Outcome of patients undergoing transabdominal cerclage: a descriptive study.

Published

Journal Article

OBJECTIVE: Transabdominal cerclage is now evolving as an alternative to transvaginal cerclage in patients with cervical incompetence. The purpose of our study was to evaluate and describe our experience in patients selected to undergo transabdominal cerclage placement. METHODS: Outcome data for all patients who underwent transabdominal cerclage from January, 1990, through December, 1994, was collected. Indications for transabdominal cerclage included patients with prior failed vaginal cerclage, extremely shortened cervix, or anatomical defects judged unsuitable for transvaginal cerclage. RESULTS: Eleven patients underwent 12 transabdominal cerclage procedures. The mean gestational age at the time of cerclage placement was 12.5 weeks (range 10-14 weeks). The mean gestational age at delivery was 34 weeks. There were two neonatal deaths, which were related to extreme prematurity. The mean birthweight was 2,622 g. The fetal salvage rate was 83%. CONCLUSIONS: These findings suggest that in a highly select group of patients, the transabdominal cerclage can be a safe and effective procedure.

Full Text

Duke Authors

Cited Authors

  • Turnquest, MA; Britton, KA; Brown, HL

Published Date

  • September 1999

Published In

Volume / Issue

  • 8 / 5

Start / End Page

  • 225 - 227

PubMed ID

  • 10475505

Pubmed Central ID

  • 10475505

International Standard Serial Number (ISSN)

  • 1057-0802

Digital Object Identifier (DOI)

  • 10.1002/(SICI)1520-6661(199909/10)8:5<225::AID-MFM5>3.0.CO;2-E

Language

  • eng

Conference Location

  • United States