Document Detail


The role of cervical ultrasound screening in determining the timing of emergency cerclage.
MedLine Citation:
PMID:  22663315     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The present study aimed to determine the outcome of emergency cerclage depending on clinical presentation. Retrospective analysis of non-elective cerclage divided by clinical presentation: (1) bulging membranes with symptoms (n = 19); (2) bulging membranes without symptoms (n = 13); (3) asymptomatic ultrasound indicated were cerclage (n = 23). Data from Group 1 and Group 2 were analysed retrospectively for average prolongation of pregnancy and delivery before 32 weeks. Average prolongation of pregnancy (suture to delivery interval) was significantly shorter in the group with symptoms compared with the group without symptoms (43 vs 89, p < 0.01). Delivery before 32 weeks was also significantly higher in the group with symptoms compared with the group without symptoms (79% vs 31%, p < 0.05). Emergency and ultrasound indicated cerclage are best performed prior to symptoms. Women at high risk of pre-term birth may benefit from transvaginal ultrasound surveillance.
Authors:
B Tezcan; N Hezelgrave; A Shennan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  32     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-06-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  444-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology , St Thomas' Hospital, London , UK.
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