| Autor: |
Hassan, Sonia S., Romero, Roberto, Maymon, Eli, Berry, Stanley M., Blackwell, Sean C., Treadwell, Marjorie C., Tomlinson, Mark, Hassan, S S, Romero, R, Maymon, E, Berry, S M, Blackwell, S C, Treadwell, M C, Tomlinson, M |
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| Zdroj: |
American Journal of Obstetrics & Gynecology; Jun2001, Vol. 184 Issue 7, p1325-1329, 5p, 3 Charts, 1 Graph |
| Abstrakt: |
Objective: Our purpose was to determine whether cerclage placement in women with a short cervix on transvaginal ultrasonography reduces the rate of preterm delivery.Study Design: A retrospective cohort study identified patients with an ultrasonographic short cervix (cervical length < or =15 mm) between 14 and 24 weeks' gestation. Cerclage placement was performed at the discretion of the attending physician. Clinical characteristics and outcome with and without cerclage were compared.Results: Seventy patients met inclusion criteria; 25 (36%) underwent cerclage placement. Patients managed with cerclage had a lower gestational age at diagnosis (19.6 weeks vs 21.3 weeks, P <.01) but had a similar median cervical length, presence of funneling, and a history of cervical surgery, in comparison with those managed without cerclage. The rate of spontaneous preterm delivery was not different between groups. Patients with cerclage had a higher rate of preterm premature rupture of membranes than those without cerclage (65.2% vs 36.4%, P <.05).Conclusion: Cervical cerclage in patients with a short cervix did not reduce the rate of spontaneous preterm delivery and increased the risk of preterm premature rupture of membranes. [ABSTRACT FROM AUTHOR] |
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