Emergency cervical cerclage after 20 weeks' gestation: a retrospective study of 6 years' practice in 34 cases

Fetal Diagnosis and Therapy
J L BeniflaP Madelenat

Abstract

The aim of this study was to evaluate the outcome of late emergency cervical cerclage, after 20 weeks' gestational age (GA). This report describes a retrospective study from January 1, 1988 to December 31, 1993, of 34 patients with intact membranes who required emergency cervical cerclage after 20 weeks of GA, on observing significant cervical changes such as 'cervix dilated at least 2 cm and bulging membranes', in the Department of Obstetrics and Gynecology (Bichat-Claude Bernard Public Hospital, Paris, France). Eight patients were primigestae, and 3 had twin pregnancies. After 48 h resting under tocolysis infusion, emergency cervical cerclage (MacDonald technique) was performed with general anesthesia and prophylactic antibiotic administration. Out of 34 patients, 19 (73.1%) had a past history of one or more previous obstetrical events capable of causing cervical incompetence (CI). Mean duration of pregnancy at emergency cervical cerclage was 22.1 weeks of GA, and at delivery was 35.7 weeks of GA. The mean prolongation of pregnancy obtained was 13.9 weeks. There was a significant negative linear relationship between term at time of cerclage and the prolongation of pregnancy. In this series, 6 patients (17.6%) delivered before...Continue Reading

Citations

Aug 21, 2001·Obstetrics and Gynecology·V TsatsarisH Fernandez
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May 16, 2013·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·Yunus ÇavuşFatma Uysal
Feb 5, 2008·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jens H StupinJoachim W Dudenhausen
Mar 19, 2003·Seminars in Perinatology·Larry Rand, Errol R Norwitz
Jul 22, 2014·American Journal of Obstetrics and Gynecology·Ga-Hyun SonKeun-Young Lee
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Oct 31, 2003·American Journal of Obstetrics and Gynecology·Sietske M AlthuisiusUNKNOWN Cervical incompetence prevention randomized cerclage trial
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Aug 28, 2012·Fetal Diagnosis and Therapy·Ishai LevinBenny Almog
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Mar 25, 2019·Journal of Gynecology Obstetrics and Human Reproduction·Claire SzmulewiczPerrine Capmas

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