Surgical Treatment of Incompetent Cervix
Autor: | Frances Marks, Carl Rosenberg, Bruce K. Young, Iffath A. Hoskins |
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Rok vydání: | 1992 |
Předmět: |
Adult
medicine.medical_specialty business.industry Obstetrics Training level Obstetrics and Gynecology Gestational age Abortion medicine.disease Surgery Cervical effacement Treatment Outcome Pregnancy Surgical Procedures Operative Pediatrics Perinatology and Child Health medicine Humans Regression Analysis Term Birth Female Uterine Cervical Incompetence In patient Incompetent cervix Surgical treatment business |
Zdroj: | American Journal of Perinatology. 9:481-483 |
ISSN: | 1098-8785 0735-1631 |
DOI: | 10.1055/s-2007-999293 |
Popis: | A comparison of multiple factors in the surgical management of cervical incompetence was carried out in 114 procedures. Factors examined included training level of the operator, gestational age, cervical effacement and dilation at the time of operation, diagnostic evaluation, Shirodkar or McDonald procedure, year of the procedure, and tocolytic therapy. The endpoint for successful outcome was defined as 37 weeks or newborn weighing over 2500 gm rather than neonatal survival, thus differing from previous studies. All patients were delivered vaginally unless there was an obstetric indication for cesarean delivery. The most important determinants of a term birth in patients with incompetent cervix were operator experience and the use of a Shirodkar procedure. |
Databáze: | OpenAIRE |
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