications are justified since severe complications are rare and cerclage may be a useful tool to prolong pregnancies and thus improve the prognosis for infants of women with a history of second trimester foetal losses.
Authors:
H Malmström; O Axelsson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annales chirurgiae et gynaecologiae     Volume:  70     ISSN:  0355-9521     ISO Abbreviation:  Ann Chir Gynaecol     Publication Date:  1981  
Date Detail:
Created Date:  1982-02-12     Completed Date:  1982-02-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7609767     Medline TA:  Ann Chir Gynaecol     Country:  FINLAND    
Other Details:
Languages:  eng     Pagination:  75-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Abortion, Habitual / prevention & control*
Adult
Female
Humans
Infant, Newborn
Methods
Pregnancy
Pregnancy Trimester, Second
Uterine Cervical Incompetence / surgery*

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


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