Transvaginal placement of cervicoisthmic cerclage: report on pregnancy outcome.

Abstract:

OBJECTIVE:This study was undertaken to review pregnancy course and outcome in 56 pregnancies after the placement of a cervicoisthmic cerclage transvaginally. STUDY DESIGN:Fifty-three pregnant patients with unique indications such as previous failure of conventional cerclages or compromised cervical anatomy, underwent transvaginal placement of a cervicoisthmic cerclage during pregnancy. RESULTS:There was 100% fetal survival. Preterm birth rate was 32% and births at less than 30 weeks occurred in 21% of our patients. In 6 patients, the suture was not removed and 3 patients had an additional gestation with the same suture. Serious complications included 1 instance of intraoperative bladder laceration and 1 of intrapartum cervical tear. Minor complications included a postoperative hematoma and transient urinary retention with pelvic pain in 2 patients. CONCLUSION:The placement of transvaginal cervicoisthmic cerclage was associated with favorable pregnancy outcome and may be considered as a suitable safe alternative to the transabdominal cerclage.

journal_name

Am J Obstet Gynecol

authors

Katz M,Abrahams C

doi

10.1016/j.ajog.2005.02.127

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

1989-92; discussion 1992-4

issue

6

eissn

0002-9378

issn

1097-6868

pii

S0002937805004400

journal_volume

192

pub_type

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