Management of cervical cerclage after preterm premature rupture of membranes.
The optimal management of preterm premature rupture of membranes (PPROM) in a patient with a cerclage is controversial. The issues are whether the latency period between rupture of membranes and delivery is decreased if the cerclage is removed and whether there is an increased rate of maternal or neonatal infection if the cerclage is kept in place. The data are sparse in directing management of women with prophylactic cerclages placed earlier in their pregnancies who rupture membranes. Latency seems to be increased if the cerclage is kept in place, but maternal and neonatal infectious morbidity is increased also. In women at early gestational ages, keeping the cerclage in place may be warranted until labor ensues. In more advanced gestations, it seems preferable to immediately remove the cerclage upon diagnosis of PPROM.
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Related Subject Headings
- Uterine Cervical Incompetence
- Pregnancy Complications, Infectious
- Pregnancy
- Obstetrics & Reproductive Medicine
- Infant, Newborn
- Humans
- Fetal Membranes, Premature Rupture
- Female
- Chorioamnionitis
- Cervix Uteri
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Uterine Cervical Incompetence
- Pregnancy Complications, Infectious
- Pregnancy
- Obstetrics & Reproductive Medicine
- Infant, Newborn
- Humans
- Fetal Membranes, Premature Rupture
- Female
- Chorioamnionitis
- Cervix Uteri