Abstract:
:For women with a history of cervical insufficiency, treatment with transvaginal (TV) or abdominal (TA) cerclage is often recommended; however management of pregnancy complications necessitating uterine evacuation in the second trimester are challenging. We present a patient at 17 weeks 3 day gestation with preterm premature rupture of membranes, and chorioamnionitis with an abdominal cerclage in situ. She desired uterine evacuation via dilation and evacuation. This case report reviews the clinical considerations for uterine evacuation in the second trimester in patients with an abdominal cerclage in situ and discusses options for cervical preparation prior to dilation and evacuation for this unique patient population.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Perry AE,Basu Serna Tdoi
10.1016/j.contraception.2020.01.013subject
Has Abstractpub_date
2020-05-01 00:00:00pages
296-297issue
5eissn
0010-7824issn
1879-0518pii
S0010-7824(20)30032-9journal_volume
101pub_type
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