Interval to spontaneous delivery after elective removal of cerclage.

Autor: Bisulli M; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA., Suhag A, Arvon R, Seibel-Seamon J, Visintine J, Berghella V
Jazyk: angličtina
Zdroj: American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2009 Aug; Vol. 201 (2), pp. 163.e1-4. Date of Electronic Publication: 2009 Jun 26.
DOI: 10.1016/j.ajog.2009.04.022
Abstrakt: Objective: The purpose of this study was to estimate the time interval between elective cerclage removal and spontaneous delivery.
Methods: Singleton pregnancies with McDonald cerclage were evaluated for the interval between elective cerclage removal (36-37 weeks) and spontaneous delivery. We also compared spontaneous delivery within 48 hours after cerclage removal between women with ultrasound-indicated vs history-indicated cerclage.
Results: We identified 141 women with elective cerclage removal. The mean interval between removal and delivery was 14 days. Only 11% of women delivered within 48 hours. Women with ultrasound-indicated cerclage were more likely to deliver within 48 hours, compared with women with history-indicated cerclage (odds ratio, 5.14; 95% confidence interval, 1.10-24.05).
Conclusion: The mean interval between elective cerclage removal and spontaneous delivery is 14 days. Women with cerclage who achieved 36-37 weeks should be counseled that their chance of spontaneous delivery within 48 hours after elective cerclage removal is only 11%.
Databáze: MEDLINE
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