PMID: 18711958Aug 21, 2008Paper

Cervical cerclage. Results of the last ten year period (1997-2008) in Faculty Hospital Olomouc

Ceská gynekologie
M Vĕtr

Abstract

To evaluate the effectiveness of the cervical cerclage in the last ten year period on pregnancy outcome. Retrospective study. Gynaecological and Obstetric Clinic Medical Faculty Palacky University and Faculty Hospital Olomouc. In the retrospective analysis of maternal and newborn records in the ten year period from 1.1. 1998 to 31. 12. 2007 were identified three groups of indications for operative cervical closure: elective--on the basis of history without objective evidence of cervical change, emergency cerclage--with objective manifestation of cervical insufficiency and rescue cerclage of a widely dilated cervix with prolapsed unruptured membranes. A total 102 patients underwent cerclage between 11 and 31 weeks gestation. The prevalence of operative intervention was 0.6% of all mothers. Cervical cerclage was done by the McDonald technique. 17 patients had elective operations, 57 emergency and 28 rescue cerclage. Median length of interval from cerclage to delivery was significantly shorter after rescue cerclage, 26 days, (range 2-126) compared to emergency cerclage patients, 74 days (range (7-148). (P = 0,000005). Median interval from cerclage to delivery in elective operation was 105 days (range 9-188). Newborn dates correspo...Continue Reading

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