Cervical cerclage for singleton pregnant patients on vaginal progesterone with progressive cervical shortening

American Journal of Obstetrics and Gynecology
Christopher A EnakpeneMicaela Della Torre

Abstract

Premature cervical ripening plays a significant role in spontaneous preterm birth. Vaginal progesterone is the recommended treatment in singleton pregnancy with incidental short cervix. There is lack of evidence on whether it is beneficial to reinforce the cervix with cerclage when the cervical length becomes progressively shortened <10 mm while on vaginal progesterone. Our aims are to determine whether cerclage with vaginal progesterone will: (1) reduce the overall spontaneous preterm birth rate, (2) prolong pregnancy latency, and (3) improve neonatal outcomes compared to vaginal progesterone alone. This was a retrospective cohort study at the University of Illinois at Chicago of all women with singleton pregnancy on vaginal progesterone for incidental short cervix, cervical length <20 mm. Only those with progressive cervical length shortening <10 mm who delivered at the University of Illinois at Chicago from January 2013 through December 2016 were included. The decision to perform cerclage was based on individual physician preference. Demographic data; information on serial cervical length status; medical, obstetric, and social history; cerclage vs no cerclage; and neonatal outcomes were compared. A total of 310 women with in...Continue Reading

Citations

Feb 15, 2019·Archives of Gynecology and Obstetrics·George DaskalakisBirgit Arabin
Apr 2, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Irene A StaffordJoseph L Hagan
Apr 26, 2020·The Journal of Perinatal & Neonatal Nursing·Eleanor E WadeAndrew S Thagard
May 18, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Patrik ŠimjákJiří Sláma
Apr 26, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Athena P SoukaAthanasios Pilalis
Sep 28, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·Laura GoodfellowZarko Alfirevic
Feb 7, 2020·American Journal of Obstetrics and Gynecology·Agustin Conde-AgudeloKypros H Nicolaides
Apr 13, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Michika OkuharaKimio Mizuno
Jul 17, 2021·American Journal of Obstetrics & Gynecology MFM·Moti GulersenBurton Rochelson
Apr 21, 2021·Minerva Obstetrics and Gynecology·Isabel M Fontán AtalayaBartolomé Fernandez Torres

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