Prediction of cervical cerclage outcome by endovaginal ultrasonography

Andersen, H. Frank; Karimi, Ardeshir; Sakala, Elmar P.; Kalugdan, R.

doi:10.1016/0002-9378(94)90044-2

Cited by 63 publications

(46 citation statements)

References 11 publications

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“…However, an improvement of the outcome of pregnancies with cervical cerclage by transvaginal ultrasound follow-up was reported as well [6,7]. A correlation was found between shorter upper cervical segment [6], funneling [7] and progressive shortening [8] (but not the length per se) and preterm delivery. Thus, careful sonographic follow-up, especially for high-risk pregnancies with cerclage, might improve outcome by early detection of preterm labor.…”

Section: Discussionmentioning

confidence: 94%

“…Specifically, ultrasonographic assessment of cervical length among such patients was a useful predictor of those at risk for recurrence [24][25][26]. However, an improvement of the outcome of pregnancies with cervical cerclage by transvaginal ultrasound follow-up was reported as well [6,7]. A correlation was found between shorter upper cervical segment [6], funneling [7] and progressive shortening [8] (but not the length per se) and preterm delivery.…”

Section: Discussionmentioning

confidence: 95%

“…Several studies have attempted to ascertain predictors for preterm birth among patients with cerclage. Andersen et al [6] found a correlation between short upper cervical segment before 30 weeks' gestation in women with cerclage and preterm delivery. Likewise, Rana et al [7] found transvaginal ultrasound changes such as funneling to predict pregnancy outcome.…”

Section: Introductionmentioning

confidence: 98%

“…Prophylactic transvaginal cervical cerclage is considered a therapeutic Sheiner/Bashiri/Shoham-Vardi/ Hershkovitz/Mazor procedure for cervical incompetence [5]. However, patients with cerclage for suspected cervical incompetence remain at increased risk for preterm delivery [6].…”

Section: Introductionmentioning

confidence: 99%

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Preterm Deliveries among Women with MacDonald Cerclage Performed due to Cervical Incompetence

Bashiri¹,

Shoham‐Vardi

Hershkovitz³

et al. 2004

Fetal Diagn Ther

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Objective: The study was aimed to assess the impact of obstetric risk factors for preterm delivery among women with MacDonald cerclage performed due to cervical incompetence. Study Design: A cohort study was conducted including all patients with MacDonald cerclage performed at 12–14 weeks gestation due to cervical incompetence (n = 793). Deliveries occurred between the years 1988 and 2002 in a University Medical Center. A multiple linear regression model was used to assess the impact of maternal characteristics as well as pregnancy complications on the length of pregnancy. Results: The following factors were found to be associated with preterm delivery among these patients, in the univariate analysis: nulliparity, fertility treatments, severe preeclampsia, second-trimester bleeding, premature rupture of membranes (PROM), chorioamnionitis and placental abruption. Using a multiple linear regression model, with backward elimination, the impact of these variables on the length of pregnancy was assessed (R² = 0.33, p < 0.001). The mean gestational age at birth among patients without risk factors was 38.1. Second-trimester bleeding reduced gestational age by 6.4 weeks, chorioamnionitis by 5.6 weeks, placental abruption by 5.1 weeks, PROM by 3.2 weeks and severe preeclampsia by 2.4 weeks. Conclusions: Second-trimester bleeding, chorioamnionitis, placental abruption, PROM and severe preeclampsia are ominous signs for preterm delivery among patients with MacDonald cerclage performed due to cervical incompetence.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Preterm Deliveries among Women with MacDonald Cerclage Performed due to Cervical Incompetence

Bashiri¹,

Shoham‐Vardi

Hershkovitz³

et al. 2004

Fetal Diagn Ther

View full text Add to dashboard Cite

show abstract

“…The outcome was improved if the suture remained above the middle third, the cervical length exceeded 25mm and in the absence of funnelling. 40,41,42 Occasionally labour does not progress well after stitch removal. 43 Cervical dystocia may lead to caesarean section.…”

Section: Complications Of Vaginal Cerclagementioning

confidence: 99%