| When is a cerclage indicated for cervical insufficiency? A literature review. | |
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MedLine Citation:
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PMID: 17939249 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cervical insufficiency is a very difficult diagnosis to confirm. An evidenced based assessment of the randomized clinical trials, meta-analysis, cohort studies and, the American College of Obstetrics and Gynecologist (ACOG) practice bulletin demonstrated there is no difference between women treated with cerclage, and those who received bed rest in patients with an appropriate history for cervical insufficiency. Based on the existing literature, cerclage is rarely, if ever mandated, but rather can be offered if the following criteria are met: (1). signs and symptoms of first trimester abnormalities in the current pregnancy are absent; (2). the patient has three or more second trimester losses (usually 18-22 weeks) with a classic history of cervical incompetence. We also recommend serial ultrasounds be performed beginning at 16 weeks to demonstrate cervical insufficiency. |
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Authors:
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Thomas C Woodring; Chad K Klauser; Dean A Cromartie; Everett F Magann; Suneet P Chauhan; John C Morrison |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of the Mississippi State Medical Association Volume: 47 ISSN: 0026-6396 ISO Abbreviation: J Miss State Med Assoc Publication Date: 2006 Sep |
Date Detail:
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Created Date: 2007-10-17 Completed Date: 2007-11-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7505622 Medline TA: J Miss State Med Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 264-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson 39216, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cerclage, Cervical
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methods* Decision Making Female Humans Pregnancy Pregnancy Complications Treatment Outcome Uterine Cervical Incompetence / etiology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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