Cervical cerclage: An alternative for the management of placenta previa?

Cobo, Edgard; Conde-Agudelo, Agustín; Delgado, J.; Canaval, Hoover; Congote, Adolfo

doi:10.1016/s0002-9378(98)70261-3

Cited by 35 publications

(19 citation statements)

References 8 publications

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“…38 However, another slightly larger trial showed no benefit to cerclage. 39 Taken together, there is no clear benefit from the procedure in women with previa and it is not recommended.…”

Section: Managementmentioning

confidence: 99%

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Abnormal Placentation

Silver¹

2015

Obstetrics &Amp; Gynecology

416

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Placental disorders such as placenta previa, placenta accreta, and vasa previa are all associated with vaginal bleeding in the second half of pregnancy. They are also important causes of serious fetal and maternal morbidity and even mortality. Moreover, the rates of previa and accreta are increasing, probably as a result of increasing rates of cesarean delivery, maternal age, and assisted reproductive technology. The routine use of obstetric ultrasonography as well as improving ultrasonographic technology allows for the antenatal diagnosis of these conditions. In turn, antenatal diagnosis facilitates optimal obstetric management. This review emphasizes an evidence-based approach to the clinical management of pregnancies with these conditions as well as highlights important knowledge gaps.

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“…38 However, another slightly larger trial showed no benefit to cerclage. 39 Taken together, there is no clear benefit from the procedure in women with previa and it is not recommended.…”

Section: Managementmentioning

confidence: 99%

“…It is uncommon and occurs in 1 in 2,500 to 1 in 5,000 pregnancies. [40][41][42] The pathophysiology is uncertain, but there is some overlap with placenta previa. Risk factors include succenturiate or bilobed placenta, velamentous cord insertion, previa or lowlying placenta in the second trimester, and multiple gestation.…”

Section: Vasa Previa Backgroundmentioning

confidence: 99%

Abnormal Placentation

Silver¹

2015

Obstetrics &Amp; Gynecology

416

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“…There is no doubt about the complications of cervical cerclage, especially when performed in the rural community (Jongen and van Rosemalen, 1997). Cervical cerclage has been applied unsuccessfully in cases of placenta praevia (Cobo et al, 1998). We have conducted this study to determine the outcome of pregnancy in patients who had cervical cerclage performed for cervical incompetence and also assess the influence of other factors on the outcome.…”

Section: Introductionmentioning

confidence: 99%

A clinico-epidemiological review of cervical cerclage from the Assir region of Saudi Arabia

Sobande

Archibong

Sadek³

et al. 2002

Journal of Obstetrics and Gynaecology

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A retrospective review was conducted on patients who had cervical cerclage performed because of suspected cervical incompetence over a 7-year period to assess the outcome of pregnancy and complications resulting from the cerclage. Other factors that could affect the outcome and complications were also assessed. Out of 196 patients who had the operation, 154 patients had adequate records available and therefore comprised the study population. There were 139 (90%) live births of which 76.6% weighed more than 2000 g. The outcome was not influenced by the experience of the surgeon, type of cerclage or the use of prophylactic antibiotics. There were no complications in 138 (90%) of the cases, and no cases of ruptured uterus, cervical lacerations and severe infections were encountered. The complications were seen more in multiple-order pregnancy and when the operation was performed as an emergency. The future role of cervical cerclage in the management of cervical incompetence in our community is discussed.

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“…[37] Two trials were identified. [38,39] A total of 64 women were randomized, and in one study [38] there was a reduction in the risk of delivery before 34 weeks or the birth of the baby weighing less than 2000 g. However, randomization in this trial was by birth date, and analysis was by treatment received not intention to treat.…”

Section: Cervical Cerclagementioning

confidence: 99%

Diagnosis and management of placenta previa

2008

Intl J Gynecology & Obste

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Objective: To review the use of transvaginal ultrasound for the diagnosis of placenta previa and recommend management based on accurate placental localization. Options: Transvaginal sonography (TVS) versus transabdominal sonography for the diagnosis of placenta previa; route of delivery, based on placenta edge to internal cervical os distance; in-patient versus out-patient antenatal care; cerclage to prevent bleeding; regional versus general anesthesia; prenatal diagnosis of placenta accreta. Outcome: Proven clinical benefit in the use of TVS for diagnosing and planning management of placenta previa. Evidence: MEDLINE search for "placenta previa" and bibliographic review.

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Cervical cerclage: An alternative for the management of placenta previa?

Cited by 35 publications

References 8 publications

Abnormal Placentation

Abnormal Placentation

A clinico-epidemiological review of cervical cerclage from the Assir region of Saudi Arabia

Diagnosis and management of placenta previa

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