Abstract
To compare pregnancy outcomes in women with pPROM and a cervical cerclage in whom the cerclage was removed within 24 h and those in whom the cerclage was retained in situ. A two-center retrospective cohort study of women with a singleton gestation with pPROM at < 340/7 weeks of gestation in the presence of cervical cerclage (January 1, 2012-July 30, 2016). Maternal and perinatal outcomes were compared between women in whom cerclage was removed within 24 h from pPROM and those in whom cerclage was retained until the onset of delivery. The primary outcome was time from pPROM to delivery. Seventy women met inclusion criteria. Cerclage was left in situ in 47 (67.1%) and removed in 23 (32.9%) women. Women in the cerclage retention group had a higher pPROM-to-delivery interval (7.0 ± 7.2 vs. 6.0 ± 10.9 days, p = 0.03), and were more likely to have a latency period > 48 h (87.2% vs. 65.2%, p = 0.03; aOR 3.9, 95% CI 3.1-4.9) or > 7 days (29.8% vs. 8.7%, p = 0.04; aOR 7.0, 95% CI 2.5-19.6) compared with women in whom cerclage was removed. Furthermore, chorioamnionitis rate was lower in the cerclage retention group compared to cerclage removal group (aOR 0.7, 95% CI 0.5-1.0). There were no differences between the groups in early neonatal...Continue Reading
References
Apr 1, 1978·The Journal of Pediatrics·L A PapileH Koffler
Jan 1, 1978·Annals of Surgery·M J BellT Brotherton
Mar 1, 1989·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·I BlicksteinB M Molgilner
Jan 1, 1988·American Journal of Obstetrics and Gynecology·J D Yeast, T R Garite
Jun 8, 1999·Obstetrical & Gynecological Survey·S O'ConnorM J McMahon
Oct 18, 2000·American Journal of Obstetrics and Gynecology·T F McElrathL J Heffner
Oct 18, 2000·American Journal of Obstetrics and Gynecology·T M JenkinsR J Wapner
Nov 20, 2002·American Journal of Obstetrics and Gynecology·Thomas F McElrathLinda J Heffner
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Vincenzo BerghellaNancy W Hendrix
May 27, 2010·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Jennifer WalshAlexander C Allen
Apr 22, 2011·Clinical Obstetrics and Gynecology·Maria A Giraldo-Isaza, Vincenzo Berghella
Mar 17, 2012·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·Matthew D LaskinWendy L Whittle
Jan 28, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Eduardo AguinRay Bahado-Singh
Apr 15, 2014·American Journal of Obstetrics and Gynecology·Anna GalyeanUNKNOWN Obstetrix Perinatal Collaborative Research Network
Nov 25, 2014·Archives of Gynecology and Obstetrics·Vasilios PergialiotisDespina Perrea
Apr 21, 2017·Obstetrical & Gynecological Survey·Jeffrey D SperlingJuan M Gonzalez