Amniocentesis Prior to Physical Exam–Indicated Cerclage in Women with Midtrimester Cervical Dilation: Results from the Expectant Management Compared to Physical Exam–indicated Cerclage International Cohort Study
| Autor: | Amanda Cotter, Suneeta Mittal, Vincenzo Berghella, James Airoldi, Etaion Kearney, Jorge E. Tolosa, Leonardo Pereira, Surasith Chaithongwongwatthana, Ricardo Gomez, Witoon Prasertcharoensuk, Juha Rasanen |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Fetal Membranes Premature Rupture medicine.medical_specialty Cervical dilation Extraembryonic Membranes Gestational Age Cohort Studies Pregnancy Recurrence Risk Factors Humans Medicine Pregnancy Complications Infectious Reproductive History Expectant management Cerclage Cervical Gynecology medicine.diagnostic_test business.industry Obstetrics Ureaplasma Infections Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Gestational age Pregnancy Trimester Second Pediatrics Perinatology and Child Health Amniocentesis Fusobacterium Infections Premature Birth Gestation Female Physical exam Dilated cervix Labor Stage First business Cohort study |
| Zdroj: | American Journal of Perinatology. 26:063-068 |
| ISSN: | 1098-8785 0735-1631 |
| DOI: | 10.1055/s-0028-1095182 |
| Popis: | We evaluated whether the performance of an amniocentesis in women with a dilated cervix presenting at less than 26 weeks and subsequently managed by a physical exam-indicated cerclage increases the risk of spontaneous preterm birth (PTB) less than 28 weeks. Women between 15 0 / 7 to 25 6 / 7 weeks' gestation with a dilated cervix (1 to 4 cm) were identified. Multiple exclusion criteria were designated. The primary outcome was PTB less than 28 weeks. One hundred twenty-two women with a dilated cervix between 15 and 25 6 / 7 weeks gestational age were identified. Twenty-four (20%) of these had an amniocentesis performed. The unadjusted rate of PTB < 28 weeks differed between women who underwent amniocentesis compared with those who did not (58% versus 34%, respectively, P = 0.02), but after multivariate regression analysis, the performance of an amniocentesis was not an independent contributor to PTB < 28 weeks ( P = 0.90). The performance of an amniocentesis prior to cerclage did not independently contribute to PTB less than 28 weeks. |
| Databáze: | OpenAIRE |
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